Actively Recruiting

Age: 18Years +
All Genders
NCT06838416

Evaluation of the Effect of Finerenone on Renal Function in Patients With Type 2 Diabetes and Chronic Kidney Disease

Led by Second Affiliated Hospital of Soochow University · Updated on 2025-04-04

300

Participants Needed

1

Research Sites

162 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Research Objectives To evaluate the impact of finerenone on renal function, diabetic complications, and safety in patients with Type 2 diabetes and chronic kidney disease. Study Design Type: Prospective, single-arm, multicenter clinical trial. Sample Size: 300 patients. Intervention: Finerenone added to existing treatment regimen (10-20 mg once daily, dose adjusted based on eGFR), for 48 weeks. Data Collection Time Points: Baseline, 4 weeks, 12 weeks, 24 weeks, 36 weeks, and 48 weeks. Primary Endpoint: Change in urine albumin-to-creatinine ratio (UACR). Secondary Endpoints: Changes in eGFR, 24-hour urine protein, serum uric acid, retinopathy markers, pulse wave velocity (PWV), ankle-brachial index (ABI), etc. Safety Endpoints: Changes in serum potassium, sodium, and blood pressure.

CONDITIONS

Official Title

Evaluation of the Effect of Finerenone on Renal Function in Patients With Type 2 Diabetes and Chronic Kidney Disease

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosed with Type 2 diabetes according to the 1999 WHO criteria
  • Aged 18 years or older
  • Urine albumin-to-creatinine ratio (UACR) 30 mg/g or higher and eGFR 30 ml/min/1.73 m² or higher sustained for over 3 months
  • Stable treatment with ARB or ACEI medications for at least 4 weeks prior to enrollment
  • Willing to sign informed consent and follow the study protocol
Not Eligible

You will not qualify if you...

  • Chronic kidney disease diagnosed before Type 2 diabetes
  • Serum potassium level higher than 4.8 mmol/L
  • Poor blood pressure control at screening with systolic blood pressure 160 mmHg or higher and/or diastolic blood pressure 100 mmHg or higher
  • Hemoglobin A1c (HbA1c) greater than 9%
  • Acute urinary tract infection or other conditions affecting urine tests
  • Primary or secondary adrenal insufficiency
  • Use of mineralocorticoid receptor antagonists
  • Use of medications affecting urine protein and eGFR within 4 weeks (except kininogenase)
  • Use of strong CYP3A4 inhibitors such as itraconazole, ketoconazole, ritonavir, nelfinavir, cobicistat, clarithromycin, telithromycin, nefazodone, carbamazepine
  • Elevated liver enzymes ALT or AST more than 2.5 times the upper limit of normal or total bilirubin more than 2 times the upper limit of normal
  • Use of systemic glucocorticoids for more than 7 days within 12 weeks prior to screening or need for systemic immunosuppressive treatment within 14 days
  • Any organ system cancer within the past 5 years
  • Known pregnancy, breastfeeding, recent plans for conception, or not using adequate contraception
  • Participation in other interventional clinical trials within 3 months prior to screening

AI-Screening

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Trial Site Locations

Total: 1 location

1

The Second Affiliated Hospital of Suzhou University

Suzhou, Jiangsu, China

Actively Recruiting

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Research Team

X

Xie Ying, Ph.D.

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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