Asset profile

Apecotrep

Small molecule

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Phase 3underway

Evidence outlook · registrational

Chronic Kidney Disease: registrational readout pending

Entered Phase 3 on partial signal mid-stage evidence. Registrational readout expected around 2028-12-27.

NCT05213624: The trial randomized 67 participants to three BI 764198 dose groups or placebo and kept participants and investigators blinded, but each group was small. Its primary outcomes were urine protein-creatinine ratio measures, which are surrogate rather than hard clinical endpoints, and results were mixed: the 20-mg dose was significant while the higher doses were not.

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Competitive landscape

60 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 60 same-indication; 25 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Apecotrep: this drugPhase 3Small moleculeTRPC6 (transient receptor potential cation channel subfamily C member 6)
Atrasentan (Vanrafia)ApprovedSmall moleculeEndothelin A receptor
Avacopan (Tavneos)ApprovedSmall moleculeComplement C5a receptor 1 (C5aR1/CD88)
Baxdrostat (Baxfendy)ApprovedSmall moleculeAldosterone synthase (CYP11B2)
Budesonide (targeted-Release) (TARPEYO / Nefecon)ApprovedSmall moleculeGlucocorticoid receptor
Canagliflozin (Invokana)ApprovedSmall moleculeSGLT2
Dapagliflozin (Farxiga / Forxiga)ApprovedSmall moleculeSGLT2
Daprodustat (Jesduvroq)ApprovedSmall moleculeHIF prolyl hydroxylase (HIF-PH1/2/3)
Difelikefalin (Korsuva)ApprovedPeptideKappa-opioid receptor (agonist, peripherally restricted)
Empagliflozin (Jardiance)ApprovedSmall moleculeSGLT2
Etelcalcetide (Parsabiv)ApprovedPeptideCalcium-sensing receptor (CaSR), allosteric agonist on parathyroid chief cells
Extended-Release Calcifediol (Rayaldee)ApprovedSmall moleculeVitamin D receptor (VDR), via conversion to calcitriol
Ferric Carboxymaltose (Injectafer / Ferinject)ApprovedIron Complex (iv)Iron repletion
Ferric Derisomaltose (Monoferric / Monofer)ApprovedIron Complex (iv)Iron repletion
Ferric Pyrophosphate Citrate (Triferic)ApprovedSmall moleculeIron-replacement therapy delivered via dialysate
Ferumoxytol (Feraheme)ApprovedNanoparticleIV iron replacement therapy

…and 45 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(2 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2028 (2)
January 2028 (1)
Phase 2Chronic Kidney DiseaseRecruiting
Est. primary completion 2028-01-20 · NCT07355296 · CT.gov ↗
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December 2028 (1)
Phase 3Chronic Kidney DiseaseRecruiting
Est. primary completion 2028-12-27 · NCT07220083 · CT.gov ↗
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All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (1)
Phase 2 (3)
Phase 1 (9)