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Chronic Kidney DiseasePhase 2FIGARO-BMNCT05013008

An add-on Study to the FIGARO-DKD Study Called FIGARO-BM to Learn About the Link Between Biomarkers (Substances in the Blood Used as Indicators of Biological Processes, Disease Processes or Responses to Medication) and Finerenone in FIGARO-DKD Participants

A Phase 2 study testing Finerenone (Kerendia, BAY94-8862) in people with Chronic Kidney Disease and Type 2 Diabetes Mellitus, run by Bayer at 115 sites in 21 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Researchers are looking for a better way to treat people who have chronic kidney disease (CKD), a long-term, progressive decrease in the kidneys' ability to work properly. When CKD happens in people with type 2 diabetes mellitus, a condition characterized by high blood sugar levels, CKD is also referred to as diabetic… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Finerenone (Kerendia, BAY94-8862)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
951 participants
Where
115 sitesin 21 countries
Study dates
18 Aug 2021to 31 Dec 2021
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • This study will only include participants who were enrolled in the FIGARO-DKD study (NCT02545049) and had received up to 20 mg finerenone or placebo for ≥24 months.
  • For each participant, pharmacokinetic (PK) plasma samples from Visit 3 and at least 2 other Visits (Visit 5, Visit 8, Visit 11) must be available on storage from the main study FIGARO-DKD.

Who cannot join

  • Participants which did not show overall compliance of 80 to 120% with study intervention in FIGARO-DKD.
  • Participants which were not part of the full analysis set (FAS) of FIGARO-DKD.
  • Participants with known fatal outcome.
  • Participants with baseline estimated glomerular filtration rate (eGFR) ≤25 mL/min/1.73m^2.
  • Participants with low baseline risk (normal albuminuria and eGFR≥60 mL/min/1.73m^2).
  • Sponsor request (after discussion with the investigator), for reasons such as a significant protocol deviation.

Trial locations and contacts

115 sites in 21 countries.

115 sites in 21 countries

Japan22 sites
  • Fukuoka University Chikushi Hospital

    Chikushino-shi, Fukuoka, 818-8502

  • Shonan Fujisawa Tokushukai Hospital

    Fujisawa, Kanagawa, 251-0041

  • Fukuoka University Hospital

    Fukuoka, 814-0180

  • Higashihiroshima Medical Center

    Higashihiroshima, Hiroshima, 739-0041

  • Kohnodai Hospital, NC for Global Health and Medicine

    Ichikawa, Chiba, 272-8516

  • Shonan Kamakura General Hospital

    Kamakura, Kanagawa, 247-8533

  • Fukuoka Tokushukai Hospital

    Kasuga, Fukuoka, 816-0864

  • Sugiura Clinic

    Kawaguchi, Saitama, 332-0012

  • Kokura Memorial Hospital

    Kitakyushu, Fukuoka, 802-8555

  • Steel Memorial Yawata Hospital

    Kitakyushu, Fukuoka, 805-8508

  • Komatsu Municipal Hospital

    Komatsu, Ishikawa-ken, 923-8560

  • Japanese Red Cross Kumamoto Hospital

    Kumamoto, 861-8520

  • Saiseikai Matsuyama Hospital

    Matsuyama, Ehime, 791-8026

  • Japanese Red Cross Nagasaki Genbaku Hospital

    Nagasaki, 852-8511

  • Nakakinen Clinic

    Naka, Ibaraki, 311-0113

  • Jiyugaoka YAMADA Clinic

    Obihiro, Hokkaido, 080-0848

  • Kyosokai AMC NISHI-UMEDA Clinic

    Osaka, 530-0001

  • Kitano Hospital

    Osaka, 530-8480

  • Association of healthcare corporation, Oyama East Clinic

    Oyama, Tochigi, 323-0022

  • Shirakawa Kosei General Hospital

    Shirakawa, Fukushima, 961-0005

  • Osaka Saiseikai Senri Hospital

    Suita, Osaka, 565-0862

  • Noritake Clinic

    Ushiku, Ibaraki, 300-1207

Other trials in Japan

Russia14 sites
  • First City Clinical Hospital n.a. E.E. Volosevich

    Arkhangelsk, 163001

  • Izhevsk City Clinical Hospital #9

    Izhevsk, 426063

  • Sci-Res. Institute of Complex Cardiovascular Disorders

    Kemerovo, 650002

  • Kemerovo Regional Clinical Hospital

    Kemerovo, 650066

  • Center of cardiology and neurology

    Kirov, 610014

  • Regional Clinical Hospital #1 n.a. prof. S.V. Ochapovsky

    Krasnodar, 350086

  • Moscow State University n.a. M.V. Lomonosov

    Moscow, 119192

  • Moscow State Univ. of Med. & Stomatology n.a. A.I. Evdokimov

    Moscow, 123182

  • PHI "Central Clinical Hospital "RZD-Medicine"

