AzTrials
AzTrials

Chronic Kidney DiseasePhase 3FIONANCT05196035

A Study to Learn More About How Well the Study Treatment Finerenone Works, How Safe it is, How it Moves Into, Through, and Out of the Body, and the Effects it Has on the Body When Taken With an ACE Inhibitor or Angiotensin Receptor Blocker in Children With Chronic Kidney Disease and Proteinuria

A Phase 3 study testing Finerenone (Kerendia, BAY94-8862) in people with Chronic Kidney Disease and Proteinuria, run by Bayer at 132 sites in 32 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

Researchers are looking for a better way to treat children who have chronic kidney disease (CKD), which is long-term kidney disease, and proteinuria, a condition in which a person´s kidneys leak protein into the urine. The kidneys filter waste and fluid from the blood to form urine. Read more about this study

Who is it for?
Ages 6 months to 17 years
Conditions the study is for
Chronic Kidney Disease, Proteinuria
What is being tested?
Finerenone (Kerendia, BAY94-8862)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
219 participants
Where
132 sitesin 32 countries
Study dates
28 Mar 2022to 10 May 2027
Phase
Phase 3

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 6 months to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Participants must be 6 months to <18 years old at the time when the informed consent/assent is signed
  • Participants must have a clinical diagnosis of chronic kidney disease (CKD) at screening which is defined as
  • CKD stages 1-3 (eGFR ≥30 mL/min/1.73m^2) for children ≥1 year to <18 years of age or
  • a serum creatinine ≤ 0.40 mg/dL for infants 6 months to < 1 year of age and
  • severely increased proteinuria as defined by
  • Urinary protein-to-creatinine ratio (UPCR) of ≥ 0.50 g/g in participants ≥ 2 years with CKD stage 2 and 3 or
Show all 12Show fewer
  • UPCR ≥ 1.0 g/g for patients < 2 years of age or ≥ 2 years of age and with CKD stage 1
  • Participants must have stable kidney function between screening and D0 defined as:
  • For participants with a creatinine of > 0.8 mg/dL at screening: no increase or decrease in eGFR by ≥ 20% at D0
  • For participants with a creatinine of ≤ 0.8 mg/dL at screening: no increase or decrease in creatinine ≥ 0.15 mg/dL at D0.
  • Treated with an angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) at optimized doses defined as maximally tolerable doses within the recommended dose range according to guidelines on blood pressure management, unchanged for at least 30 days prior to screening
  • K+ ≤5.0 mmol/L for children ≥2 years of age at both screening and D0, and ≤5.3 mmol/L for children <2 years of age at both screening and D0

Who cannot join

  • Planned urological surgery expected to influence renal function
  • Children with hemolytic uremic syndrome (HUS) diagnosed ≤6 months prior to screening
  • Patients with nephrotic syndrome receiving albumin infusions within the last 6 months prior to screening
  • Patients who are candidates for renal transplantation, i.e., a kidney transplantation scheduled within the study time frame
  • Renal allograft in place
  • Bilateral renal artery stenosis
Show all 11Show fewer
  • Acute kidney injury requiring dialysis within 6 months prior to screening
  • Systemic hypertension stage 2 in children ≥1 year of age defined according to guidelines on blood pressure management at screening or randomization
  • Systolic blood pressure (SBP) above 110 mmHg in infants 6 months to <1 year of age at screening or randomization
  • Systemic hypotension defined as a systolic blood pressure below the 5th percentile for age, sex and height at either screening or randomization but no lower than 80 mmHg (although for some participants the 5th percentile of SBP is < 80 mmHg they must be excluded if their SBP is <80 mmHg)
  • Participants with immune-mediated CKD using rituximab, cyclophosphamide, abatacept, or high-dose glucocorticoids, within <6 months prior to screening

Trial locations and contacts

132 sites in 32 countries.

