NCT01807221

Brief Summary

To assess a new drug, BAY94-8862, given orally at different doses, to evaluate whether it was safe and can help the well-being of patients with worsening chronic heart failure and either type II diabetes with or without chronic kidney disease or kidney disease alone. These treatment doses were compared to eplerenone, another marketed drug approved to treat heart failure.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
1,066

participants targeted

Target at P75+ for phase_2 heart-failure

Timeline
Completed

Started Jun 2013

Geographic Reach
24 countries

168 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 7, 2013

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 8, 2013

Completed
3 months until next milestone

Study Start

First participant enrolled

June 17, 2013

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 11, 2014

Completed
28 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 9, 2014

Completed
6.5 years until next milestone

Results Posted

Study results publicly available

June 15, 2021

Completed
Last Updated

July 6, 2021

Status Verified

July 1, 2021

Enrollment Period

1.4 years

First QC Date

March 7, 2013

Results QC Date

April 15, 2021

Last Update Submit

July 2, 2021

Conditions

Keywords

Heart Decompensation

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants With a Relative Decrease in NT-proBNP of More Than 30% From Baseline to Day 90

    N-terminal pro-B type natriuretic peptide (NT-proBNP) levels in the blood are used for screening, diagnosis of acute and chronic heart failure (CHF) and may be useful to establish prognosis in heart failure.

    Baseline and Day 90

Secondary Outcomes (7)

  • Number of Participants With Death Due to Any Cause

    Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)

  • Number of Participants With Cardiovascular Hospitalization

    Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)

  • Number of Participants With Emergency Presentations for Worsening Chronic Heart Failure (WCHF)

    Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)

  • Ratio of BNP at Specified Visits to BNP at Baseline

    Day 30, Day 60, Day 90, Premature discontinuation (only for participants who have discontinued the study prematurely, to be performed as soon as possible after withdrawal of study drug) and Follow-up (30 days post-last dose, assessed up to Day 120)

  • Ratio of NT-proBNP at Specified Visits to NT-proBNP at Baseline

    Day 30, Day 60, Day 90, Premature discontinuation (only for participants who have discontinued the study prematurely, to be performed as soon as possible after withdrawal of study drug) and Follow-up (30 days post-last dose, assessed up to Day 120)

  • +2 more secondary outcomes

Other Outcomes (4)

  • Change From Baseline in Serum Potassium at Specified Visits

    Baseline, Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)

  • Change From Baseline in Systolic Blood Pressure at Specified Visits

    Baseline,Day 7,14,30,60,90,Premature discontinuation (only for participants who have discontinued the study prematurely, to be performed as soon as possible after withdrawal of study drug) and Follow-up (30 days post-last dose, assessed up to Day 120)

  • Change From Baseline in Diastolic Blood Pressure at Specified Visits

    Baseline,Day 7,14,30,60,90,Premature discontinuation (only for participants who have discontinued the study prematurely, to be performed as soon as possible after withdrawal of study drug) and Follow-up (30 days post-last dose, assessed up to Day 120)

  • +1 more other outcomes

Study Arms (6)

Finerenone(BAY94-8862)[2.5mg] + Placebo

EXPERIMENTAL

Oral - 2.5mg once daily (OD) for 30 days. Potential up-titration to 5mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days.

Drug: Finerenone (BAY94-8862)Drug: Placebo

Finerenone (BAY94-8862)[5mg] + Placebo

EXPERIMENTAL

Oral - 5mg OD for 30 days. Potential up-titration to 10 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days.

Drug: Finerenone (BAY94-8862)Drug: Placebo

Finerenone (BAY94-8862)[7.5mg] + Placebo

EXPERIMENTAL

Oral - 7.5mg OD for 30 days. Potential up-titration to 15 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days.

Drug: Finerenone (BAY94-8862)Drug: Placebo

Finerenone (BAY94-8862)[10mg] + Placebo

EXPERIMENTAL

Oral - 10mg OD for 30 days. Potential up-titration to 20 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days.

Drug: Finerenone (BAY94-8862)Drug: Placebo

Finerenone (BAY94-8862)[15mg] + Placebo

EXPERIMENTAL

Oral - 15mg OD for 30 days. Potential up-titration to 20 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days.

Drug: Finerenone (BAY94-8862)Drug: Placebo

Eplerenone [25 mg] + Placebo

ACTIVE COMPARATOR

Oral - 25mg every other day (EOD). Potential up-titration to 25mg OD after 30 days and 50mg OD after 60 days.Placebo OD for 90 days.

