Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT06024746

A Study to Determine the Efficacy and Safety of Finerenone and SGLT2i in Combination in Hospitalized Patients with Heart Failure (CONFIRMATION-HF)

Led by Colorado Prevention Center · Updated on 2025-03-11

1500

Participants Needed

15

Research Sites

107 weeks

Total Duration

On this page

Sponsors

C

Colorado Prevention Center

Lead Sponsor

S

Saint Luke's Mid America Heart Institute

Collaborating Sponsor

AI-Summary

What this Trial Is About

Combination therapy of finerenone plus empagliflozin will be compared to usual care to determine the efficacy and safety of treatment in patients hospitalized with heart failure.

CONDITIONS

Official Title

A Study to Determine the Efficacy and Safety of Finerenone and SGLT2i in Combination in Hospitalized Patients with Heart Failure (CONFIRMATION-HF)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Provide electronic or written informed consent, either personally or through a legally authorized representative, as permitted by local regulations
  • Age 18 years or older or legal age of majority if over 18 years in the participant's country
  • Currently hospitalized or recently discharged with the primary diagnosis of heart failure
  • Heart failure signs and symptoms present at the time of hospital admission
  • Elevated NTproBNP of at least 500 pg/mL or BNP of at least 125 pg/mL for patients in sinus rhythm, or elevated NTproBNP of at least 1500 pg/mL or BNP of at least 375 pg/mL for patients with atrial fibrillation, measured during current hospitalization or within 72 hours before admission
  • Fulfillment of protocol-defined stabilization criteria if randomized during hospitalization
  • Treatment during the current hospitalization with at least one intravenous dose of a loop diuretic (e.g., furosemide, torsemide, bumetanide)
  • Negative pregnancy test and agreement to use adequate contraception during trial (female participants only)
Not Eligible

You will not qualify if you...

  • Diagnosis of type 1 diabetes or prior history of diabetic ketoacidosis
  • Documented prior history of severe hyperkalemia during mineralocorticoid receptor antagonist use
  • Treatment with non-steroidal mineralocorticoid receptor antagonists or SGLT2 inhibitors
  • Estimated glomerular filtration rate below 30 mL/min/1.73m² and/or potassium level above 5.0 mmol/L
  • Acute myocardial infarction, coronary revascularization, valve surgery, or cardiac resynchronization therapy device implantation within 30 days
  • Prior or planned heart transplant
  • Significant uncorrected primary cardiac valvular disease as primary cause of heart failure
  • Cardiomyopathy due to acute inflammatory heart disease, infiltrative diseases, accumulation diseases, muscular dystrophies, reversible causes, known hypertrophic obstructive cardiomyopathy, complex congenital heart disease, or pericardial constriction
  • Likely alternative cause of heart failure symptoms
  • Use of potent cytochrome P450 isoenzyme 3A4 inhibitors or moderate/strong CYP3A4 inducers
  • Known hypersensitivity to the investigational product or its ingredients
  • Any other condition or therapy making the patient unsuitable for the study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 15 locations

1

CON-10004 Fairhope, AL Investigational Site

Fairhope, Alabama, United States, 36532

Actively Recruiting

2

CON-10075 El Centro, CA Investigational Site

El Centro, California, United States, 92243

Actively Recruiting

3

CON-10024 Sacramento, CA Investigational Site

Sacramento, California, United States, 95816

Actively Recruiting

4

CON-10022 Atlanta, GA Investigational Site

Atlanta, Georgia, United States, 30303

Actively Recruiting

5

CON-10030 Baton Rouge, LA Investigational Site

Baton Rouge, Louisiana, United States, 70808

Actively Recruiting

6

CON-10002 Kansas City, MO Investigative Site

Kansas City, Missouri, United States, 64111

Actively Recruiting

7

CON-10045 Amarillo, TX Investigational Site

Amarillo, Texas, United States, 79106

Actively Recruiting

8

CON-10015 Austin, TX Investigational Site

Austin, Texas, United States, 78705

Actively Recruiting

9

CON-21003 Goiania, Goias Investigational Site

Goiânia, Goiás, Brazil, 74453-200

Actively Recruiting

10

CON-21007 Joinville, Santa Catarina Investigational Site

Joinville, Santa Catarina, Brazil, 89200-000

Actively Recruiting

11

CON-21004 Braganca Paulista, Sao Paulo Investigational Site

Bragança Paulista, São Paulo, Brazil, 12916542

Actively Recruiting

12

CON-21049 Sao Paulo, Sao Paulo Investigational Site

São Paulo, São Paulo, Brazil, 05652-900

Actively Recruiting

13

CON-11012 Surry, BC Investigational Site

Surrey, British Columbia, Canada, V3V OC6

Actively Recruiting

14

CON-11007 North York, ON Investigational Site

North York, Ontario, Canada, M6B 3H7

Actively Recruiting

15

CON-11005 Sherbrooke, QC Investigational Site

Sherbrooke, Quebec, Canada, J1H 5N4

Actively Recruiting

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Research Team

M

Marc Bonaca

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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A Study to Determine the Efficacy and Safety of Finerenone and SGLT2i in Combination in Hospitalized Patients with Heart Failure (CONFIRMATION-HF) | DecenTrialz