132 sites in 32 countries

United States10 sites
  • The Charlotte R. Bloomberg Children's Center Building - Nephrology

    Baltimore, Maryland, 21287

  • Cincinnati Children's Hospital Medical Center | Division of Nephrology and Hypertension

    Cincinnati, Ohio, 45229

  • Cleveland Clinic | Pediatric Nephrology

    Cleveland, Ohio, 14013

  • Memorial Transplant Institute - Pediatric Nephrology

    Hollywood, Florida, 33021

  • Children's Mercy Hospital Kansas City - Nephrology

    Kansas City, Missouri, 64108

  • Lucille Packard Children's Hospital Stanford - Pediatric Nephrology

    Palo Alto, California, 94304

  • OHSU Doernbecher Children's Hospital - Neurology

    Portland, Oregon, 97239

  • Eccles Primary Children's Outpatient Services - Nephrology

    Salt Lake City, Utah, 84113

  • UC San Diego - Altman Clinical and Translational Research Institute (ACTRI) - Linda Vista Clinic

    San Diego, California, 92023

  • Seattle Children's Hospital - Nephrology

    Seattle, Washington, 98105

Other trials in United States

Turkey (Türkiye)8 sites
  • Cukurova Univ. Tip. Fak. Balcali Hastanesi

    Adana, 01790

  • T.C. Saglik Bakanligi Ankara Bilkent Sehir Hastanesi Noroloji ve Ortopedi Hastanesi Noroloji Bolumu

    Ankara, Aksaray, 6800

  • Hacettepe Universitesi Tip Fakultesi

    Ankara, 06230

  • Baskent Universitesi Tip Fakultesi Hastanesi

    Ankara, 6490

  • Gazi Universitesi Tip Fakultesi

    Ankara, 6560

  • Istanbul Faculty of Medicine, Department of Internal Medicine, Department of Pediatrics

    Istanbul, 34093

  • Istanbul Universitesi Cerrahpasa - Cocuk Nefrolojisi

    Istanbul, 34098

  • Marmara University Medical Faculty | Pediatric Nephrology

    Istanbul, 34899

Other trials in Turkey (Türkiye)

Germany7 sites
  • Charité / Pädiatrie

    Berlin, 13353

  • Kindernierenzentrum Bonn

    Bonn, North Rhine-Westphalia, 53127

  • Universitätsklinikum Essen

    Essen, North Rhine-Westphalia, 45147

  • Universitätsklinikum Hamburg Eppendorf (UKE)

    Hamburg, 20246

  • Medizinische Hochschule Hannover (MHH)

    Hanover, Lower Saxony, 30625

  • Universitätsklinikum Heidelberg

    Heidelberg, Baden-Wurttemberg, 69115

  • Universitätsklinikum Münster

    Münster, North Rhine-Westphalia, 48149

Other trials in Germany

France6 sites
  • CHU bordeaux - Hopital Pellegrin

    Bordeaux, New Aquitaine, 33076

  • CHU Lyon - Hopital Femme Mere Enfant - Service de nephrologie-rhumatologie-dermatologie pediatriques

    Bron, Auvergne-Rhône-Alpes, 69500

  • CHU Montpellier - Hopital Arnaud de Villeneuve - Service nephrologie pediatrique

    Montpellier, Occitanie, 34295

  • APHP - Hopital Robert Debre

    Paris, Île-de-France Region, 75019

  • CHU Strasbourg - Hopital Hautepierre - Service nephrologie pediatrique

    Strasbourg, Grand Est, 67200

  • CHU Toulouse - Hopital des enfants

    Toulouse, Occitanie, 31059

Other trials in France

Italy6 sites
  • Azienda Ospedaliero-Universitaria Di Bologna IRCCS_Policlinico Sant'Orsola - Pediatria