    Moscow, 125315

  • City Clinical Hospital #13 Nizhny Novgorod

    Nizhny Novgorod, 603018

  • Saratov City Clinical Hospital #9

    Saratov, 410030

  • Voronezh Regional Clinical Consultancy-Diagnostic Center

    Voronezh, 394018

  • City Outpatient Clinic #4

    Voronezh, 394077

  • Clinical Hospital for Emergency Care n.a. N.V.Solovyov

    Yaroslavl, 150003

Other trials in Russia

United States13 sites
  • Randolph Medical Associates

    Asheboro, North Carolina, 27203

  • Joslin Diabetes Center

    Boston, Massachusetts, 02215

  • Florida Kidney Physicians - Fort Lauderdale

    Fort Lauderdale, Florida, 33308

  • Indago Research & Health Center, Inc.

    Hialeah, Florida, 33012

  • East-West Medical Research Institute

    Honolulu, Hawaii, 96814

  • Kansas City VA Medical Center

    Kansas City, Missouri, 64128

  • Crescent City Clinical Research Center, LLC

    Metairie, Louisiana, 70006

  • San Marcus Research Clinic, Inc.

    Miami Lakes, Florida, 33014

  • Floridian Clinical Research, LLC

    Miami Lakes, Florida, 33016

  • Valley Clinical Trials, Inc. - Northridge

    Northridge, California, 91325

  • Saviers Medical Group

    Port Hueneme, California, 93041

  • Clinical Advancement Center, PLLC

    San Antonio, Texas, 78212-4740

  • Chase Medical Research, LLC

    Waterbury, Connecticut, 06708

Other trials in United States

Denmark9 sites
  • Aarhus Universitetshospital, Skejby

    Aarhus N, 8200

  • Sydvestjysk Sygehus Esbjerg, Endocrinology dept.

    Esbjerg, 6700

  • Capital Region | Gentofte Hospital - Cardiology Research

    Hellerup, 2900

  • Herlev Hospital - Endocrinology dept.

    Herlev, 2730

  • Steno Diabetes Center Copenhagen

    Herlev, 2730

  • Holbæk Sygehus

    Holbæk, 4300

  • Holstebro Hospital, Endocrinology dept.

    Holstebro, DK-7500

  • Bispebjerg Hospital

    København NV, 2400

  • Viborg Sygehus

    Viborg, 8800

Other trials in Denmark

Israel7 sites
  • Barzilai Medical Center | Nephrology & Hypertension Dept.

    Ashkelon, 7830604

  • Edith Wolfson Medical Center

    Holon, 5822012

  • Hadassah Hebrew University Hospital Ein Kerem

    Jerusalem, 9112001

  • Meir Medical Center

    Kfar Saba, 4428164

  • The Nazareth Trust Hospital EMMS

    Nazareth, 16100

  • Clalit Health Services, Midgal Hamea

    Tel Aviv, 6203854

  • DMC - Diabetes Medical Center

    Tel Aviv, 6937947

Other trials in Israel

South Korea7 sites
  • Hallym University Sacred Heart Hospital

    Anyang-si, Gyeonggido, 14068

  • Seoul National University Hospital

    Seoul, Seoul Teugbyeolsi, 03080

  • Korea University Anam Hospital

    Seoul, 02841

  • Kyung Hee University Hospital at Gangdong

    Seoul, 05278

  • Kangbuk Samsung Hospital

    Seoul, 110-746

  • Severance Hospital, Yonsei University Health System

    Seoul, 3722

  • Yonsei University Wonju Christian Hospital

    Wŏnju, Gang''weondo, 26426

Other trials in South Korea

Taiwan6 sites
  • Changhua Christian Hospital

    Changhua, 50006

  • Chang Gung Memorial Hospital Kaohsiung

    Kaohsiung City, 833

  • Far Eastern Memorial Hospital | Nephrology Department

    New Taipei City, 220

  • Taichung Veterans General Hospital

    Taichung, 40705

  • Taipei Medical University Hospital

    Taipei, 110

  • Taipei Veterans General Hospital

    Taipei, 11217

Other trials in Taiwan

Spain5 sites
  • Gerencia de Gestion Integrada A Coruna | Department of Endocrinology and Nutrition

