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NCT07064473ClinicalTrials.gov

EASi-PROTKT™ - A Study to Test Vicadrostat (BI 690517) Taken Together With Empagliflozin in People With Type 2 Diabetes, High Blood Pressure, and Cardiovascular Disease

EASi-PROTKT™ - A Phase III Double-blind, Randomised, Parallel-group Superiority Trial to Evaluate Efficacy and Safety of the Combined Use of Oral Vicadrostat (BI 690517) and Empagliflozin Compared With Placebo and Empagliflozin in Participants With Type 2 Diabetes, Hypertension and Established Cardiovascular Disease

RecruitingTaking participants now, according to the registry record.
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In brief

This study is open to adults with type 2 diabetes, high blood pressure, and cardiovascular disease. People can join the study if they have these conditions and do not have a history of heart failure. The purpose of this study…

Phase 311,800 participants sought1,143 sites51 countries

Categories

Registered in 1 registry

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Trial information is shown as published by the registry, in its original language.

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2025-07-14; recorded start 2025-07-22
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Present: Uses blinding (masking)A masking level is recorded in the record
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 1218 other studies in this databaseCounted from the lead sponsor named in the record (Boehringer Ingelheim)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 3 conditions.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourDEFINITIVE

A definitive-grade design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding20/20

    Quadruple-blind

  • Control arm15/15

    Active-comparator control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type10/10

    Mortality / MACE endpoint (hard clinical outcome)

  • Multi-centre8/8

    Multi-centre: 1154 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleMEGA

A very large study, international in scope: 11,800 participants (target), run at 1,143 sites, across 51 countries.

How this score is built
  • Enrolment38/40

    11,800 participants (target)

  • Site count25/25

    1,154 sites

  • Country count15/15

    51 countries

  • Planned duration9/10

    Planned over about 54 months

  • Sponsor scale10/10

    Boehringer Ingelheim has led 1,211 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Summary

This study is open to adults with type 2 diabetes, high blood pressure, and cardiovascular disease. People can join the study if they have these conditions and do not have a history of heart failure. The purpose of this study is to find out if a medicine called vicadrostat, when taken with empagliflozin, helps reduce cardiovascular risk in people with these conditions. The study will compare this combination to a placebo version of vicadrostat with empagliflozin. Participants are put into 2 groups randomly, which means by chance. One group takes vicadrostat and empagliflozin tablets, and the other group takes placebo tablets with empagliflozin. Placebo tablets look like vicadrostat tablets but do not contain any medicine. Participants take a tablet once per day for 2 and a half years and up to 4 years and 3 months. All participants also continue their medication for type 2 diabetes, high blood pressure, and cardiovascular disease. Participants have an equal chance of receiving the study medicine or placebo. Participants are in the study for up to 4 years and 3 months. During this time, they visit the study site regularly. During these visits, doctors collect information about participants' health and take blood samples. The doctors document when participants experience cardiovascular events. The doctors also regularly check participants' health and take note of any unwanted effects.

Conditions

  • Diabetes Mellitus, Type 2
  • Hypertension
  • Cardiovascular Diseases

Eligibility

Eligibility
SexAll
Ages18 YearsNo maximum
Healthy volunteersNo

Eligibility as written in the registry

Inclusion Criteria : * At least 18 years old at time of consent * Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial * Women of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per ICH M3 (R2). * Participants with medical history of hypertension and on active pharmacological treatment * Participants with medical history of type 2 diabetes mellitus (T2DM) and on active pharmacological treatment * Established cardiovascular (CV) disease and on active pharmacological treatment * At least one additional risk factor for developing heart failure (HF) Exclusion Criteria: * History of HF or hospitalization for HF or treatment of HF * Atrial fibrillation or Atrial flutter with a resting heart rate \>110 beats per minute (bpm) documented by echocardiogram (ECG) at Visit 1 (screening) * Advanced untreated conduction disease or untreated clinically relevant ventricular arrhythmia at Visit 1 (screening) * Treatment with an Mineralocorticoid receptor antagonist (MRA) * Treatment with amiloride or other potassium-sparing diuretic * Receiving the following treatments at Visit 1 (screening) or requiring such treatment before Visit 2 (randomisation), or planned during the trial: * A direct renin inhibitor (e.g. aliskiren) * More than one Angiotensin-converting enzyme inhibitor (ACEi) and/or Angiotensin receptor blocker (ARB) (including Angiotensin receptor-neprilysin inhibitor (ARNi)) used simultaneously * Other aldosterone synthase inhibitors (e.g. baxdrostat) * Systemic mineralocorticoid replacement therapy (e.g. fludrocortisone) Further exclusion criteria apply.

