Phase IIb Safety and Efficacy Study of Different Oral Doses of BAY94-8862 in Subjects With Worsening Chronic Heart Failure and Left Ventricular Systolic Dysfunction and Either Type 2 Diabetes Mellitus With or Without Chronic Kidney Disease or Chronic Kidney Disease Alone
ARTS-HF
A Randomized, Double-blind, Double-dummy, Multi-center Study to Assess Safety and Efficacy of Different Oral Doses of BAY94-8862 in Subjects With Emergency Presentation at the Hospital Because of Worsening Chronic Heart Failure With Left Ventricular Systolic Dysfunction and Either Type 2 Diabetes Mellitus With or Without Chronic Kidney Disease or Chronic Kidney Disease Alone Versus Eplerenone
2 other identifiers
interventional
1,066
24 countries
168
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 heart-failure
Started Jun 2013
168 active sites
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
CompletedFirst Posted
Study publicly available on registry
March 8, 2013
CompletedStudy Start
First participant enrolled
June 17, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 11, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 9, 2014
CompletedResults Posted
Study results publicly available
June 15, 2021
CompletedJuly 6, 2021
July 1, 2021
1.4 years
March 7, 2013
April 15, 2021
July 2, 2021
Conditions
Keywords
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
EXPERIMENTALOral - 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.
Finerenone (BAY94-8862)[5mg] + Placebo
EXPERIMENTALOral - 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.
Finerenone (BAY94-8862)[7.5mg] + Placebo
EXPERIMENTALOral - 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.
Finerenone (BAY94-8862)[10mg] + Placebo
EXPERIMENTALOral - 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.
Finerenone (BAY94-8862)[15mg] + Placebo
EXPERIMENTALOral - 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.
Eplerenone [25 mg] + Placebo
ACTIVE COMPARATOROral - 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.
Interventions
Eligibility Criteria
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
- Bayerlead
Study Sites (172)
Unknown Facility
Birmingham, Alabama, 35294-2041, United States
Unknown Facility
La Jolla, California, 92037, United States
Unknown Facility
Los Angeles, California, 90033, United States
Unknown Facility
Jacksonville, Florida, 32209, United States
Unknown Facility
Macon, Georgia, 31201, United States
Unknown Facility
Baltimore, Maryland, 21201, United States
Unknown Facility
Detroit, Michigan, 48201, United States
Unknown Facility
Detroit, Michigan, 48202, United States
Unknown Facility
Newark, New Jersey, 07103, United States
Unknown Facility
Fairfield, Ohio, 45014, United States
Unknown Facility
Darlinghurst, New South Wales, 2010, Australia
Unknown Facility
Adelaide, South Australia, 5042, Australia
Unknown Facility
Concord, 2139, Australia
Unknown Facility
Prahran, 3004, Australia
Unknown Facility
Krems, Lower Austria, 3500, Austria
Unknown Facility
Graz, Styria, 8020, Austria
Unknown Facility
Graz, Styria, 8036, Austria
Unknown Facility
Innsbruck, Tyrol, 6020, Austria
Unknown Facility
Linz, Upper Austria, 4010, Austria
Unknown Facility
Salzburg, 5020, Austria
Unknown Facility
Vienna, 1100, Austria
Unknown Facility
Burgas, 8018, Bulgaria
Unknown Facility
Pazardzhik, 4400, Bulgaria
Unknown Facility
Rousse, 7002, Bulgaria
Unknown Facility
Sofia, 1233, Bulgaria
Unknown Facility
Sofia, 1309, Bulgaria
Unknown Facility
Sofia, 1431, Bulgaria
Unknown Facility
Varna, 9010, Bulgaria
Unknown Facility