    A Coruña, A Coruña, 15006

  • Hospital del Mar | Nephrology Department

    Barcelona, 08003

  • Hospital SAS de Jerez de la Frontera

    Jerez de la Frontera, Cádiz, 11407

  • Complejo Hospitalario Universitario de Ferrol | Hospital Naval - Unidad de Hipertensión Arterial

    Lugar Da Pega, A Coruña, 15405

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

Other trials in Spain

Canada4 sites
  • Hopital Charles LeMoyne

    Greenfield Park, Quebec, J4V 2H1

  • Manna Research (Mirabel)

    Mirabel, Quebec, J7J 2K8

  • Fraser Clinical Trials, Inc.

    New Westminster, British Columbia, V3L 3W4

  • Clinique des Maladies Lipidques de Quebec

    Québec, G1V 4W1

Other trials in Canada

Italy4 sites
  • Istituto Ricerche Farmacologiche Mario Negri IRCCS

    Bergamo, Lombardy, 24020

  • ASST Papa Giovanni XXIII

    Bergamo, Lombardy, 24127

  • A.O.U. di Bologna Policlinico S.Orsola Malpighi

    Bologna, Emilia-Romagna, 40138

  • ASST Santi Paolo e Carlo

    Milan, Lombardy, 20142

Other trials in Italy

Austria3 sites
  • Medizinische Universität Graz

    Graz, Styria, 8036

  • Klinik Landstraße - Krankenhaus Rudolfstiftung

    Vienna, 1030

  • Zentrum f. klinische Studien Dr. Hanusch GmbH

    Vienna, 1060

Other trials in Austria

Bulgaria3 sites
  • Multiprofile Hospital for Active Treatment St. Ivan Rilski - Gorna Oryahovitsa | Nephrology Department

    Gorna Oryahovitsa, 5100

  • DCC 2 - Plovdiv EOOD

    Plovdiv, 4002

  • MHAT Sveti Pantaleymon - Yambol

    Yambol, 8600

Other trials in Bulgaria

Finland3 sites
  • Terveystalo Oulu

    Oulu, 90100

  • Lääkärikeskus Minerva

    Rauma, 26100

  • Turun yliopistollinen keskussairaala

    Turku, 20520

Other trials in Finland

Hong Kong3 sites
  • Queen Mary Hospital

    Hong Kong

  • Prince of Wales Hospital Hong Kong

    Shatin

  • Tung Wah Hospital

    Sheung Wan

Other trials in Hong Kong

Sweden3 sites
  • PTC-Primary care Trial Center

    Gothenburg, 413 46

  • Avdelningen för kliniska prövningar AKP

    Örebro, 703 62

  • ClinSmart

    Uppsala, 752 37

Other trials in Sweden

Australia2 sites
  • Melbourne Renal Research Group

    Reservoir, Victoria, 3073

  • Illawarra Diabetes Service

    Wollongong, New South Wales, 2500

Other trials in Australia

Belgium2 sites
  • UZ Gent

    Ghent, 9000

  • AZ Delta

    Roeselaere, 8800

Other trials in Belgium

Singapore2 sites
  • Singapore General Hospital

    Singapore, 169608

  • National Heart Centre Singapore

    Singapore, 169609

Other trials in Singapore

Czechia1 site
  • Nefrologicka ambulance

    Prague, 140 00

Other trials in Czechia

Netherlands1 site
  • Albert Schweitzer Ziekenhuis, locatie Zwijndrecht

    Zwijndrecht, 3331 LZ

Other trials in Netherlands

Portugal1 site
  • Centro Clinico Academico - Braga

    Braga, 4710-243

Other trials in Portugal

About this study

Official title: A Non-blinded Retrospective Biomarker add-on Study to FIGARO-DKD for Bioprofiling the Pharmacodynamic Response to Finerenone in FIGARO-DKD Subjects

Researchers are looking for a better way to treat people who have chronic kidney disease (CKD), a long-term, progressive decrease in the kidneys' ability to work properly. When CKD happens in people with type 2 diabetes mellitus, a condition characterized by high blood sugar levels, CKD is also referred to as diabetic kidney disease (DKD).

