Using Dapagliflozin to Protect Kidney Function After Transplant

Can Dapagliflozin Preserve Structure and Function in Transplanted Kidneys?

PHASE4 · Oslo University Hospital · NCT05788276

This study is testing if the medication dapagliflozin can help protect kidney function in people who had a kidney transplant six weeks ago.

Quick facts

PhasePHASE4
Study typeInterventional
Enrollment330 (estimated)
Ages18 Years to 75 Years
SexAll
SponsorOslo University Hospital (other)
Locations1 site (Oslo, Oslo)
Trial IDNCT05788276 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates the effects of dapagliflozin, an SGLT2 inhibitor, on kidney transplant recipients who received their transplant six weeks prior. The study aims to determine if dapagliflozin can preserve glomerular filtration rate (GFR), reduce kidney fibrosis, and improve metabolic risk factors associated with graft failure. Participants will be randomly assigned to receive either dapagliflozin or a placebo for a total of 150 weeks, with various assessments including kidney biopsies and metabolic tests conducted throughout the study. The trial will involve 330 participants at Oslo University Hospital and other collaborating institutions.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18-75 who have received a kidney transplant at Oslo University Hospital six weeks prior and have an estimated GFR of at least 25 mL/min/1.73 m2.

Not a fit: Patients with type 1 diabetes, recent kidney graft rejection, or ongoing infections may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could enhance kidney function and longevity in transplant recipients, potentially reducing the risk of graft failure.

How similar studies have performed: While the use of SGLT2 inhibitors in kidney transplant patients is a relatively novel approach, preliminary studies suggest potential benefits, indicating that this trial could contribute valuable insights.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Renal transplant recipients transplanted 6 weeks earlier at Oslo University hospital (OUH) Rikshospitalet.
* Age 18-75 years.
* Able to comply with the medical treatment on their own.
* Calcineurin inhibitor trough concentrations in accordance with individual therapeutic range and standard dose prednisolone and mycophenolate mofetil over the last 2 weeks.
* Estimated GFR ≥25 mL/min/1.73 m2.

Exclusion Criteria:

* Type 1 diabetes
* Rejection episodes of the kidney graft prior to randomization.
* Ongoing infectious disease or intermittent causes affecting renal function, e.g., obstructive lymphocele.
* Malnutrition.
* Urosepsis less than 1 year prior to randomization.
* Participants with a known hypersensitivity to dapagliflozin or any of the excipients of the product.
* For women only - currently pregnant

Where this trial is running

Oslo, Oslo

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Kidney Transplant, Complications, Kidney Transplant Failure, Renal Failure, Kidney, Transplantation, SGLT2, Renal function

Last reviewed 2026-05-15 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.