    Bologna, Emilia-Romagna, 40138

  • Azienda Ospedaliera Universitaria Meyer IRCCS - Nefrologia e Dialisi

    Florence, Tuscany, 50139

  • IRCCS Istituto Giannina Gaslini - Nefrologia e Trapianto Rene

    Genoa, Liguria, 16147

  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico - Nefrologia e Dialisi Pediatrica, Trapianti di Rene

    Milan, Lombardy, 20122

  • Ospedale Pediatrico Bambino Gesù - Nefrologia

    Rome, Lazio, 00165

  • A.O.U. Città della Salute e della Scienza di Torino_Regina Margherita - Nefrologia Pediatrica

    Turin, Piedmont, 10126

Other trials in Italy

Spain6 sites
  • Hospital Universitari Vall D Hebron | Nefrologia pediatrica

    Barcelona, Catalonia, 08035

  • Hospital Sant Joan De Deu Barcelona | Nefrologia pediatrica

    Esplugues de Llobregat, Barcelona, 8950

  • Hospital Universitario 12 De Octubre | Nefrologia pediatrica

    Madrid, 28041

  • Hospital Universitario La Paz | Nefrologia pediatrica

    Madrid, 28046

  • Hospital Universitario Regional De Malaga | Nefrologia pediatrica

    Málaga, 29010

  • Hospital Universitario Virgen Del Rocio S.L. | Nefrologia pediatrica

    Seville, 41013

Other trials in Spain

Argentina5 sites
  • Instituto Universitario Hospital Italiano de Buenos Aires | Hospital Italiano de Buenos Aires - Neurology Department

    Buenos Aires, C1199ABB

  • Hospital General de Ninos Pedro de Elizalde | Nephrology Department

    Buenos Aires, C1270

  • Hospital General de Ninos Ricardo Gutierrez | Pediatric Nephrology Department

    Buenos Aires, C1425EFD

  • Centro de Rehabilitacion Cardiovascular | San Luis, Argentina

    San Luis, D5700CGR

  • Clinica de Nefrologia, Urologia y Enfermedades Cardiovascualares | Santa Fe, Argentina

    Santa Fe, Santa Fe Province, S3000

Other trials in Argentina

Belgium5 sites
  • Huderf / Ukzkf

    Brussels, Brussels Capital, 1020

  • CU Saint-Luc/UZ St-Luc

    Brussels, Brussels Capital, 1200

  • UZ Gent

    Ghent, East Flanders, 9000

  • UZ Gasthuisberg - Pediatric Nephrology

    Leuven, Flemish Brabant, 3000

  • CHC Montlégia - Pediatrics

    Liège, 4000

Other trials in Belgium

Brazil5 sites
  • Hospital Pequeno Principe

    Curitiba, Paraná, 80250-060

  • Hosp Clínicas Facult. Med. de Ribeirão Preto / USP

    Ribeirão Preto, São Paulo, 14051-140

  • Instituto da Crianca e do Adolescente

    São Paulo, 05403 000

  • Hospital PUC-Campinas | Centro de Pesquisa Clínica Sao Lucas

    São Paulo, 13034-685

  • Santa Casa de Misericórdia de Belo Horizonte

    São Paulo, 30150-221

Other trials in Brazil

Greece5 sites
  • Children's Hospital of Athens P&A Kyriakou - Pediatric Nephrology Department

    Athens, 11526

  • Children's Hospital of Athens Agia Sofia - Pediatric Nephrology Department

    Athens, 11527

  • University General Hospital of Heraklion

    Heraklion, 71110

  • University General Hospital Of Ioannina-Child Health Sector

    Ioannina, 45500

  • Ippokratio General Hospital Of Thessaloniki-Pediatric Nephrology Unit, 3rd Department of Paediatrics

