Clinical trial Recruiting at 57 sites Phase 2 Interventional Ages 18 to 80

ANGPTL3 inhibition for adults with diabetic kidney disease

Official title: A Phase 2 Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamic Effects of ALN-ANG3 in Participants With Diabetic Kidney Disease

Run by Regeneron Pharmaceuticals · NCT07271186 · Data updated 2026-11-12

This study tests whether two drugs that block ANGPTL3, ALN-ANG3 and evinacumab, are safe and help adults with type 2 diabetes who have diabetic kidney disease.

More Diabetic Kidney Disease (DKD) trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment195 (estimated)
SponsorRegeneron Pharmaceuticals
Industry-sponsored
Locations59 sites (Huntsville, Alabama and 58 other locations)
StatusRecruiting
StartedJanuary 9, 2026
Main results expectedOctober 13, 2028
Study endsOctober 13, 2028
Registry record updatedOctober 27, 2026
Trial IDNCT07271186 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with type 2 diabetes who have diabetic kidney disease with HbA1c 6.5–10%, eGFR 30–90 mL/min/1.73 m2, and urine albumin-to-creatinine ratio of 500–5000 mg/g are the intended candidates.

Probably not a fit

People with non-diabetic kidney disease, those on dialysis or with a prior kidney transplant, medically unstable patients, or those recently hospitalized are unlikely to benefit or be eligible for this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 2 interventional trial gives participants ALN-ANG3, evinacumab, or matched placebo and follows them over time for safety, drug levels in the blood, and effects on kidney-related measures such as albuminuria and estimated glomerular filtration rate. Eligible adults have type 2 diabetes with moderate-to-severe albuminuria and an eGFR between 30 and 90 mL/min/1.73 m2. The study monitors side effects, pharmacokinetics, and exploratory efficacy signals to inform further development. Results will help determine whether ANGPTL3 inhibition merits larger trials in diabetic kidney disease.

Why it matters

Potential benefit: If successful, blocking ANGPTL3 could lower harmful lipids and slow progression of kidney damage in people with diabetic kidney disease.

How similar studies have gone: ANGPTL3 inhibition has produced strong lipid-lowering effects in prior studies and evinacumab is approved for rare lipid disorders, but its specific benefit for diabetic kidney disease remains largely unproven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

1. Medical history of type 2 diabetes and receiving medical therapy or lifestyle interventions for glucose management
2. Hemoglobin A1C (HbA1c) of 6.5 to 10% at screening
3. eGFR 30 to 90 mL/min/1.73 m\^2 using 2021 Chronic Kidney Disease-Epidemiology Collaboration-Estimated Glomerular Filtration Rate using Creatinine and Cystatin C (CKD-EPI eGFRcr-cys) equation at screening
4. Albuminuria: Urine Albumin to Creatinine Ratio (UACR) of 500 to 5000 mg/g at screening

Key Exclusion Criteria:

1. Known medical history or clinical evidence indicative of non-diabetic renal disease
2. Renal disease that required treatment with systemic immunosuppressive therapy (prior or current), or a history of end-stage kidney disease requiring treatment with chronic dialysis or kidney transplantation
3. Medically unstable as assessed by the investigator or hospitalization (ie, \>24 hours) within 30 days of the screening visit