Drug: PlaceboDrug: Inspra (eplerenone)

Interventions

Finerenone (BAY94-8862)[10mg] + PlaceboFinerenone (BAY94-8862)[15mg] + PlaceboFinerenone (BAY94-8862)[5mg] + PlaceboFinerenone (BAY94-8862)[7.5mg] + PlaceboFinerenone(BAY94-8862)[2.5mg] + Placebo
Eplerenone [25 mg] + PlaceboFinerenone (BAY94-8862)[10mg] + PlaceboFinerenone (BAY94-8862)[15mg] + PlaceboFinerenone (BAY94-8862)[5mg] + PlaceboFinerenone (BAY94-8862)[7.5mg] + PlaceboFinerenone(BAY94-8862)[2.5mg] + Placebo
Eplerenone [25 mg] + Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Men and women aged 18 years and older. The lower age limit may be higher if legally required in the participating country
  • Women of childbearing potential can only be included in the study if a pregnancy test is negative and if they agree to use adequate contraception when sexually active
  • Subjects with worsening chronic heart failure requiring emergency presentation to hospital and treatment with intravenous diuretics at hospital
  • Subjects with clinical diagnosis of chronic heart failure (CHF) either ischemic or non ischemic, New York Heart Association (NYHA) functional class II-IV
  • Subjects with type 2 diabetes mellitus and / or
  • Subjects with 30 mL/min/1.73m\^2 \</= eGFR \</= 60 mL/min/1.73m\^2 (MDRD, Modification of Diet in Renal Disease Study Group) at screening
  • Left ventricular ejection fraction (LVEF) \</= 40%
  • Blood potassium \</= 5.0 mmol/L at screening
  • Systolic blood pressure \>/= 90 mmHg without signs and symptoms of hypotension at the screening visit

You may not qualify if:

  • Acute de-novo heart failure or acute inflammatory heart disease, e.g. acute myocarditis
  • Acute coronary syndrome (ACS) in last 30 days prior to screening
  • Cardiogenic shock
  • Valvular heart disease requiring surgical intervention during the course of the study
  • Stroke or transient ischemic cerebral attack in the last 3 months prior to the screening visit
  • Concomitant treatment with any mineralocorticoid receptor antagonist (MRA), renin inhibitor, or potassium-sparing diuretic

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (172)

Unknown Facility

Birmingham, Alabama, 35294-2041, United States

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La Jolla, California, 92037, United States

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Los Angeles, California, 90033, United States

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Jacksonville, Florida, 32209, United States

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Macon, Georgia, 31201, United States

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Baltimore, Maryland, 21201, United States

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Detroit, Michigan, 48201, United States

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Detroit, Michigan, 48202, United States

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Newark, New Jersey, 07103, United States

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Fairfield, Ohio, 45014, United States

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Darlinghurst, New South Wales, 2010, Australia

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Adelaide, South Australia, 5042, Australia

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Concord, 2139, Australia

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Prahran, 3004, Australia

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Krems, Lower Austria, 3500, Austria

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Graz, Styria, 8020, Austria

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Graz, Styria, 8036, Austria

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Innsbruck, Tyrol, 6020, Austria

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Linz, Upper Austria, 4010, Austria

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Salzburg, 5020, Austria

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Vienna, 1100, Austria

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Burgas, 8018, Bulgaria

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Pazardzhik, 4400, Bulgaria

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Rousse, 7002, Bulgaria

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Sofia, 1233, Bulgaria

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Sofia, 1309, Bulgaria

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Sofia, 1431, Bulgaria

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Varna, 9010, Bulgaria

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Calgary, Alberta, T2N 4Z6, Canada

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Ottawa, Ontario, K1Y 4W7, Canada

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Toronto, Ontario, M5B 1W8, Canada

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Montreal, Quebec, H1T 1C8, Canada

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Montreal, Quebec, H2W 1T8, Canada

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Montreal, Quebec, H3T 1E2, Canada

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Saint-Jean-sur-Richelieu, Quebec, J3A 1C3, Canada

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Sherbrooke, Quebec, J1H 5N4, Canada

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Québec, G1V 4G5, Canada

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Jindřichův Hradec, 377 01, Czechia

