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COMPLETED
NCT05901831
PHASE3

A Study to Learn How Well the Study Treatment Finerenone Works and How Safe it is in People With Long-term Decrease in the Kidneys' Ability to Work Properly (Chronic Kidney Disease) Together With Type 1 Diabetes

Sponsor: Bayer

View on ClinicalTrials.gov

Summary

Researchers are looking for a better way to treat people with chronic kidney disease (CKD), a progressive decrease in the kidneys' ability to work properly, and type 1 diabetes. In people with type 1 diabetes, the body does not make enough of a hormone called insulin, resulting in high blood sugar levels that can cause damage to the kidneys. CKD often occurs together with or as a consequence of type 1 diabetes. The study treatment finerenone works by blocking certain proteins, called mineralocorticoid receptors. An increased stimulation of these proteins is thought to damage the kidneys and the heart. By lowering their stimulation, finerenone reduces the risk of kidney disease progressively getting worse. Finerenone is approved for doctors to prescribe to people with CKD and type 2 diabetes. In this study, researchers want to learn if finerenone works better than placebo in reducing the participants' kidney disease from getting worse when given in addition to standard of care (SOC) treatment. A placebo looks like a treatment but does not have any medicine in it. SOC is a procedure or treatment that medical experts consider most appropriate for a condition or disease. To find out how well finerenone works, the level of a protein (albumin) in the urine will be measured. Researchers also want to know how safe finerenone is. To do this, the researchers will collect the number of participants with: * medical problems (also called treatment-emergent adverse events (TEAEs)) * serious TEAEs. A TEAE is considered 'serious' when it leads to death, puts the participant's life at risk, requires hospitalization, causes disability, causes a baby being born with medical problems, or is medically important * higher than normal blood levels of potassium (hyperkalaemia). Depending on the treatment group, the participants will either take finerenone or placebo, Importantly, the participants will also continue to take their regular SOC medicines. The participants will be in the study for up to 7.5 months and will take the study treatments for 6 months. During the study, they will visit the study site at least 6 times. The study team will: * collect blood and urine samples * check the participants' vital signs such as blood pressure and heart rate * do a physical examination including height and weight * check the participants' heart health by using an electrocardiogram (ECG) * do pregnancy tests in women of childbearing potential

Official title: A Parallel-group, Randomized, Prospective, Interventional, Double-blind, Multicenter Global Phase 3 Study to Investigate the Efficacy and Safety of Finerenone Versus Placebo, in Addition to Standard of Care, in Participants With Chronic Kidney Disease and Type 1 Diabetes

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

242

Start Date

2024-02-26

Completion Date

2025-09-15

Last Updated

2026-10-27

Healthy Volunteers

No

Interventions

DRUG

Finerenone

Dose A, Dose B, oral

OTHER

Placebo

Oral

Locations (79)

Southwest Kidney Institute, PLC - Suprise

Surprise, Arizona, United States

Stanford Endocrinology Clinic

Stanford, California, United States

Touro University California - Metabolic Research Center

Vallejo, California, United States

UHealth Diabetes Research Center - Miami

Miami, Florida, United States

AdventHealth Translational Research Institute

Orlando, Florida, United States

CTR Oakwater, LLC

Orlando, Florida, United States

Hanson Clinical Research Center, Inc.

Port Charlotte, Florida, United States

Jedidiah Clinical Research

Tampa, Florida, United States

Metabolic Research Institute, Inc.

West Palm Beach, Florida, United States

Grady Memorial Hospital - Endocrinology

Atlanta, Georgia, United States

Northwestern University | Feinberg School of Medicine - Division of Endocrinology, Metabolism and Molecular Medicine

Chicago, Illinois, United States

UChicago Medicine Kovler Diabetes Center

Chicago, Illinois, United States

Preventive Intervention Center - Endocrinology

Iowa City, Iowa, United States

Wichita Nephrology Group, PA

Wichita, Kansas, United States

Omega Clinical Research - Metairie

Metairie, Louisiana, United States

MedStar Health Research Institute

Hyattsville, Maryland, United States

Joslin Diabetes Center

Boston, Massachusetts, United States

MU Health Care - University Hospital - Endocrinology

Columbia, Missouri, United States

Center for Advanced Medicine - Diabetes Center

St Louis, Missouri, United States

UNC Endocrinology, Diabetes, and Obesity Clinical Research Unit

Chapel Hill, North Carolina, United States

Physicians East, P.A.- W. H. Smith - Endocrinology

Greenville, North Carolina, United States

Accellacare - Wilmington

Wilmington, North Carolina, United States

Cleveland Clinic - Main Campus - Endocrinology

Cleveland, Ohio, United States

OHSU Physicians Pavillion - Endocrinology

Portland, Oregon, United States

UT Health San Antonio - Medical Arts & Research Center - Endocrinology

San Antonio, Texas, United States

Consano Clinical Research, LLC.