Calgary, Alberta, T2N 4Z6, Canada
Unknown Facility
Ottawa, Ontario, K1Y 4W7, Canada
Unknown Facility
Toronto, Ontario, M5B 1W8, Canada
Unknown Facility
Montreal, Quebec, H1T 1C8, Canada
Unknown Facility
Montreal, Quebec, H2W 1T8, Canada
Unknown Facility
Montreal, Quebec, H3T 1E2, Canada
Unknown Facility
Saint-Jean-sur-Richelieu, Quebec, J3A 1C3, Canada
Unknown Facility
Sherbrooke, Quebec, J1H 5N4, Canada
Unknown Facility
Québec, G1V 4G5, Canada
Unknown Facility
Jindřichův Hradec, 377 01, Czechia
Unknown Facility
Ostrava, 728 80, Czechia
Unknown Facility
Prague, 150 30, Czechia
Unknown Facility
Slaný, 274 01, Czechia
Unknown Facility
Copenhagen Ø, 2100, Denmark
Unknown Facility
Esbjerg, 6700, Denmark
Unknown Facility
Glostrup Municipality, 2600, Denmark
Unknown Facility
Hellerup, 2900, Denmark
Unknown Facility
Herlev, 2730, Denmark
Unknown Facility
Hvidovre, 2650, Denmark
Unknown Facility
København NV, 2400, Denmark
Unknown Facility
Køge, 4600, Denmark
Unknown Facility
Svendborg, 5700, Denmark
Unknown Facility
Viborg, 8800, Denmark
Unknown Facility
Espoo, 02740, Finland
Unknown Facility
Helsinki, 00099, Finland
Unknown Facility
Rovaniemi, 96101, Finland
Unknown Facility
Turku, 20520, Finland
Unknown Facility
Bron, 69677, France
Unknown Facility
Nice, 06200, France
Unknown Facility
Paris, 75013, France
Unknown Facility
Paris, 75475, France
Unknown Facility
Rouen, 76031, France
Unknown Facility
Toulouse, 31403, France
Unknown Facility
Vandœuvre-lès-Nancy, 54500, France
Unknown Facility
Würzburg, Bavaria, 97078, Germany
Unknown Facility
Frankfurt am Main, Hesse, 60389, Germany
Unknown Facility
Limburg an der Lahn, Hesse, 65549, Germany
Unknown Facility
Göttingen, Lower Saxony, 37099, Germany
Unknown Facility
Hanover, Lower Saxony, 30625, Germany
Unknown Facility
Stade, Lower Saxony, 21682, Germany
Unknown Facility
Bad Oeynhausen, North Rhine-Westphalia, 32545, Germany
Unknown Facility
Mönchengladbach, North Rhine-Westphalia, 41063, Germany
Unknown Facility
Homburg, Saarland, 66421, Germany
Unknown Facility
Erfurt, Thuringia, 99089, Germany
Unknown Facility
Berlin, 13353, Germany
Unknown Facility
Athens, 11526, Greece
Unknown Facility
Athens, 11527, Greece
Unknown Facility
Chaïdári, 12462, Greece
Unknown Facility
Larissa, 41100, Greece
Unknown Facility
Nea Ionia / Athens, 14233, Greece
Unknown Facility
Budapest, 1027, Hungary
Unknown Facility
Budapest, 1085, Hungary
Unknown Facility
Budapest, 1097, Hungary
Unknown Facility
Nagykanizsa, 8800, Hungary
Unknown Facility
Székesfehérvár, 8000, Hungary
Unknown Facility
Afula, 1834111, Israel
Unknown Facility
Ashkelon, 7830604, Israel
Unknown Facility
Hadera, 3810101, Israel
Unknown Facility
Haifa, 3436212, Israel
Unknown Facility
Jerusalem, 9103102, Israel
Unknown Facility
Kfar Saba, 4428164, Israel
Unknown Facility
Nahariya, 2210001, Israel
Unknown Facility
Petah Tikva, 4941492, Israel
Unknown Facility
Rehovot, 7610001, Israel
Unknown Facility
Safed, 1311001, Israel
Unknown Facility
Tel Aviv, 64239, Israel
Unknown Facility
Ẕerifin, 7030000, Israel
Unknown Facility
Foggia, Apulia, 71100, Italy
Unknown Facility
Rome, Lazio, 00163, Italy
Unknown Facility
Bergamo, Lombardy, 24127, Italy
Unknown Facility
Milan, Lombardy, 20149, Italy
Unknown Facility
Monza Brianza, Lombardy, 20900, Italy
Unknown Facility
Arezzo, Tuscany, 52040, Italy
Unknown Facility
Pisa, Tuscany, 56124, Italy
Unknown Facility
Perugia, Umbria, 06129, Italy
Unknown Facility
Kaunas, LT-44320, Lithuania
Unknown Facility
Kaunas, LT-47144, Lithuania
Unknown Facility
Kaunas, LT-50161, Lithuania
Unknown Facility