Eligibility in plain statements

This record's criteria have not been broken into separate statements yet. The registry text above is complete and is the authoritative version.

Study design

Study design
Study typeInterventional
PhasePhase 3
AllocationRandomised
Intervention modelPARALLEL
Primary purposeTREATMENT
MaskingQUADRUPLE (4)
Enrolment11,800 participants sought

Sponsor and collaborators

  • Boehringer Ingelheim Sponsor

Arms and interventions

  • Vicadrostat + empagliflozin treatment armEXPERIMENTAL
  • Vicadrostat-placebo + empagliflozin treatment armACTIVE_COMPARATOR

Interventions

  • Drug Empagliflozin

    Empagliflozin

  • Drug Placebo matching Vicadrostat

    Placebo matching Vicadrostat

  • Drug Vicadrostat

    Vicadrostat

Outcome measures

  1. Primary outcome

    Time to first event of cardiovascular (CV) death or heart failure event (HFE)

    Time frame Up to 51 months

  2. Secondary outcome

    Time to first event of cardiovascular (CV) death or hospitalisation for heart failure (HHF)

    Time frame Up to 51 months

  3. Secondary outcome

    Absolute change from baseline in mean systolic blood pressure (SBP) [mmHg] at Week 24

    Time frame At baseline and week 24

  4. Secondary outcome

    Relative change from baseline in Urine Albumin Creatinine Ratio (UACR) [mg/g] at Week 24

    Time frame At baseline and week 24

  5. Secondary outcome

    Time to first occurrence of the composite outcome of kidney disease progression, HHF, CV death

    Time frame Up to 51 months

  6. Secondary outcome

    Time to first event of CV death, HFE, non-fatal myocardial infarction (MI) or non-fatal stroke (4-point Major adverse cardiovascular events (MACE))

    Time frame Up to 51 months

  7. Secondary outcome

    Occurrences of all-cause hospitalisations (first and recurrent)

    Time frame Up to 51 months

  8. Secondary outcome

    Time to first event of new-onset atrial fibrillation or atrial flutter (in participants without history of atrial fibrillation and atrial flutter) or CV death

    Time frame Up to 51 months

  9. Secondary outcome

    Time to all-cause death

    Time frame Up to 51 months

  10. Secondary outcome

    Time to CV death

    Time frame Up to 51 months

  11. Secondary outcome

    Time to first HHF

    Time frame Up to 51 months

  12. Secondary outcome

    Time to first event of new-onset HF or CV death

    Time frame Up to 51 months

  13. Secondary outcome

    Occurrences of HHF (first and recurrent)

    Time frame Up to 51 months

  14. Secondary outcome

    Absolute change from baseline in mean diastolic blood pressure (DBP) [mmHg] at Week 24

    Time frame At baseline and week 24

Dates

Dates
Start dateJuly 22, 2025 (actual)
Primary completionDecember 14, 2029 (estimated)
CompletionDecember 21, 2029 (estimated)
First postedJuly 14, 2025 (actual)
Last updatedSeptember 16, 2026
Results postedNot stated in the registry record
Status last verifiedSeptember 2026

Actual means the event happened. Estimated means the sponsor expects it. The two mean different things.

