Vicadrostat with empagliflozin for people with type 2 diabetes, high blood pressure, and heart disease
Official title: EASi-PROTKT™ - A Phase III Double-blind, Randomised, Parallel-group Superiority Trial to Evaluate Efficacy and Safety of the Combined Use of Oral Vicadrostat (BI 690517) and Empagliflozin Compared With Placebo and Empagliflozin in Participants With Type 2 Diabetes, Hypertension and Established Cardiovascular Disease
Run by Boehringer Ingelheim · NCT07064473 · Data updated 2026-11-12
This trial will test whether adding vicadrostat to empagliflozin lowers cardiovascular risk in adults who have type 2 diabetes, high blood pressure, and existing cardiovascular disease but no history of heart failure.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 11800 (estimated) |
| Sponsor | Boehringer Ingelheim Industry-sponsored |
| Locations | 1142 sites (Anniston, Alabama and 1141 other locations) |
| Status | Recruiting |
| Started | July 22, 2025 |
| Main results expected | December 14, 2029 |
| Study ends | December 21, 2029 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT07064473 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older with treated type 2 diabetes, treated hypertension, established cardiovascular disease, no history of heart failure, and at least one additional heart-failure risk factor are the intended participants.
✕Probably not a fit
People with a history of heart failure, recent hospitalization for heart failure, certain uncontrolled arrhythmias, untreated significant conduction disease, or who cannot take empagliflozin or vicadrostat are unlikely to benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults who meet the criteria are randomly assigned to one of two groups: vicadrostat plus empagliflozin or a placebo matching vicadrostat plus empagliflozin. Participants take one tablet daily and continue their usual medications for diabetes, blood pressure, and cardiovascular disease. Treatment and follow-up continue for a minimum of about 2½ years and up to roughly 4 years and 3 months to track cardiovascular outcomes. The study is placebo-controlled with matching tablets to maintain blinding between the active and placebo vicadrostat groups.
Why it matters
Potential benefit: If successful, the combination could lower cardiovascular events and overall cardiovascular risk for people with type 2 diabetes and high blood pressure who already have heart disease.
How similar studies have gone: SGLT2 inhibitors like empagliflozin have shown clear cardiovascular benefits in prior studies, but vicadrostat is a newer agent and combining it with empagliflozin at this scale is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria : * At least 18 years old at time of consent * Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial * Women of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per ICH M3 (R2). * Participants with medical history of hypertension and on active pharmacological treatment * Participants with medical history of type 2 diabetes mellitus (T2DM) and on active pharmacological treatment * Established cardiovascular (CV) disease and on active pharmacological treatment * At least one additional risk factor for developing heart failure (HF) Exclusion Criteria: * History of HF or hospitalization for HF or treatment of HF * Atrial fibrillation or Atrial flutter with a resting heart rate \>110 beats per minute (bpm) documented by echocardiogram (ECG) at Visit 1 (screening) * Advanced untreated conduction disease or untreated clinically relevant ventricular arrhythmia at Visit 1 (screening) * Treatment with an Mineralocorticoid receptor antagonist (MRA) * Treatment with amiloride or other potassium-sparing diuretic * Receiving the following treatments at Visit 1 (screening) or requiring such treatment before Visit 2 (randomisation), or planned during the trial: * A direct renin inhibitor (e.g. aliskiren) * More than one Angiotensin-converting enzyme inhibitor (ACEi) and/or Angiotensin receptor blocker (ARB) (including Angiotensin receptor-neprilysin inhibitor (ARNi)) used simultaneously * Other aldosterone synthase inhibitors (e.g. baxdrostat) * Systemic mineralocorticoid replacement therapy (e.g. fludrocortisone) Further exclusion criteria apply.
