Elecoglipron vs placebo for adults with type 2 diabetes and impaired kidney function on dapagliflozin
Official title: A Randomized, Double-blind, Parallel-group Phase III Study to Evaluate the Efficacy, Safety, and Tolerability of Elecoglipron Compared With Placebo in Adults With Type 2 Diabetes Mellitus and Impaired Renal Function on Background Dapagliflozin (Eluminate-4)
Run by AstraZeneca · NCT07662135 · Data updated 2026-11-12
This study tests whether elecoglipron can help adults with type 2 diabetes and kidney impairment who are taking or may take an SGLT2 inhibitor called dapagliflozin, in addition to their other diabetes medicines.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 900 (estimated) |
| Sponsor | AstraZeneca Industry-sponsored |
| Locations | 186 sites (Sun City, Arizona and 185 other locations) |
| Status | Recruiting |
| Started | July 6, 2026 |
| Main results expected | July 13, 2028 |
| Study ends | July 13, 2028 |
| Registry record updated | September 2, 2026 |
| Trial ID | NCT07662135 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with type 2 diabetes and impaired renal function who are on stable background dapagliflozin therapy or are SGLT2i-naïve and on other glucose-lowering meds, with HbA1c in the specified range and BMI ≥ 23.
✕Probably not a fit
Patients with type 1 diabetes, history of ketoacidosis, significant GI disease, or recent severe hypoglycemia may not benefit from this therapy.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 trial compares elecoglipron to placebo in adults with type 2 diabetes and impaired renal function who are on background dapagliflozin therapy or are SGLT2i-naïve, along with other glucose-lowering meds. Participants must have type 2 diabetes for at least 90 days, a BMI of 23 or higher, and stable weight, with specific HbA1c ranges depending on SGLT2i exposure. The study aims to assess efficacy, safety, and tolerability over a defined treatment period. Key exclusion criteria include type 1 diabetes, history of ketoacidosis, significant GI conditions, and recent severe hypoglycemia. The trial is sponsored by AstraZeneca and will enroll at sites in Sun City, AZ; Surprise, AZ; and Concord, CA.
Why it matters
Potential benefit: If successful, elecoglipron could improve blood sugar control and safety for adults with type 2 diabetes and kidney impairment who are on SGLT2 inhibitors.
How similar studies have gone: Previous trials in similar glucose-lowering strategies have shown variable results; this is a pivotal Phase 3 study to confirm efficacy and safety in this specific renal-impaired population.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosed with Type 2 Diabetes Mellitus for at least 90 days prior to screening * On SGTL2i or SGLT2i-naïve and other glucose lowering medication(s) * HbA1c value: 1. On stable dose of SGLT2i ≥ 7.0 % to ≤ 10.5% (53 to 91.3 mmol/mol) 2. SGLT2i-naive ≥ 7.5% to ≤ 10.5% (58 to 91.3 mmol/mol) * Impaired renal function * Body mass index (BMI) of ≥ 23 kg/m2 at screening * Stable body weight (self-reported or documented) for 90 days prior to screening Exclusion Criteria: * Type 1 Diabetes, secondary forms of diabetes (including congenital forms), or history of ketoacidosis or hyperosmolar coma * Currently receiving or anticipated to receive, therapeutic intervention for diabetic retinopathy and/or macular edema * Have had more than one episode of severe hypoglycemia within 180 days prior to screening or has a history of hypoglycemia unawareness or poor recognition of hypoglycemic symptoms * Clinically significant condition affecting the upper GI tract or chronic use of any medication that affects gastric motility or gastric emptying * History of acute or chronic pancreatitis * Severe congestive heart failure (New York Heart Association IV) * History/family history of medullary thyroid cancer or multiple endocrine neoplasia type 2
Where it's running
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Sacramento, California, United States Recruiting -
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Miami Lakes, Florida, United States Recruiting -
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Ocoee, Florida, United States Recruiting -
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Kansas City, Missouri, United States Recruiting -
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Albuquerque, New Mexico, United States Recruiting -
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Raleigh, North Carolina, United States Recruiting
Show 44 more locations
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Gaffney, South Carolina, United States Recruiting -
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Gifu, Japan Recruiting -
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Nagoya, Japan Recruiting -
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Toyota-Shi, Japan Recruiting -
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Kaohsiung City, Taiwan Recruiting -
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Taichung, Taiwan Recruiting -
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Taichung, Taiwan Recruiting -
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Taipei, Taiwan Recruiting -
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Taoyuan, Taiwan Recruiting -
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Zhubei, Taiwan Recruiting -
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Blackpool, United Kingdom Recruiting -
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Sandbach, United Kingdom Recruiting -
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Thetford, United Kingdom Recruiting -
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Sun City, Arizona, United States Not yet recruiting -
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Surprise, Arizona, United States Not yet recruiting -
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Concord, California, United States Not yet recruiting -
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Victorville, California, United States Not yet recruiting -
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Fleming Island, Florida, United States Not yet recruiting -
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Lauderdale Lakes, Florida, United States Not yet recruiting -
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Leesburg, Florida, United States Not yet recruiting -
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Orlando, Florida, United States Not yet recruiting -
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Chicago, Illinois, United States Not yet recruiting -
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Braintree, Massachusetts, United States Not yet recruiting -
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New Bedford, Massachusetts, United States Not yet recruiting -
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Worcester, Massachusetts, United States Not yet recruiting -
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Saint Joseph, Michigan, United States Suspended -
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Saint Paul, Minnesota, United States Not yet recruiting -
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Omaha, Nebraska, United States Not yet recruiting -
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Las Vegas, Nevada, United States Not yet recruiting -
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The Bronx, New York, United States Not yet recruiting -
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Kinston, North Carolina, United States Not yet recruiting -
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Winston-Salem, North Carolina, United States Not yet recruiting -
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Cincinnati, Ohio, United States Not yet recruiting -
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East Providence, Rhode Island, United States Not yet recruiting -
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Greenville, South Carolina, United States Not yet recruiting -
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San Antonio, Texas, United States Suspended -
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San Antonio, Texas, United States Not yet recruiting -
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Ogden, Utah, United States Not yet recruiting -
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Arlington, Virginia, United States Suspended -
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Dupnitsa, Bulgaria Not yet recruiting -
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Haskovo, Bulgaria Not yet recruiting -
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Kyustendil, Bulgaria Not yet recruiting -
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Pleven, Bulgaria Not yet recruiting -
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Plovdiv, Bulgaria Not yet recruiting
+136 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
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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.