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Ostrava, 728 80, Czechia

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Prague, 150 30, Czechia

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Slaný, 274 01, Czechia

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Copenhagen Ø, 2100, Denmark

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Esbjerg, 6700, Denmark

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Glostrup Municipality, 2600, Denmark

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Hellerup, 2900, Denmark

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Herlev, 2730, Denmark

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Hvidovre, 2650, Denmark

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København NV, 2400, Denmark

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Køge, 4600, Denmark

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Svendborg, 5700, Denmark

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Viborg, 8800, Denmark

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Espoo, 02740, Finland

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Helsinki, 00099, Finland

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Rovaniemi, 96101, Finland

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Turku, 20520, Finland

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Bron, 69677, France

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Nice, 06200, France

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Paris, 75013, France

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Paris, 75475, France

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Rouen, 76031, France

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Toulouse, 31403, France

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Vandœuvre-lès-Nancy, 54500, France

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Würzburg, Bavaria, 97078, Germany

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Frankfurt am Main, Hesse, 60389, Germany

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Limburg an der Lahn, Hesse, 65549, Germany

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Göttingen, Lower Saxony, 37099, Germany

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Hanover, Lower Saxony, 30625, Germany

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Stade, Lower Saxony, 21682, Germany

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Bad Oeynhausen, North Rhine-Westphalia, 32545, Germany

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Mönchengladbach, North Rhine-Westphalia, 41063, Germany

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Homburg, Saarland, 66421, Germany

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Erfurt, Thuringia, 99089, Germany

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Berlin, 13353, Germany

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Athens, 11526, Greece

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Athens, 11527, Greece

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Chaïdári, 12462, Greece

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Larissa, 41100, Greece

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Nea Ionia / Athens, 14233, Greece

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Budapest, 1027, Hungary

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Budapest, 1085, Hungary

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Budapest, 1097, Hungary

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Nagykanizsa, 8800, Hungary

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Székesfehérvár, 8000, Hungary

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Afula, 1834111, Israel

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Ashkelon, 7830604, Israel

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Hadera, 3810101, Israel

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Haifa, 3436212, Israel

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Jerusalem, 9103102, Israel

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Kfar Saba, 4428164, Israel

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Nahariya, 2210001, Israel

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Petah Tikva, 4941492, Israel

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Rehovot, 7610001, Israel

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Safed, 1311001, Israel

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Tel Aviv, 64239, Israel

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Ẕerifin, 7030000, Israel

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Foggia, Apulia, 71100, Italy

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Rome, Lazio, 00163, Italy

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Bergamo, Lombardy, 24127, Italy

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Milan, Lombardy, 20149, Italy

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Monza Brianza, Lombardy, 20900, Italy

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Arezzo, Tuscany, 52040, Italy

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Pisa, Tuscany, 56124, Italy

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Perugia, Umbria, 06129, Italy

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Kaunas, LT-44320, Lithuania

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Kaunas, LT-47144, Lithuania

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Kaunas, LT-50161, Lithuania

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Klaipėda, 92288, Lithuania

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Klaipėda, LT-92288, Lithuania

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Vilnius, LT-08661, Lithuania

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Amsterdam, 1061 AE, Netherlands

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Delft, 2625 AD, Netherlands

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Groningen, 9700 RB, Netherlands

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Groningen, 9728 NT, Netherlands

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Hoogeveen, 7909 AA, Netherlands

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Nijmegen, 6525 GA, Netherlands

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Rotterdam, 3045 PM, Netherlands

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Veldhoven, 5504 DB, Netherlands

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Zutphen, 7207 AE, Netherlands

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Stavanger, 4011, Norway

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Bialystok, 15-276, Poland

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Bydgoszcz, 85-681, Poland

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Gdansk, 80-952, Poland

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Katowice, 40-635, Poland

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Kielce, 25-736, Poland

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Krakow, 31-121, Poland

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Szczecin, 70-965, Poland

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Warsaw, 04-628, Poland

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Wroclaw, 50-981, Poland

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Almada, 2801-951, Portugal

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Faro, 8000-386, Portugal

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Lisbon, 1449-005, Portugal

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Lisbon, 1500-650, Portugal

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Lisbon, 1649-035, Portugal

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Porto, P-4200, Portugal

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Petoria, Gauteng, South Africa

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Isipingo Rail, KwaZulu-Natal, 4110, South Africa

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Merebank, KwaZulu-Natal, 4052, South Africa

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Tongaat, KwaZulu-Natal, 4400, South Africa

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Cape Town, Western Cape, 7500, South Africa

