Status:
RECRUITING
A Study to Determine the Efficacy and Safety of Finerenone on Morbidity and Mortality Among Hospitalized Heart Failure Patients
Lead Sponsor:
Colorado Prevention Center
Collaborating Sponsors:
St. Luke's Hospital, Kansas City, Missouri
Bayer
Conditions:
Heart Failure
Acute Heart Failure
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
Finerenone will be compared to placebo to determine efficacy and safety of treatment in patients hospitalized with acute decompensated heart failure (HF) and mildly reduced or preserved left ventricul...
Detailed Description
This is an international, randomized, double-blind, placebo-controlled, event-driven trial of finerenone for the treatment hospitalized heart failure patients with mildly reduced or preserved ejection...
Eligibility Criteria
Inclusion
- Provide electronic or written informed consent, either personally or through a legally authorized representative
- Age ≥18 years
- Current hospitalization or recently discharged with the primary diagnosis of heart failure
- Heart failure signs and symptoms at the time of hospital admission
- Imaging evidence of mildly reduced or preserved left ventricular ejection fraction (EF) (40% or higher)
- Elevated N-terminal pro B-type natriuretic peptide (NTproBNP) ≥1000 pg/mL or B-type natriuretic peptide (BNP) ≥250 pg/mL for patients without atrial fibrillation (AF); or elevated NTproBNP ≥2000 pg/mL or BNP ≥500 pg/mL for patients with AF
Exclusion
- Treatment with a mineralocorticoid receptor antagonist (MRA)
- Documented prior history of severe hyperkalemia in the setting of MRA use
- Estimated glomerular filtration rate (eGFR) \<25 mL/min/1.73m² or serum/plasma potassium \>5.0 mmol/L at screening
- Acute myocardial infarction, coronary revascularization, valve replacement/repair, or implantation of a cardiac resynchronization therapy device within 30 days
- Hemodynamically significant (severe) uncorrected primary cardiac valvular disease
- Cardiomyopathy due to known acute inflammatory heart, infiltrative diseases, accumulation diseases, muscular dystrophies, cardiomyopathy with reversible causes, known hypertrophic obstructive cardiomyopathy, complex congenital heart disease, or known pericardial constriction
- Probable alternative cause of participant's heart failure symptoms
- Concomitant systemic therapy with potent cytochrome P450 isoenzyme 3A4 (CYP3A4) inhibitors or moderate CYP3A4 inducers, or potent CYP3A4 inducers
Key Trial Info
Start Date :
January 17 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
April 1 2026
Estimated Enrollment :
5200 Patients enrolled
Trial Details
Trial ID
NCT06008197
Start Date
January 17 2024
End Date
April 1 2026
Last Update
March 1 2024
Active Locations (4)
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1
Aurora, CO Investigative Site
Aurora, Colorado, United States, 80045
2
Denver, CO Investigative Site
Denver, Colorado, United States, 80204
3
Boca Raton, FL Investigative Site
Boca Raton, Florida, United States, 33434
4
Kansas City, MO Investigative Site
Kansas City, Missouri, United States, 64111