NOTE: Other Protocol-Defined Inclusion/Exclusion Criteria Apply

Where it's running

  • Apogee Clinical Research, LLC
    Huntsville, Alabama, United States
    Recruiting
  • Applied Research Center of Arkansas
    Little Rock, Arkansas, United States
    Recruiting
  • AME Clinical Research
    Huntington Beach, California, United States
    Recruiting
  • Amicis Research Center
    Northridge, California, United States
    Recruiting
  • FOMAT - Vista del Mar Medical Group
    Oxnard, California, United States
    Recruiting
  • North America Research Institute
    San Dimas, California, United States
    Recruiting
Show 44 more locations
  • Amicis Research Center
    Santa Clarita, California, United States
    Recruiting
  • Valiance Clinical Research
    Tarzana, California, United States
    Recruiting
  • Amicis Research Center
    Valencia, California, United States
    Recruiting
  • National Institute of Clinical Research, Inc.
    Victorville, California, United States
    Recruiting
  • Yale University
    New Haven, Connecticut, United States
    Recruiting
  • D&H Doral Research Center
    Doral, Florida, United States
    Recruiting
  • AGA Clinical Trials
    Hialeah, Florida, United States
    Recruiting
  • Convenient Medical Center
    Hialeah, Florida, United States
    Recruiting
  • Elixia Hollywood
    Hollywood, Florida, United States
    Recruiting
  • D&H Pompano Research Center
    Margate, Florida, United States
    Recruiting
  • LCC Medical Research Institute
    Miami, Florida, United States
    Recruiting
  • D&H National Research Centers, Inc
    Miami, Florida, United States
    Recruiting
  • Regenerate Primary Medical Research, LLC
    Miami, Florida, United States
    Recruiting
  • Ocean Blue Medical Research Center - Internal Medicine
    Miami Springs, Florida, United States
    Recruiting
  • Innovia Research Center
    Miramar, Florida, United States
    Recruiting
  • Central Florida Kidney Specialists Oakwater
    Orlando, Florida, United States
    Recruiting
  • Bolanos Clinical Research
    Pembroke Pines, Florida, United States
    Recruiting
  • Progressive Medical Research
    Port Orange, Florida, United States
    Recruiting
  • CDC Research Institute
    Port Saint Lucie, Florida, United States
    Recruiting
  • D&H Tamarac Research Center
    Tamarac, Florida, United States
    Recruiting
  • Metabolic Research Institute
    West Palm Beach, Florida, United States
    Recruiting
  • Privia Medical Group of Georgia, LLC
    Savannah, Georgia, United States
    Recruiting
  • Research by Design, LLC - Internal Medicine
    Chicago, Illinois, United States
    Recruiting
  • IMA Clinical Research
    Monroe, Louisiana, United States
    Recruiting
  • University of Michigan
    Ann Arbor, Michigan, United States
    Recruiting
  • Elixia Michigan Kidney Consultants
    Pontiac, Michigan, United States
    Recruiting
  • Elixia MNA
    City of Saint Peters, Missouri, United States
    Recruiting
  • Clinical Research Consultants, LLC
    Kansas City, Missouri, United States
    Recruiting
  • University of Nebraska Medical Center
    Omaha, Nebraska, United States
    Recruiting
  • DaVita Clinical Research
    Las Vegas, Nevada, United States
    Recruiting
  • Velocity Clinical Research
    Binghamton, New York, United States
    Recruiting
  • CHEAR Center LLC
    The Bronx, New York, United States
    Recruiting
  • Eastern Nephrology Associates - Greenville West
    Greenville, North Carolina, United States
    Recruiting
  • Eastern Nephrology Associates - New Bern
    New Bern, North Carolina, United States
    Recruiting
  • Brookview Hills Research Associates, LLC
    Winston-Salem, North Carolina, United States
    Recruiting
  • Northeast Clinical Research Center
    Bethlehem, Pennsylvania, United States
    Recruiting
  • Suburban Research Associates
    West Chester, Pennsylvania, United States
    Recruiting
  • Arlington Nephrology, PLLC.
    Arlington, Texas, United States
    Recruiting
  • M3 Wake Research Dallas - Internal Medicine
    Dallas, Texas, United States
    Recruiting
  • Revival Research Institute, LLC
    Dallas, Texas, United States
    Recruiting
  • Epic Medical Research LLC
    DeSoto, Texas, United States
    Recruiting
  • El Paso Kidney Specialists-Davita Clinical Research
    El Paso, Texas, United States
    Recruiting
  • Juno Research, LLC
    Houston, Texas, United States
    Recruiting
  • Prolato Research LLC
    Houston, Texas, United States
    Recruiting

+9 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.