Status:

NOT_YET_RECRUITING

FINE-START: Efficacy and Safety of Finerenone in Patients With Chronic Kidney Disease Not Using Renin-angiotensin-system Inhibitors

Lead Sponsor:

University Medical Center Groningen

Conditions:

Chronic Kidney Disease

Eligibility:

All Genders

18+ years

Phase:

PHASE3

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.

Detailed Description

FINE-START is a multicenter, international, randomized, placebo-controlled, double blind parallel-group Phase 3 study in adult participants with chronic kidney disease (CKD) not using renin-angiotensi...

Eligibility Criteria

Inclusion

  • Main
  • 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)).
  • Main

Exclusion

  • Participants with an HbA1c\>11%.
  • Participants with type 1 diabetes.
  • Symptomatic heart failure with reduced ejection fraction and class 1A indication for MRA treatment.

Key Trial Info

Start Date :

December 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2027

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT07181135

Start Date

December 1 2025

End Date

December 31 2027

Last Update

September 24 2025

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