    Thessaloniki, 54642

Other trials in Greece

Israel5 sites
  • Clalit Health | Soroka Medical Center

    Beersheba, Southern District, 8410101

  • Wilf Children's Hospital Shaare Zedek Medical Center

    Jerusalem, 9103102

  • Health Corporation of Galilee Medical Center

    Nahariya, Northern District, 2210001

  • Clalit Health Services Schneider Children's Medical Center

    Petah Tikva, Central District, 4920235

  • Dana-Dwek Children's Hospital

    Tel Aviv, 6423906

Other trials in Israel

Malaysia5 sites
  • Hospital Universiti Sains Malaysia

    Kelantan, Kelantan, 16150

  • Hospital Tuanku Ja'afar

    Seremban, Negeri Sembilan, 70300

  • Hospital Selayang

    Shah Alam, Selangor, 68100

  • Sunway Medical Centre

    Subang Jaya, Selangor, 47500

  • Hospital Tunku Azizah

    Wilayah Persekutuan Putrajaya, Kuala Lumpur, 50300

Other trials in Malaysia

South Korea5 sites
  • Kyungpook National University Hospital | Pediatric Nephrology

    Daegu, 41944

  • Seoul National University Bundang Hospital | Pediatric Nephrology

    Seongnam-si, Gyeonggi-do, 13620

  • Seoul National University Hospital | Pediatric Nephrology

    Seoul, 03080

  • Korea University Guro Hospital | Pediatric Nephrology

    Seoul, 08308

  • Pusan National University Children's Hospital | Pediatric Nephrology

    Yangsan, Gyeongsangnam-do, 50612

Other trials in South Korea

Taiwan5 sites
  • Chang Gung Memorial Hospital (CGMH) - Kaohsiung Branch

    Guishan, Taoyuan, 83301

  • National Cheng Kung University Hospital

    Tainan, 704

  • National Taiwan University Hospital

    Taipei, 100229

  • Chang Gung Memorial Hospital at Linkou

    Taipei, 10507

  • Taipei Veterans General Hospital

    Taipei, 11217

Other trials in Taiwan

Austria4 sites
  • Medizinische Univ Graz | Kinder & Jugendheilkunde

    Graz, Styria, 8036

  • Kepler Universitätsklinikum Campus IV

    Innsbruck, Tyrol, 6020

  • Uniklinikum Salzburg - Landeskrankenhaus

    Vienna, State of Vienna, 1090

  • AKH Wien | Kinder & Jugendheilkunde, Kindernephrologie

    Vienna, Vorarlberg, 6800

Other trials in Austria

Hungary4 sites
  • Semmelweis University

    Budapest, 1083

  • Debreceni Egyetem Klinikai Kozpont

    Debrecen, Hajdú-Bihar, 4032

  • Pecsi Tudomanyegyetem Klinikai Kozpont

    Pécs, Baranya, 7623

  • Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ

    Szeged, Csongrád-Csanád, 6720

Other trials in Hungary

India4 sites
  • Mavani Kidney Care

    Ahmedabad, Gujarat, 380052

  • St. John's National Academy of Health Sciences

    Bengaluru, Karnataka, 560034

  • All India Institute of Medical Sciences (AIIMS) - New Delhi

    Delhi, National Capital Territory of Delhi, 110029

  • NRS Medical college

    Kolkata, West Bengal, 700014

Other trials in India

Poland4 sites
  • Uniwersytecki Dzieciecy Szpital Kliniczny im. L. Zamenhofa

    Bialystok, Podlaskie Voivodeship, 15-274

  • Uniwersyteckie Centrum Kliniczne

    Gdansk, Pomeranian Voivodeship, 80-952

  • Instytut Centrum Zdrowia Matki Polki

    Lodz, Łódź Voivodeship, 93-338

  • Instytut "Pomnik - Centrum Zdrowia Dziecka"

    Warsaw, Masovian Voivodeship, 04-730

Other trials in Poland

United Kingdom4 sites
  • Royal Hospital for Children | Glasgow Clinical Research Facility