Klaipėda, 92288, Lithuania
Unknown Facility
Klaipėda, LT-92288, Lithuania
Unknown Facility
Vilnius, LT-08661, Lithuania
Unknown Facility
Amsterdam, 1061 AE, Netherlands
Unknown Facility
Delft, 2625 AD, Netherlands
Unknown Facility
Groningen, 9700 RB, Netherlands
Unknown Facility
Groningen, 9728 NT, Netherlands
Unknown Facility
Hoogeveen, 7909 AA, Netherlands
Unknown Facility
Nijmegen, 6525 GA, Netherlands
Unknown Facility
Rotterdam, 3045 PM, Netherlands
Unknown Facility
Veldhoven, 5504 DB, Netherlands
Unknown Facility
Zutphen, 7207 AE, Netherlands
Unknown Facility
Stavanger, 4011, Norway
Unknown Facility
Bialystok, 15-276, Poland
Unknown Facility
Bydgoszcz, 85-681, Poland
Unknown Facility
Gdansk, 80-952, Poland
Unknown Facility
Katowice, 40-635, Poland
Unknown Facility
Kielce, 25-736, Poland
Unknown Facility
Krakow, 31-121, Poland
Unknown Facility
Szczecin, 70-965, Poland
Unknown Facility
Warsaw, 04-628, Poland
Unknown Facility
Wroclaw, 50-981, Poland
Unknown Facility
Almada, 2801-951, Portugal
Unknown Facility
Faro, 8000-386, Portugal
Unknown Facility
Lisbon, 1449-005, Portugal
Unknown Facility
Lisbon, 1500-650, Portugal
Unknown Facility
Lisbon, 1649-035, Portugal
Unknown Facility
Porto, P-4200, Portugal
Unknown Facility
Petoria, Gauteng, South Africa
Unknown Facility
Isipingo Rail, KwaZulu-Natal, 4110, South Africa
Unknown Facility
Merebank, KwaZulu-Natal, 4052, South Africa
Unknown Facility
Tongaat, KwaZulu-Natal, 4400, South Africa
Unknown Facility
Cape Town, Western Cape, 7500, South Africa
Unknown Facility
Kuils River, Western Cape, 7580, South Africa
Unknown Facility
Pinelands, Western Cape, 7405, South Africa
Unknown Facility
Somerset West, Western Cape, 7130, South Africa
Unknown Facility
Worcester, Western Cape, 6850, South Africa
Unknown Facility
Wŏnju, Gang''weondo, 26426, South Korea
Unknown Facility
Seoul, 03080, South Korea
Unknown Facility
Seoul, 03722, South Korea
Unknown Facility
Seoul, 05505, South Korea
Unknown Facility
Olot, Girona, 17800, Spain
Unknown Facility
Majadahonda, Madrid, 28222, Spain
Unknown Facility
El Palmar, Murcia, 30120, Spain
Unknown Facility
Barcelona, 08003, Spain
Unknown Facility
Barcelona, 08035, Spain
Unknown Facility
Madrid, 28041, Spain
Unknown Facility
Valencia, 46010, Spain
Unknown Facility
Valencia, 46026, Spain
Unknown Facility
Falun, 791 82, Sweden
Unknown Facility
Gothenburg, 416 85, Sweden
Unknown Facility
Örebro, 701 85, Sweden
Unknown Facility
Stockholm, 118 83, Sweden
Unknown Facility
Stockholm, 141 86, Sweden
Unknown Facility
Stockholm, 182 88, Sweden
Unknown Facility
Umeå, 901 85, Sweden
Unknown Facility
New Taipei City, 220, Taiwan
Unknown Facility
Taipei, 10002, Taiwan
Unknown Facility
Taipei, 11217, Taiwan
Unknown Facility
Taipei, Taiwan
Unknown Facility
Taizung, 402, Taiwan
Unknown Facility
Ankara, 06100, Turkey (Türkiye)
Unknown Facility
Ankara, 06500, Turkey (Türkiye)
Unknown Facility
Ankara, Turkey (Türkiye)
Unknown Facility
Antalya, 07003, Turkey (Türkiye)
Unknown Facility
Izmir, 35100, Turkey (Türkiye)
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.
PMID: 27130705RESULTChung 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.
PMID: 33107592RESULTPitt 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.
PMID: 25678098RESULTOstrominski 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.
PMID: 40938666DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Therapeutic Area Head
- Organization
- Bayer HealthCare AG
Study Officials
- STUDY DIRECTOR
Bayer Study Director
Bayer
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