A Study to Evaluate Finerenone on Clinical Efficacy and Safety in Patients with Heart Failure Who Are Intolerant or Not Eligible for Treatment with Steroidal Mineralocorticoid Receptor Antagonists

NCT ID: NCT06033950

Last Updated: 2025-03-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

2600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-20

Study Completion Date

2028-04-30

Brief Summary

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Finerenone will be compared to placebo to determine efficacy and safety of treatment in patients with heart failure and reduced ejection fraction (HFrEF) who are intolerant or ineligible to receive treatment with steroidal mineralocorticoid receptor antagonists (sMRA).

Detailed Description

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This is an international, randomized, double-blind, placebo-controlled trial of finerenone for the treatment of heart failure patients with reduced ejection fraction.

Conditions

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Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Finerenone

Group Type EXPERIMENTAL

Finerenone

Intervention Type DRUG

Oral finerenone.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching oral placebo.

Interventions

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Finerenone

Oral finerenone.

Intervention Type DRUG

Placebo

Matching oral placebo.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Provide electronic or written informed consent, either personally or through a legally authorized representative, as permitted by local regulations
* Age ≥18 years or legal age of majority if \>18 years in the participant's country of residence
* Symptomatic HFrEF per protocol defined criteria
* Not on sMRA due to history of intolerance, contraindication, or ineligibility for treatment
* Negative pregnancy test and agreement to use adequate contraception during trial (female participants only)

Exclusion Criteria

* Treatment with non-steroidal MRA (nsMRA)
* Documented prior history of severe hyperkalemia in the setting of MRA use
* eGFR \< 25 mL/min/1.73m² and / or potassium \> 5.0 mmol/L
* Acute myocardial infarction, coronary revascularization, valve replacement/repair, or implantation of a cardiac resynchronization therapy device within 30 days or planned
* Prior or planned heart transplant
* Hemodynamically significant (severe) uncorrected primary cardiac valvular disease considered by the investigator to be the primary cause of heart failure
* Symptomatic bradycardia or second- or third-degree heart block without a pacemaker
* Cardiomyopathy due to known acute inflammatory heart disease, infiltrative diseases, accumulation diseases, muscular dystrophies, cardiomyopathy with reversible causes, hypertrophic obstructive cardiomyopathy, complex congenital heart disease, or pericardial constriction
* Probable alternative cause of participant's HF
* Concomitant systemic therapy with potent cytochrome P450 isoenzyme 3A4 (CYP3A4) inhibitors, or moderate or potent CYP3A4 inducers
* Known hypersensitivity to the IP (active substance or excipients)
* Any other condition or therapy which would make the participant unsuitable for the study
* Concurrent or previous participation in another interventional clinical study using an investigational agent within 30 days prior to randomization
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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St. Luke's Hospital, Kansas City, Missouri

OTHER

Sponsor Role collaborator

Bayer Healthcare Pharmaceuticals, Inc./Bayer Schering Pharma

INDUSTRY

Sponsor Role collaborator

Colorado Prevention Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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FIN-10004 Fairhope, AL Investigational Site

Fairhope, Alabama, United States

Site Status RECRUITING

FIN-10075 San Diego, CA Investigational Site

San Diego, California, United States

Site Status RECRUITING

FIN-10002 Kansas City, MO Investigational Site

Kansas City, Missouri, United States

Site Status RECRUITING

FIN-10015 Austin, TX Investigational Site

Austin, Texas, United States

Site Status RECRUITING

FIN-21003 Goiania, Goias Investigational Site

Goiânia, Goiás, Brazil

Site Status RECRUITING

FIN-21049 Sao Paulo, Investigational Site

Sao Paulp, Sap Paulo, Brazil

Site Status RECRUITING

FIN-21004 Braganca Paulista, Investigational Site

Bragança Paulista, São Paulo, Brazil

Site Status RECRUITING

FIN-11012 Surrey, BC Investigational Site

Surrey, British Columbia, Canada

Site Status RECRUITING

Countries

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United States Brazil Canada

Central Contacts

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Marc Bonaca

Role: CONTACT

(303) 860-9900

Facility Contacts

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Marc Bonaca, MD

Role: primary

Marc Bonaca

Role: primary

Other Identifiers

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202304CPC

Identifier Type: -

Identifier Source: org_study_id

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