FINE-START: Efficacy and Safety of Finerenone in Patients With Chronic Kidney Disease Not Using Renin-angiotensin-system Inhibitors
FINE-START
A Parallel-group, Randomized, Prospective, Interventional, Double-blind, Multicenter Global Phase 3 Study to Investigate the Efficacy and Safety of Finerenone Versus Placebo, in Participants With Chronic Kidney Disease Not Using Renin-angiotensin-system Inhibitors
2 other identifiers
interventional
180
1 country
8
Brief Summary
Study to demonstrate efficacy of finerenone when compared to placebo in reducing albuminuria in participants with chronic kidney disease (CKD) not using renin-angiotensin-system (RAS) inhibitors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Mar 2026
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 9, 2025
CompletedFirst Posted
Study publicly available on registry
September 18, 2025
CompletedStudy Start
First participant enrolled
March 13, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2027
April 14, 2026
April 1, 2026
1.8 years
September 9, 2025
April 13, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Urinary albumin-to-creatinine ratio (UACR)
Change in UACR from baseline (ratio to baseline) over 6 months
Baseline upto 6 months
Secondary Outcomes (2)
TEAEs, TESAEs
Baseline upto 6 months
Number of participants with Hyperkalemia
Baseline upto 6 months
Study Arms (2)
Finerenone
EXPERIMENTALFinerenone 10mg or 20mg, tablet (oral), once daily for approximately 6 months.
Placebo
PLACEBO COMPARATORPlacebo matching Finerenone 10mg or 20mg, tablet (oral), once daily for approximately 6 months.
Interventions
Finerenone 10 or 20mg in participants with chronic kidney disease not using renin-angiotensin-system inhibitors
Eligibility Criteria
You may qualify if:
- Adults (≥18 years) with Chronic Kidney Disease defined as:
- eGFR ≥25 and \<120 mL/min/1.73 m2 using CKD-EPI 2009 formula at the Screening visit.
- UACR ≥100 mg/g (11.3 mg/mmol) to \<5000 mg/g (565 mg/mmol) at the Screening visit (geometric mean of the 3 measurements) and documentation of elevated albuminuria or proteinuria.
- Potassium level ≤5.0 mmol/L at Screening (local assessment).
- No current or previous (within 8 weeks prior to the Screening visit) treatment with RAS inhibition (ACEi, ARB, or Renin inhibitor (e.g. Aliskiren)).
You may not qualify if:
- Participants with an HbA1c\>11%.
- Participants with type 1 diabetes.
- Symptomatic heart failure with reduced ejection fraction and class 1A indication for MRA treatment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (8)
Hospital Universitari Germans Trias i Pujol
Barcelona, Spain
Vall d'Hebron University Hospital
Barcelona, Spain
Clínica Universidad de Navarra
Madrid, Spain
Hospital Universitario de La Princesa
Madrid, Spain
Hospital Universitario Puerta de Hierro
Madrid, Spain
Clínica Universidad de Navarra
Pamplona, Spain
Hospital Clinico Universitario de Valencia
Valencia, Spain
Hospital Universitario Dr Peset
Valencia, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hiddo J. Lambers Heerspink, Prof. Dr.
University Medical Center Groningen
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 9, 2025
First Posted
September 18, 2025
Study Start
March 13, 2026
Primary Completion (Estimated)
December 31, 2027
Study Completion (Estimated)
December 31, 2027
Last Updated
April 14, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share