Phase IIb Safety and Efficacy Study of Different Oral Doses of BAY94-8862 in Subjects With Worsening Chronic Heart Failure and Left Ventricular Systolic Dysfunction and Either Type 2 Diabetes Mellitus With or Without Chronic Kidney Disease or Chronic Kidney Disease Alone
CompletedPhase 2Results postedLast updated 6 July 2021
What this trial tests
Phase 2 trial testing Finerenone (BAY94-8862) in Heart Failure in 1,066 participants. Completed in 9 December 2014.
18 and older, any sex, with Heart Failure. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Percentage of Participants With a Relative Decrease in NT-proBNP of More Than 30% From Baseline to Day 90Primary· Baseline and Day 90
N-terminal pro-B type natriuretic peptide (NT-proBNP) levels in the blood are used for screening, diagnosis of acute and chronic heart failure (CHF) and may be useful to establish prognosis in heart failure.
Group
Value
95% CI
Eplerenone (INSPRA®)
37.2
31.6 – 43.1
Finerenone (BAY94-8862) 2.5-5 mg OD
30.9
24.9 – 37.4
Finerenone (BAY94-8862) 5-10 mg OD
32.5
26.3 – 39.2
Finerenone (BAY94-8862) 7.5-15 mg OD
37.3
30.9 – 44.1
Finerenone (BAY94-8862) 10-20 mg OD
38.8
32.3 – 45.5
Finerenone (BAY94-8862) 15-20 mg OD
34.2
27.9 – 40.9
Number of Participants With Death Due to Any CauseSecondary· Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Death due to any cause include cardiovascular (CV) death and Non-CV death. Non-CV death was classified by 2 subcategories: non-malignant causes and malignant causes.
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
6
Finerenone (BAY94-8862) 2.5-5 mg OD
5
Finerenone (BAY94-8862) 5-10 mg OD
1
Finerenone (BAY94-8862) 7.5-15 mg OD
1
Finerenone (BAY94-8862) 10-20 mg OD
0
Finerenone (BAY94-8862) 15-20 mg OD
2
Day 60
Group
Value
95% CI
Eplerenone (INSPRA®)
7
Finerenone (BAY94-8862) 2.5-5 mg OD
7
Finerenone (BAY94-8862) 5-10 mg OD
3
Finerenone (BAY94-8862) 7.5-15 mg OD
2
Finerenone (BAY94-8862) 10-20 mg OD
0
Finerenone (BAY94-8862) 15-20 mg OD
4
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
9
Finerenone (BAY94-8862) 2.5-5 mg OD
10
Finerenone (BAY94-8862) 5-10 mg OD
4
Finerenone (BAY94-8862) 7.5-15 mg OD
4
Finerenone (BAY94-8862) 10-20 mg OD
1
Finerenone (BAY94-8862) 15-20 mg OD
5
Follow-up
Group
Value
95% CI
Eplerenone (INSPRA®)
15
Finerenone (BAY94-8862) 2.5-5 mg OD
16
Finerenone (BAY94-8862) 5-10 mg OD
7
Finerenone (BAY94-8862) 7.5-15 mg OD
11
Finerenone (BAY94-8862) 10-20 mg OD
2
Finerenone (BAY94-8862) 15-20 mg OD
8
Number of Participants With Cardiovascular HospitalizationSecondary· Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Hospitalizations were defined as any unplanned admission to hospital, i.e. completion of hospital admission procedures and one overnight \[i.e. date change\] stay or until the death of subject occurred. Hospitalizations and deaths were classified by 2 primary categories: CV and non-CV. The pre-specified subcategories for CV hospitalizations were as follows: 1. Worsening heart failure, 2.Acute myocardial infarction, 3. Arrhythmia, 4.Transient ischemic attack and stroke, 5. Other CV hospitalizations.
