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Vicadrostat

Small molecule

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Phase 3underway

Evidence outlook · registrational

Chronic Kidney Disease: registrational readout pending

Entered Phase 3 on reliable signal mid-stage evidence. Registrational readout expected around 2026-12-31.

NCT05182840: This was a randomized, quadruple-blind, placebo-controlled phase 2 trial in 586 patients with chronic kidney disease, comparing three doses of vicadrostat (3, 10, and 20 mg) against placebo, all on a background of empagliflozin or placebo. The primary endpoint was the change in urine albumin-to-creatinine ratio (UACR), a physiological measure that defines and stages CKD, at 14 weeks; the 10 mg and 20 mg doses achieved significantly larger reductions than placebo (p<0.0001) and the dose-response analysis was significant, so the primary endpoint was met. The 3 mg dose was only borderline (p=0.0499), making the overall result favorable but clearly dose-dependent.

Also in development:Hypertension · Phase 3Type 2 Diabetes · Phase 3Heart Failure · Phase 3

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Competitive landscape

220 competitors in this universe: 6 direct rivals (same mechanism and indication), 0 same-class, 214 same-indication; 69 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Vicadrostat: this drugPhase 3Small moleculeAldosterone synthase (CYP11B2)
Baxdrostat (Baxfendy)ApprovedSmall moleculeAldosterone synthase (CYP11B2)
LorundrostatPhase 3Small moleculeAldosterone synthase (CYP11B2)
QLS1410Phase 2Small moleculeAldosterone synthase (CYP11B2)
SAL0140Phase 2Small moleculeAldosterone synthase (CYP11B2)
VB19055Phase 2Small moleculeAldosterone synthase (CYP11B2)
JX09Phase 1Small moleculeAldosterone synthase (CYP11B2)
AfrezzaApprovedPeptideInsulin receptor (basal), Insulin
Alogliptin (Nesina)ApprovedSmall moleculeDPP-4
Aprocitentan (Tryvio)ApprovedSmall moleculeEndothelin receptor (ETA/ETB, dual)
Atrasentan (Vanrafia)ApprovedSmall moleculeEndothelin A receptor
Avacopan (Tavneos)ApprovedSmall moleculeComplement C5a receptor 1 (C5aR1/CD88)
Bexagliflozin (Brenzavvy)ApprovedSmall moleculeSGLT2
Bosentan (Tracleer)ApprovedSmall moleculeEndothelin receptor (ETA/ETB, dual)
Budesonide (targeted-Release) (TARPEYO / Nefecon)ApprovedSmall moleculeGlucocorticoid receptor
Canagliflozin (Invokana)ApprovedSmall moleculeSGLT2

…and 205 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

(5 total)

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

2026 (1)
December 2026 (1)
Phase 3Chronic Kidney DiseaseActive not recruiting
Est. primary completion 2026-12-31 · NCT06531824 · CT.gov ↗
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2028 (2)
February 2028 (1)
Phase 2Chronic Kidney DiseaseRecruiting
Est. primary completion 2028-02 · NCT07304817 · CT.gov ↗
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May 2028 (1)
Phase 3Heart FailureRecruiting
Est. primary completion 2028-05-22 · NCT06424288 · CT.gov ↗
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2029 (2)
February 2029 (1)
Phase 3Heart FailureRecruiting
Est. primary completion 2029-02-04 · NCT06935370 · CT.gov ↗
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December 2029 (1)
Phase 3HypertensionRecruiting
Est. primary completion 2029-12-14 · NCT07064473 · CT.gov ↗
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See the full readout calendar ↗

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 (4)
Phase 2 (3)
Phase 1 (11)