Status:

NOT_YET_RECRUITING

Role of Finerenone in African American Veterans With Diabetic Kidney Disease

Lead Sponsor:

Washington D.C. Veterans Affairs Medical Center

Collaborating Sponsors:

Bayer

Conditions:

Diabetic Kidney Disease

Eligibility:

All Genders

20-90 years

Phase:

PHASE4

Brief Summary

Primary Objectives: To study podocyte specific injury markers (podocyte specific proteins, PSP) nephrin, podocalyxin and Wilms'Tumor (WT-1) protein in exosomes urine from African American Veterans wit...

Detailed Description

Chronic kidney disease (CKD) is a complex medical condition imposing deleterious effects on multiple organ systems. Prevention of increased cardiovascular mortality and progression to end-stage kidney...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Diagnosis of type 2 diabetes (HbA1C at or above 6.5%, or fasting blood glucose of more than 125 or random/ post prandial blood glucose of more than 199mg%)
  • African American veterans
  • Age 20-90 years
  • eGFR ≥25-89 mL/min/1.73 m2 by the CKD-EPI equation)
  • Albuminuria of 30 mg/g or higher
  • BMI=18-39.9
  • Blood pressure controlled to ≤140/90
  • Ability to provide informed consent before any trial related activities are conducted.
  • Exclusion Criteria
  • If a patient is on statin, need to be on a stable dose for a month.
  • Biopsy proven diagnosis of glomerular disease/glomerulonephritis
  • Active smokers,
  • Active skin wounds undergoing treatment or recent surgery within 1 month (due to possible aberrations in glycemic control)
  • Women who are pregnant, planning to become pregnant, nursing mothers, women of childbearing potential not using birth control measure
  • Hypersensitivity to empagliflozin or finerenone
  • Patients on dialysis
  • eGFR less than 25 mL/min/1.73 m2 by the CKD-EPI equation
  • Planned surgery or planned hospital admission within 5 months of participation in the study
  • At the discretion of PI to ensure health, safety, and well-being of the veteran, participation in this study may be stopped (please see withdrawal criteria)
  • Patients with prior history of diagnosis of heart failure with documented EF of less than 50.
  • Proven diagnosis of Polycystic Kidney Disease.

Exclusion

    Key Trial Info

    Start Date :

    September 1 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    August 1 2027

    Estimated Enrollment :

    30 Patients enrolled

    Trial Details

    Trial ID

    NCT07155694

    Start Date

    September 1 2025

    End Date

    August 1 2027

    Last Update

    September 4 2025

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Washington DC Veterans Affairs Medical Center (688)

    Washington D.C., District of Columbia, United States, 20422

    Role of Finerenone in African American Veterans With Diabetic Kidney Disease | DecenTrialz