    Glasgow, Scotland, G51 4TF

  • Great Ormond Street Hospital for Children | Clinical Research Facility

    London, Greater London, WC1N 3JH

  • Royal Manchester Children's Hospital | Clinical Research Facility

    Manchester, Greater Manchester, M13 9WL

  • Nottingham Children's Hospital | Renal and Urology Unit

    Nottingham, Nottinghamshire, NG7 2UH

Other trials in United Kingdom

Australia3 sites
  • Monash Children's Hospital

    Clayton, Victoria, 3168

  • Royal Children's Hospital Melbourne

    Parkville, Victoria, 3052

  • Queensland Children's Hospital

    South Brisbane, Queensland, 4101

Other trials in Australia

Denmark3 sites
  • Aarhus Universitetshospital - Børn og Unge

    Aarhus N, Central Denmark Region / Region Midtjylland, 8200

  • Rigshospitalet - Børn og Unge

    Copenhagen, Capital Region / Region Hovedstaden, 2100

  • Odense Universitetshospital - HC Andersen Børne og Ungehospital

    Odense, Region of Southern Denmark / Region Syddanmark, 5000

Other trials in Denmark

Finland3 sites
  • HUS-Yhtymä, Helsingin yliopistollinen sairaala (HUS) - Uusi lastensairaala, nefrologia

    Helsinki, Uusimaa, 00290

  • Tampere University Hospital, Tampereen yliopistollinen sairaala (TAYS) - Lasten lääketutkimuskeskus PeeTU

    Tampere, Pirkanmaa, 33521

  • Turun yliopistollinen keskussairaala

    Turku, Southwest Finland, 20520

Other trials in Finland

Mexico3 sites
  • Sitio Alfredo Chew Wong | Aguascalientes, Mexico

    Aguascalientes, Agguascalientes, 20124

  • Instituto Nacional de Pediatría

    México, D.F., Mexico City, 4530

  • Instituto Veracruzano en Investigación Clinica SC

    Veracruz, 91900

Other trials in Mexico

Switzerland3 sites
  • Universitäts-Kinderspital UKBB

    Basel, Canton of Basel-City, 4031

  • Hopital des Enfants HUG

    Geneva, 1211

  • Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne University Hospital

    Lausanne, Canton of Vaud, 1012

Other trials in Switzerland

Canada2 sites
  • Alberta Children's Hospital | Nephrology Clinic

    Calgary, Alberta, T3B 6A8

  • Centre hospitalier universitaire Sainte-Justine | Cardiology

    Montreal, Quebec, H3T 1C5

Other trials in Canada

Czechia2 sites
  • Všeobecná fakultní nemocnice v Praze

    Prague, Prague, 128 08

  • Fakultní nemocnice Motol a Homolka, Pracoviště MOTOL

    Prague, Prague, 150 06

Other trials in Czechia

Lithuania2 sites
  • Hospital of LT University of Health Sciences Kaunas Clinics

    Kaunas, Kaunas County, LT-50161

  • Vilnius University Hospital Santaros Klinikos Children's Hospital Paediatrics Centre

    Vilnius, Vilnius County, LT-08406

Other trials in Lithuania

Netherlands2 sites
  • Universitair Medisch Centrum Groningen

    Groningen, 9713 GZ

  • University Medical Center Utrecht

    Utrecht, 3584 CX

Other trials in Netherlands

Portugal2 sites
  • Unidade Local de Saúde de Coimbra, E.P.E. - Hospital Pediátrico - Serviço de Pediatria Ambulatória - Nefrologia

    Coimbra, 3000

  • Unidade Local de Saúde de Santo António, E.P.E

    Porto, 4050-651

Other trials in Portugal

Sweden2 sites
  • Skånes Universitetssjukhus - Lund - Barnnefroenheten

    Lund, Skåne County, 221 85

  • Karolinska Universitetssjukhuset - Huddinge - Barnnjurmedicin

    Stockholm - Huddinge, 141 86

Other trials in Sweden

Bulgaria1 site
  • UMHAT Sveti Georgi

    Plovdiv, Plovdiv Province, 4002

Other trials in Bulgaria

South Africa1 site
  • Wits Vaccines & Infectious Diseases Analytics (VIDA) Research Unit

