Clinical trial Recruiting at 19 sites Phase 3 Interventional Ages 18 and up

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.

More Type 2 Diabetes Mellitus trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment900 (estimated)
SponsorAstraZeneca
Industry-sponsored
Locations186 sites (Sun City, Arizona and 185 other locations)
StatusRecruiting
StartedJuly 6, 2026
Main results expectedJuly 13, 2028
Study endsJuly 13, 2028
Registry record updatedSeptember 2, 2026
Trial IDNCT07662135 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

  • Research Site
    Sacramento, California, United States
    Recruiting
  • Research Site
    Miami Lakes, Florida, United States
    Recruiting
  • Research Site
    Ocoee, Florida, United States
    Recruiting
  • Research Site
    Kansas City, Missouri, United States
    Recruiting
  • Research Site
    Albuquerque, New Mexico, United States
    Recruiting
  • Research Site
    Raleigh, North Carolina, United States
    Recruiting
Show 44 more locations
  • Research Site
    Gaffney, South Carolina, United States
    Recruiting
  • Research Site
    Gifu, Japan
    Recruiting
  • Research Site
    Nagoya, Japan
    Recruiting
  • Research Site
    Toyota-Shi, Japan
    Recruiting
  • Research Site
    Kaohsiung City, Taiwan
    Recruiting
  • Research Site
    Taichung, Taiwan
    Recruiting
  • Research Site
    Taichung, Taiwan
    Recruiting
  • Research Site
    Taipei, Taiwan
    Recruiting
  • Research Site
    Taoyuan, Taiwan
    Recruiting
  • Research Site
    Zhubei, Taiwan
    Recruiting
  • Research Site
    Blackpool, United Kingdom
    Recruiting
  • Research Site
    Sandbach, United Kingdom
    Recruiting
  • Research Site
    Thetford, United Kingdom
    Recruiting
  • Research Site
    Sun City, Arizona, United States
    Not yet recruiting
  • Research Site
    Surprise, Arizona, United States
    Not yet recruiting
  • Research Site
    Concord, California, United States
    Not yet recruiting
  • Research Site
    Victorville, California, United States
    Not yet recruiting
  • Research Site
    Fleming Island, Florida, United States
    Not yet recruiting
  • Research Site
    Lauderdale Lakes, Florida, United States
    Not yet recruiting
  • Research Site
    Leesburg, Florida, United States
    Not yet recruiting
  • Research Site
    Orlando, Florida, United States
    Not yet recruiting
  • Research Site
    Chicago, Illinois, United States
    Not yet recruiting
  • Research Site
    Braintree, Massachusetts, United States
    Not yet recruiting
  • Research Site
    New Bedford, Massachusetts, United States
    Not yet recruiting
  • Research Site
    Worcester, Massachusetts, United States
    Not yet recruiting
  • Research Site
    Saint Joseph, Michigan, United States
    Suspended
  • Research Site
    Saint Paul, Minnesota, United States
    Not yet recruiting
  • Research Site
    Omaha, Nebraska, United States
    Not yet recruiting
  • Research Site
    Las Vegas, Nevada, United States
    Not yet recruiting
  • Research Site
    The Bronx, New York, United States
    Not yet recruiting
  • Research Site
    Kinston, North Carolina, United States
    Not yet recruiting
  • Research Site
    Winston-Salem, North Carolina, United States
    Not yet recruiting
  • Research Site
    Cincinnati, Ohio, United States
    Not yet recruiting
  • Research Site
    East Providence, Rhode Island, United States
    Not yet recruiting
  • Research Site
    Greenville, South Carolina, United States
    Not yet recruiting
  • Research Site
    San Antonio, Texas, United States
    Suspended
  • Research Site
    San Antonio, Texas, United States
    Not yet recruiting
  • Research Site
    Ogden, Utah, United States
    Not yet recruiting
  • Research Site
    Arlington, Virginia, United States
    Suspended
  • Research Site
    Dupnitsa, Bulgaria
    Not yet recruiting
  • Research Site
    Haskovo, Bulgaria
    Not yet recruiting
  • Research Site
    Kyustendil, Bulgaria
    Not yet recruiting
  • Research Site
    Pleven, Bulgaria
    Not yet recruiting
  • Research Site
    Plovdiv, Bulgaria
    Not yet recruiting

+136 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.