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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 195 (estimated) |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Locations | 59 sites (Huntsville, Alabama and 58 other locations) |
| Status | Recruiting |
| Started | January 9, 2026 |
| Main results expected | October 13, 2028 |
| Study ends | October 13, 2028 |
| Registry record updated | October 27, 2026 |
| Trial ID | NCT07271186 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
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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
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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
- Study coordinator: Clinical Trials Administrator
- Email: clinicaltrials@regeneron.com
- Phone: 844-734-6643
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Goal-Directed Heart, Kidney, and Metabolic Care to Help Adults with Diabetic Kidney Disease
This trial tests a structured, early CKM care plan alongside usual care to see if it is feasible and safe for adults with type 2 diabetes and diabetic kidney disease who are at high cardiovascular risk.
-
Amimestrocel (umbilical cord mesenchymal stromal cells) for diabetic kidney disease
This trial will test whether umbilical cord-derived mesenchymal stromal cells (Amimestrocel) can improve kidney function or reduce protein in adults with progressive diabetic kidney disease.
-
Isuzinaxib for adults with diabetic kidney disease
This trial tests whether isuzinaxib (APX-115) is safe and can reduce protein in the urine and protect kidneys in adults with type 2 diabetes and diabetic kidney disease.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.