    Soweto, Gauteng, 1862

Other trials in South Africa

About this study

Official title: A 6-month Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety and PK/PD of an age-and Body Weight-adjusted Oral Finerenone Regimen, in Addition to an ACEI or ARB, for the Treatment of Children, 6 Months to <18 Years of Age, With Chronic Kidney Disease and Proteinuria

Researchers are looking for a better way to treat children who have chronic kidney disease (CKD), which is long-term kidney disease, and proteinuria, a condition in which a person´s kidneys leak protein into the urine.

The kidneys filter waste and fluid from the blood to form urine. In children with CKD, the kidney´s filters do not work as well as they should. This can lead to accumulation of waste and fluid in the body and proteinuria. CKD can lead to other medical problems, such as high blood pressure, also known as hypertension. Vice versa, hypertension and proteinuria can also contribute to worsening of CKD. Therefore, the treatment of CKD aims to control blood pressure and proteinuria. There are treatments available for doctors to prescribe to children with CKD and hypertension and/or proteinuria. These include "angiotensin-converting enzyme inhibitors" (ACEI) and "angiotensin receptor blockers" (ARB). Both ACEI and ARB can improve kidney function by helping the renin-angiotensin-aldosterone system (RAAS) to work normally. The RAAS is a system that works with the kidneys to control blood pressure and the balance of fluid and electrolytes in the blood. In people with CKD, the RAAS is often too active, which can stop the kidneys from working properly and cause hypertension and proteinuria. However, ACEI or ARB treatment alone does not work for all patients with CKD as they only target the angiotensin part of the renin-angiotensin-aldosterone system.

Read more

The study treatment, finerenone, is expected to help control RAAS overactivation together with an ACEI or ARB.

So, the researchers in this study want to learn more about whether finerenone given in addition to either an ACEI or ARB can help their kidney function.

The main purpose of this study is to learn more about whether finerenone added to either ACEI or ARB can help reduce the amount of protein in the participants' urine more than a placebo. A placebo looks like a treatment but does not have any medicine in it. Participants will also continue to receive their other medications.

To see how the treatment work, the doctors will take samples of the participants' urine to measure their protein levels before and during taking treatment and after their last treatment. In addition, blood samples will be taken to monitor kidney function, electrolytes and the amount of finerenone in the blood as well as for other tests.

This study will include children with CKD and proteinuria aged from 6 months up to less than 18 years. The participants will take:

  • either finerenone or the placebo, in addition to
  • either ACEI or ARB, whichever they take as part of their normal treatment

Two visits are required up to 104 days, to check whether a child can take part in the treatment phase of the study. If participants qualify for the treatment phase, they will then undergo treatment for about 180 days. During this time, they will visit the study site at least 7 times. During these visits, the participants will:

  • have their blood pressure, heart rate, temperature, height and weight measured
  • have blood and urine samples taken
  • have physical examinations
  • have their heart examined by an electrocardiogram and echocardiography (a sonogram of the heart)
  • answer questions about their medication and whether they have any adverse events , or have their parents or guardians answer
  • answer questions about how they are feeling, or have their parents or guardians answer
  • answer question about how they like the study medication, or have their parents or guardians answer

The doctors will keep track of any adverse events. An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events that happen in studies, even if they do not think the adverse events might be related to the study treatments.

The doctors will check the participants' health about 30 days after the participants take their last treatment.