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Kuils River, Western Cape, 7580, South Africa

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Pinelands, Western Cape, 7405, South Africa

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Somerset West, Western Cape, 7130, South Africa

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Worcester, Western Cape, 6850, South Africa

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Wŏnju, Gang''weondo, 26426, South Korea

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Seoul, 03080, South Korea

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Seoul, 03722, South Korea

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Seoul, 05505, South Korea

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Olot, Girona, 17800, Spain

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Majadahonda, Madrid, 28222, Spain

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El Palmar, Murcia, 30120, Spain

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Barcelona, 08003, Spain

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Barcelona, 08035, Spain

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Madrid, 28041, Spain

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Valencia, 46010, Spain

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Valencia, 46026, Spain

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Falun, 791 82, Sweden

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Gothenburg, 416 85, Sweden

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Örebro, 701 85, Sweden

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Stockholm, 118 83, Sweden

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Stockholm, 141 86, Sweden

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Stockholm, 182 88, Sweden

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Umeå, 901 85, Sweden

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New Taipei City, 220, Taiwan

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Taipei, 10002, Taiwan

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Taipei, 11217, Taiwan

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Taipei, Taiwan

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Taizung, 402, Taiwan

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Ankara, 06100, Turkey (Türkiye)

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Ankara, 06500, Turkey (Türkiye)

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Ankara, Turkey (Türkiye)

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Antalya, 07003, Turkey (Türkiye)

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Izmir, 35100, Turkey (Türkiye)

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Related Publications (4)

  • Filippatos G, Anker SD, Bohm M, Gheorghiade M, Kober L, Krum H, Maggioni AP, Ponikowski P, Voors AA, Zannad F, Kim SY, Nowack C, Palombo G, Kolkhof P, Kimmeskamp-Kirschbaum N, Pieper A, Pitt B. A randomized controlled study of finerenone vs. eplerenone in patients with worsening chronic heart failure and diabetes mellitus and/or chronic kidney disease. Eur Heart J. 2016 Jul 14;37(27):2105-14. doi: 10.1093/eurheartj/ehw132. Epub 2016 Apr 29.

  • Chung EY, Ruospo M, Natale P, Bolignano D, Navaneethan SD, Palmer SC, Strippoli GF. Aldosterone antagonists in addition to renin angiotensin system antagonists for preventing the progression of chronic kidney disease. Cochrane Database Syst Rev. 2020 Oct 27;10(10):CD007004. doi: 10.1002/14651858.CD007004.pub4.

  • Pitt B, Anker SD, Bohm M, Gheorghiade M, Kober L, Krum H, Maggioni AP, Ponikowski P, Voors AA, Zannad F, Nowack C, Kim SY, Pieper A, Kimmeskamp-Kirschbaum N, Filippatos G. Rationale and design of MinerAlocorticoid Receptor antagonist Tolerability Study-Heart Failure (ARTS-HF): a randomized study of finerenone vs. eplerenone in patients who have worsening chronic heart failure with diabetes and/or chronic kidney disease. Eur J Heart Fail. 2015 Feb;17(2):224-32. doi: 10.1002/ejhf.218.

  • Ostrominski JW, Filippatos G, Claggett BL, Miao ZM, Desai AS, Jhund PS, Henderson A, Rohwedder K, Brinker MD, Scalise A, Schloemer P, Lam CSP, Senni M, Shah SJ, Voors AA, Zannad F, Rossing P, Ruilope LM, Anker SD, Pitt B, Agarwal R, McMurray JJV, Solomon SD, Vaduganathan M. Effect of Finerenone on Morbidity and Mortality in CKD. J Am Soc Nephrol. 2025 Sep 12. doi: 10.1681/ASN.0000000823. Online ahead of print. No abstract available.

Related Links

MeSH Terms

Conditions

Heart Failure

Interventions

finerenoneEplerenone

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

LactonesOrganic ChemicalsPregnenesPregnanesSteroidsFused-Ring CompoundsPolycyclic Compounds

Results Point of Contact

Title
Therapeutic Area Head
Organization
Bayer HealthCare AG

Study Officials

  • Bayer Study Director

    Bayer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 7, 2013

First Posted

March 8, 2013

Study Start

June 17, 2013

Primary Completion

November 11, 2014

Study Completion

December 9, 2014

Last Updated

July 6, 2021

Results First Posted

June 15, 2021

Record last verified: 2021-07

Locations