San Antonio, Texas, United States

EVMS Strelitz Diabetes Center

Norfolk, Virginia, United States

Providence Medical Research Center

Spokane Valley, Washington, United States

Richmond Road Diagnostic and Treatment Centre | Clinical Trials Unit

Calgary, Alberta, Canada

Alberta Diabetes Institute | Clinical Research Unit (CRU)

Edmonton, Alberta, Canada

Toronto General Hospital - University Health Network, Renal Physiology laboratory

Toronto, Ontario, Canada

Research Institute of the McGill University Health Centre | McConnell Centre for Innovative Medicine

Montreal, Quebec, Canada

Centre hospitalier universitaire de Québec (CHUQ) | Cardiology

Québec, Quebec, Canada

Peking University People's Hospital

Beijing, Beijing Municipality, China

Southern Medical University - Nanfang Hospital (Southern Hospital)

Guangzhou, Guangdong, China

Zhongshan People's Hospital

Zhongshan, Guangdong, China

The 4th Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

The Central Hospital of Wuhan, Tongji Medl Collg Huazhong...

Wuhan, Hubei, China

Huai'an First People's Hospital, Nanjing Medical University

Huai'an, Jiangsu, China

Nanjing Medical University (NMU) - The Second Affiliated Hospital

Nanjing, Jiangsu, China

Affiliated Hospital of Jiangsu University

Zhenjiang, Jiangsu, China

Shanghai Jiao Tong University (SJTU) - Shanghai General Hospital (Shanghai First People's Hospital) - Northern Location

Shanghai, Shanghai Municipality, China

Central Hospital of Minhang District, Shanghai

Shanghai, Shanghai Municipality, China

Zhongshan Hospital Fudan University, Qingpu Branch

Shanghai, Shanghai Municipality, China

Shanxi Bethune Hospital

Taiyuan, Shanxi, China

Steno Diabetes Center Copenhagen | Herlev - Clinical and Translational Research Department

Herlev, Capital Region / Region Hovedstaden, Denmark

Capital Region | Nordsjaellands Hospital - Hillerod - Endocrinology Ambulatory Research Unit

Hillerød, Capital Region / Region Hovedstaden, Denmark

Region Midtjylland | Regionshospitalet Godstrup - Nephrology Department

Herning, Central Denmark Region / Region Midtjylland, Denmark

Region Nordjylland | Steno Diabetes Center Nordjylland - Endocrinology Department

Gistrup, North Denmark Region / Region Nordjylland, Denmark

Hospital of South West Jutland | Department of Endocrinology Research

Esbjerg, Region of Southern Denmark / Region Syddanmark, Denmark

Odense University Hospital | Odense - Endocrinology Department

Odense, Region of Southern Denmark / Region Syddanmark, Denmark

Ruhr-Universitaet Bochum - Herz und Diabeteszentrum NRW (Heart and Diabetes Center)

Bad Oeynhausen, North Rhine-Westphalia, Germany

InnoDiab Forschung GmbH

Essen, North Rhine-Westphalia, Germany

ASST Papa Giovanni XXIII | Ospedale di Bergamo - SC Malattie Endocrine-Diabetologia

Bergamo, Italy

Azienda Ospedaliero-Universitaria Di Bologna IRCCS_Policlinico Sant'Orsola - Endocrinologia e prevenzione e cura del diabete

Bologna, Italy

Azienda Sanitaria Locale di Chieri | TO5 - SC Diabetologia Territoriale

Chieri, Italy

Università degli Studi "G. D'Annunzio" di Chieti - Endocrinologia

Chieti, Italy

Careggi University Hospital - Diabetologia e Malattie del Metabolismo

Florence, Italy

IRCCS Ospedale San Raffaele | Diabetologia Department - Cardio-Metabolic and Clinica Trials Unit

Milan, Italy

ASST Santi Paolo e Carlo | San Paolo Hospital - Haemostasis and Thrombosis Department

Milan, Italy

ASST Fatebenefratelli Sacco _Ospedale Sacco - Malattie Endocrine e Diabetologia

Milan, Italy

Fondazione Policlinico Universitario Agostino Gemelli IRCCS - UOSD Diabetologia

Roma, Italy

Anam Hospital | Endocrinology and Metabolism

Seongbuk, Seoul, South Korea

Seoul National University Hospital | Endocrinology and Metabolism

Seoul, Seoul, South Korea

Severance Hospital | Endocrinology and Metabolism

Seoul, Seoul, South Korea

Asan Medical Center | Endocrinology and Metabolism

Seoul, Seoul, South Korea

Complexo Hospitalario Universitario A Coruna | Endocrinologia

A Coruña, A Coruña, Spain

Hospital Clinic De Barcelona | Endocrinologia

Barcelona, Barcelona, Spain

Hospital General Universitario Gregorio Maranon | Endocrinologia

Madrid, Madrid, Spain

Hospital Universitario Puerta De Hierro De Majadahonda | Endocrinologia

Majadahonda, Madrid, Spain

Hospital Universitario Virgen De La Victoria | Endocrinologia

Málaga, Málaga, Spain

Hospital Nisa Sevilla Aljarafe | Endocrinologia

Castilleja de la Cuesta, Sevilla, Spain

Southmead Hospital | Clinical Research Centre

Bristol, Bristol, United Kingdom

Royal Derby Hospital | Renal Research

Derby, Derbyshire, United Kingdom

Royal London Hospital | Nephrology

London, Greater London, United Kingdom

Wythenshawe Hospital | Clinical Research Facility

Manchester, Greater Manchester, United Kingdom

Glasgow Royal Infirmary | Renal Unit

Glasgow, Scotland, United Kingdom

University Hospital of Wales | Nephrology and Transplant

Cardiff, Wales, United Kingdom

Manor Hospital | Nephrology

Walsall, West Midlands, United Kingdom