Being tested
Finerenone (Kerendia, BAY94-8862), Placebo
Medical subject headings
Renal Insufficiency, Chronic, Proteinuria

What participants receive

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

  • Finerenone (Kerendia, BAY94-8862)Drug

    Finerenone in different doses, treatment duration will be 180±7 days

  • PlaceboDrug

    Placebo to finerenone, treatment duration will be 180±7 days

Study groups in NCT05196035
Study groupRoleWhat they receive
Finerenone (Kerendia, BAY94-8862)ExperimentalParticipants will receive finerenone treatment.
Receives: Drug: Finerenone (Kerendia, BAY94-8862)
PlaceboPlacebo comparatorParticipants will receive placebo to finerenone.
Receives: Drug: Placebo

What is being measured

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

  1. Percent change in Urinary protein-to-creatinine ratio (UPCR) reduction from baseline to day 180+/-7

    Percent change from baseline to day 180±7 in UPCR will be calculated.

    Measured: From baseline to day 180+/-7

Secondary outcomes (10)
  1. Number participants with treatment emergent adverse events (TEAEs)

    Below sub-categories will be considered:

    1. Serious Treatment Emergent Adverse Events (TEAEs)
    2. TEAEs and serious TEAEs leading to discontinuation of treatment
    3. Study drug related TEAEs and serious TEAEs
    4. TEAEs categorized by severity (mild, moderate, severe)
    5. TEAEs by maximum intensity
    6. Number of participants hospitalized with hyperkalemia,
    7. Number of participants discontinuing due to hyperkalemia,
    8. Number of participants with hospitalization for worsening of renal function
    9. Number of participants discontinuing due to worsening of renal function

    Measured: From the start of study intervention to last study intervention + 3 days (up to 190 days)

  2. Change in serum potassium levels from baseline to day 180±7

    Measured: From baseline to day 180±7

  3. Change in serum creatinine from baseline to day 180±7

    Measured: From baseline to day 180±7

  4. Change in eGFR from baseline to day 180±7

    Estimated glomerular filtration rate (eGFR)

    Measured: From baseline to day 180±7

  5. Change in systolic blood pressure from baseline to day 180±7

    Measured: From baseline to day 180±7

  6. UPCR reduction of at least 30% from baseline to day 180+/-7

    Proportion of participants at day 180+/-7 with a >=30% reduction in PUCR compared to baseline

    Measured: From baseline to day 180±7

  7. Change in UACR from baseline to day 180±7

    Urinary albumin-to-creatinine ratio (UACR)

    Measured: From baseline to day 180±7

  8. Pharmacokinetics (PK) finerenone Cmax, md

    Maximum observed finerenone concentration in plasma after multiple doses.

    Measured: Pre-dose, post-dose (1.5-5 hours after intake of intervention), up to day 180±7

  9. Pharmacokinetics (PK) finerenone AUCτ,md

    Area under the curve for finerenone concentration in plasma after multiple doses.

    Measured: Pre-dose, post-dose (1.5-5 hours after intake of intervention), up to day 180±7

  10. Taste and texture questionnaire of the pediatric formulation

    Measured: On day 30±3 and day 180±7

Timeline

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

  1. First posted19 Jan 2022
  2. Study start28 Mar 2022
  3. Primary completion10 Apr 2027 (estimated)
  4. Study completion10 May 2027 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
219 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05196035
Sponsor's protocol ID
19920
Other IDs
2023-504884-17-00, 2021-002071-19, 2023
Acronym
FIONA
Status last verified
2 Sep 2026
First submitted
7 Jan 2022
Last updated
15 Oct 2026
Results posted
No
Data monitoring committee
Yes
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.

Publications

  • Schaefer F, Montini G, Kang HG, Walle JV, Zaritsky J, Schreuder MF, Litwin M, Scalise A, Scott H, Potts J, Iveli P, Breitenstein S, Warady BA. Investigating the use of finerenone in children with chronic kidney disease and proteinuria: design of the FIONA and open-label extension studies. Trials. 2024 Mar 21;25(1):203. doi: 10.1186/s13063-024-08021-z.

    PubMed 38509517

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