Where it's running
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Pinnacle Research Group, LLC
Anniston, Alabama, United States Recruiting -
Eastern Shore Research Group
Fairhope, Alabama, United States Recruiting -
Lakeview Clinical Research
Guntersville, Alabama, United States Recruiting -
Arizona Clinical Trials - Chandler
Chandler, Arizona, United States Recruiting -
Elite Clinical Studies
Phoenix, Arizona, United States Recruiting -
Clinical Research Institute of Arizona, LLC
Sun City West, Arizona, United States Recruiting
Show 44 more locations
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Fiel Family & Sports Medicine
Tempe, Arizona, United States Recruiting -
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Yuma, Arizona, United States Recruiting -
National Heart Institute
Beverly Hills, California, United States Recruiting -
Hope Clinical Research
Canoga Park, California, United States Recruiting -
John Muir Physician Network Clinical Research Center
Concord, California, United States Recruiting -
Velocity Clinical Research-Huntington Park
Huntington Park, California, United States Recruiting -
Velocity Clinical Research, San Diego
La Mesa, California, United States Recruiting -
First Valley Medical Group
Lancaster, California, United States Recruiting -
ARK Clinical Research
Long Beach, California, United States Recruiting -
Diabetes Associates Medical Group
Orange, California, United States Recruiting -
Empire Clinical Research
Pomona, California, United States Recruiting -
Velocity Clinical Research - San Bernardino
San Bernardino, California, United States Recruiting -
Acclaim Clinical Research
San Diego, California, United States Recruiting -
NorthBay Clinical Research, LLC
Santa Rosa, California, United States Recruiting -
The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Torrance, California, United States Recruiting -
Blue Coast Research Center, LLC
Vista, California, United States Recruiting -
Rocky Mountain Regional VA Medical Center
Aurora, Colorado, United States Recruiting -
Cardiology Physicians of Fairfield County - Bridgeport
Bridgeport, Connecticut, United States Recruiting -
CMR of Greater New Haven, LLC
Hamden, Connecticut, United States Recruiting -
Cardiology Associates of Fairfield County
Stamford, Connecticut, United States Recruiting -
Excel Medical Clinical Trials
Boca Raton, Florida, United States Recruiting -
Clinical Research of West Florida, Inc.
Clearwater, Florida, United States Recruiting -
Beautiful Minds Clinical Research Center
Cutler Bay, Florida, United States Recruiting -
Hillcrest Medical Research
DeLand, Florida, United States Recruiting -
University Clinical Research Deland, LLC
DeLand, Florida, United States Recruiting -
Universal Axon Clinical Research
Doral, Florida, United States Recruiting -
Northeast Research Institute
Fleming Island, Florida, United States Recruiting -
Covenant Metabolic Specialists, LLC - Fort Myers
Fort Myers, Florida, United States Recruiting -
Velocity Clinical Research-Hallandale Beach-67888
Hallandale, Florida, United States Recruiting -
Northeast Research Institute
Jacksonville, Florida, United States Recruiting -
Westside Center for Clinical Research
Jacksonville, Florida, United States Recruiting -
East Coast Institute for Research, LLC - Southside
Jacksonville, Florida, United States Recruiting -
Jacksonville Center for Clinical Research
Jacksonville, Florida, United States Recruiting -
East Coast Institute for Research - Lake City
Lake City, Florida, United States Recruiting -
Clinical Research of Central Florida - Lakeland
Lakeland, Florida, United States Recruiting -
Finlay Medical Research Corp
Miami, Florida, United States Recruiting -
Optimus U Corporation-Miami-69452
Miami, Florida, United States Recruiting -
Oceane7 Clinical Research
Miami, Florida, United States Recruiting -
Research Institute of South Florida, Inc.
Miami, Florida, United States Recruiting -
IMIC Inc.
Miami, Florida, United States Recruiting -
Alma Clinical Research, Inc.
Miami, Florida, United States Recruiting -
Indago Research and Health Center
Miami Lakes, Florida, United States Recruiting -
Advanced Research for Health Improvement, LLC
Naples, Florida, United States Recruiting
+1092 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Boehringer Ingelheim
- Email: clintriage.rdg@boehringer-ingelheim.com
- Phone: 1-800-243-0127
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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.