FIGARO-BM is an add-on study in which blood draws that were collected in the FIGARO-DKD study are further analyzed. No additional blood draws (also referred to as biological samples) or data will be obtained from the participants, nor will any additional or new study intervention be introduced. No visit or patient contact other than for obtaining the agreement by the patients (also called informed consent) will be required.

Read more

Inflammation and scarring are both seen as responsible for worsening of chronic kidney disease. There is much information from animal studies that the study treatment finerenone (BAY94-8862) works against inflammation and against scarring (also called fibrosis) in organs such as the kidney.

In this exploratory study researchers want to learn more about the study treatment finerenone (BAY94-8862). To find this out, this study will examine substances called biomarkers in blood draws from participants in the FIGARO-DKD study. Biomarkers are used as indicators of biological processes, disease processes or responses to medication. The biomarkers that will be examined stand for inflammation, organ scarring (also called fibrosis), blood vessel function and congestion.

The main question of this study is whether there are differences between these biomarkers in the group of participants who received finerenone and the group of participants who received a placebo in the FIGARO-DKD study. A placebo looks like a treatment but does not have any medicine in it. To answer this question, the researchers will compare the levels of these biomarkers between the two groups at different time points after starting the study treatment. Blood samples for this study will be obtained from FIGARO-DKD study sites with a high number of participants who had been treated with finerenone or placebo for at least 24 months. This information will be combined with other information from biomarker examinations already available in the FIGARO-DKD study.

Being tested
Finerenone (Kerendia, BAY94-8862), Placebo
Medical subject headings
Renal Insufficiency, Chronic, Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Finerenone (Kerendia, BAY94-8862)Drug

    Oral tablet; starting at 10 mg or 20 mg; once daily; received in previous interventional Phase 3 trial FIGARO-DKD; no new intervention was administered in this biomarker study.

  • PlaceboDrug

    Oral tablet; starting at 10 mg or 20 mg; once daily; received in previous interventional Phase 3 trial FIGARO-DKD; no new intervention was administered in this biomarker study.

Study groups in NCT05013008
Study groupRoleWhat they receive
FinerenoneExperimentalParticipants received finerenone 10 mg or 20 mg once daily in addition to standard of care therapy in previous interventional Phase 3 trial FIGARO-DKD. No new intervention was administered in this biomarker study.
Receives: Drug: Finerenone (Kerendia, BAY94-8862)
PlaceboPlacebo comparatorParticipants received matching placebo once daily in addition to standard of care therapy in previous interventional Phase 3 trial FIGARO-DKD. No new intervention was administered in this biomarker study.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined Biomarkers

    The normalized protein expression (NPX) of biomarker levels were analyzed for the set of 27 pre-defined plasma biomarkers. NPX is a unit on log2-scale that is logarithmically related to protein concentration. Linear NPX (2^NPX) was calcuated for descriptive analyses of the biomarker levels at each visit. Ratios of Visit 11 (36 months of treatment) to Visit 3 (4 months of treatment) were calculated to show the change in the plasma biomarker levels. Visit 3 (4 months of treatment) data were considered as baseline for the biomarker measurements as no pre-dose samples were available from FIGARO-DKD. Note, NPX units (Olink concentration units) are always relative units and can only be interpreted in the context of an individual study, i.e. to compare two conditions or timepoints ("change in NPX"). Equal nominal concentration values (same NPX units) for two different biomarkers measured by Olink Explore does not mean that both markers have the same absolute concentration.

    Measured: At 4 months (Visit 3) of treatment and 36 months (Visit 11) of treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Aug 2021
  2. Study start18 Aug 2021
  3. Primary completion31 Dec 2021
  4. Study completion31 Dec 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
951 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05013008
Sponsor's protocol ID
21952
Other IDs
2021-003053-37
Acronym
FIGARO-BM
Status last verified
Sep 2023
First submitted
20 Jul 2021
Last updated
15 Sep 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Finerenone (Kerendia, BAY94-8862) in people with Chronic Kidney Disease and Type 2 Diabetes Mellitus, run by Bayer at 115 sites in 21 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 115 sites in Japan, Russia, United States, Denmark, Israel and 16 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Mar 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined Biomarkers (time frame: At 4 months (Visit 3) of treatment and 36 months (Visit 11) of treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Sep 2023.

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FIGARO-BM Clinical Trial NCT05013008 | AzTrials