Locations

1,094 sites are recruiting

Argentina

Argentina
FacilityCityState or regionStatus
CEC- Centro de Especialidades CardiovascularesBahía BlancaRecruiting
Buenos Aires Macula S.A.Buenos AiresRecruiting
IDIM - Instituto de Diagnostico e Investigaciones MetabolicasBuenos AiresRecruiting
Centro Medico FleischerCABARecruiting
CEDIC - Centro de Investigacion ClinicaCABARecruiting
Mautalen- Salud e InvestigacionCABARecruiting
Equipo CienciaCABARecruiting
STAT ResearchCABARecruiting
Sanatorio AnchorenaCABARecruiting
CPSIC SRL - Cardiologia PalermoCABARecruiting
Instituto Cardiovascular de Buenos AiresCiudad Autonoma Buenos AiresRecruiting
Centro Medico ViamonteCiudad Autonoma de Bs AsRecruiting
Consultorio de Investigacion Clinica EMO SRLCiudad Autonoma de Buenos AireRecruiting
Centro Diabetologico Dr WaitmanCórdobaRecruiting
Clinica Universitaria Reina Fabiola - Universidad Catolica de CordobaCórdobaRecruiting
Cemaic (Centro de Especialidades Medicas Ambulatorias E Investigacion Clinica)CórdobaRecruiting
Instituto Privado de Investigaciones Clinica Cordoba S.A.CórdobaRecruiting
CIPADI - Centro Integral de Prevencion y Atencion en DiabetesGodoy CruzRecruiting
Centro de Investigaciones Clinicas BaigorriaGranadero BaigorriaRecruiting
Instituto de Investigaciones Clinicas Mar del PlataMar del PlataRecruiting
Hospital Privado - Centro Medico de Cordoba S.A.Parque Velez SarsfieldRecruiting
Instituto Medico Catamarca - IMECRosarioRecruiting
Instituto Medico Rio CuartoRío CuartoRecruiting
Centro de Investigaciones Clinicas del LitoralSanta FeRecruiting
CEDIR Santa FeSanta FeRecruiting
CEMEDIC - Centro de Especialidades MedicasVilla LuroRecruiting

Australia

Australia
FacilityCityState or regionStatus
Nightingale Research Pty LtdAdelaideSouth AustraliaRecruiting
Flinders Medical CentreBedford ParkSouth AustraliaRecruiting
Blacktown HospitalBlactownNew South WalesRecruiting
Advara Heartcare Research BurwoodBurwoodNew South WalesRecruiting
Royal Prince Alfred HospitalCamperdownNew South WalesRecruiting
Heart of AustraliaChelmerQueenslandRecruiting
Prince Charles HospitalChermsideQueenslandRecruiting
Monash HealthClaytonVictoriaRecruiting
Concord Repatriation General HospitalConcordNew South WalesRecruiting
The Northern HospitalEppingVictoriaRecruiting
Nightingale Research VictoriaFrankstonVictoriaRecruiting
Canberra HospitalGarranAustralian Capital TerritoryRecruiting
Royal Brisbane and Women's HospitalHerstonQueenslandCompleted
Royal Hobart HospitalHobartTasmaniaRecruiting
HeartwestHoppers CrossingVictoriaRecruiting
Life Clinical ResearchIpswichQueenslandRecruiting
Advara Heartcare Research WAJoondalupWestern AustraliaRecruiting
Advara Heart Care-Leabrook-69072LeabrookSouth AustraliaRecruiting
Sydney Cardiometabolic CentreLiverpoolNew South WalesRecruiting
Cabrini HealthMalvernVictoriaRecruiting
Advara HeartCare - MulgraveMulgraveVictoriaRecruiting
Fiona Stanley HospitalMurdochWestern AustraliaRecruiting
John Hunter HospitalNew Lambton HeightsNew South WalesRecruiting
Gold Coast University HospitalSouthportQueenslandRecruiting

1,093 further sites are listed in the registry record.

Study documents

No documents are linked in this registry record.

Changes over time

  1. September 16, 2026

    Site removed

    4 sites removed (1143 total)

    11471143

  2. August 20, 2026

    Site removed

    2 sites removed (1147 total)

    11491147

  3. July 27, 2026

    Site removed

    5 sites removed (1149 total)

    11541149