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
28
Finerenone (BAY94-8862) 2.5-5 mg OD
23
Finerenone (BAY94-8862) 5-10 mg OD
14
Finerenone (BAY94-8862) 7.5-15 mg OD
8
Finerenone (BAY94-8862) 10-20 mg OD
7
Finerenone (BAY94-8862) 15-20 mg OD
15
Day 60
Group
Value
95% CI
Eplerenone (INSPRA®)
43
Finerenone (BAY94-8862) 2.5-5 mg OD
33
Finerenone (BAY94-8862) 5-10 mg OD
23
Finerenone (BAY94-8862) 7.5-15 mg OD
21
Finerenone (BAY94-8862) 10-20 mg OD
15
Finerenone (BAY94-8862) 15-20 mg OD
23
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
45
Finerenone (BAY94-8862) 2.5-5 mg OD
35
Finerenone (BAY94-8862) 5-10 mg OD
26
Finerenone (BAY94-8862) 7.5-15 mg OD
29
Finerenone (BAY94-8862) 10-20 mg OD
22
Finerenone (BAY94-8862) 15-20 mg OD
28
Follow-up
Group
Value
95% CI
Eplerenone (INSPRA®)
56
Finerenone (BAY94-8862) 2.5-5 mg OD
43
Finerenone (BAY94-8862) 5-10 mg OD
38
Finerenone (BAY94-8862) 7.5-15 mg OD
36
Finerenone (BAY94-8862) 10-20 mg OD
27
Finerenone (BAY94-8862) 15-20 mg OD
34
Number of Participants With Emergency Presentations for Worsening Chronic Heart Failure (WCHF)Secondary· Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Emergency presentations for WCHF were defined as newly developing signs and symptoms of WCHF after start of treatment with study drug, requiring an additional emergency presentation to hospital and IV treatment with diuretics and/or positive inotropic agents.
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
21
Finerenone (BAY94-8862) 2.5-5 mg OD
19
Finerenone (BAY94-8862) 5-10 mg OD
12
Finerenone (BAY94-8862) 7.5-15 mg OD
9
Finerenone (BAY94-8862) 10-20 mg OD
7
Finerenone (BAY94-8862) 15-20 mg OD
15
Day 60
Group
Value
95% CI
Eplerenone (INSPRA®)
35
Finerenone (BAY94-8862) 2.5-5 mg OD
30
Finerenone (BAY94-8862) 5-10 mg OD
20
Finerenone (BAY94-8862) 7.5-15 mg OD
17
Finerenone (BAY94-8862) 10-20 mg OD
14
Finerenone (BAY94-8862) 15-20 mg OD
22
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
37
Finerenone (BAY94-8862) 2.5-5 mg OD
32
Finerenone (BAY94-8862) 5-10 mg OD
22
Finerenone (BAY94-8862) 7.5-15 mg OD
24
Finerenone (BAY94-8862) 10-20 mg OD
18
Finerenone (BAY94-8862) 15-20 mg OD
28
Follow-up
Group
Value
95% CI
Eplerenone (INSPRA®)
47
Finerenone (BAY94-8862) 2.5-5 mg OD
40
Finerenone (BAY94-8862) 5-10 mg OD
30
Finerenone (BAY94-8862) 7.5-15 mg OD
30
Finerenone (BAY94-8862) 10-20 mg OD
26
Finerenone (BAY94-8862) 15-20 mg OD
34
Ratio of BNP at Specified Visits to BNP at BaselineSecondary· Day 30, Day 60, Day 90, Premature discontinuation (only for participants who have discontinued the study prematurely, to be performed as soon as possible after withdrawal of study drug) and Follow-up (30 days post-last dose, assessed up to Day 120)
B-type natriuretic peptide (BNP) levels in the blood are used for screening, diagnosis of acute chronic heart failure (CHF) and may be useful to establish prognosis in heart failure.
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
0.925
± 2.02
Finerenone (BAY94-8862) 2.5-5 mg OD
0.944
± 1.952
Finerenone (BAY94-8862) 5-10 mg OD
0.878
± 1.713
Finerenone (BAY94-8862) 7.5-15 mg OD
0.832
± 1.959
Finerenone (BAY94-8862) 10-20 mg OD
0.852
± 1.901
Finerenone (BAY94-8862) 15-20 mg OD
0.879
± 1.968
Day 60
Group
Value
95% CI
Eplerenone (INSPRA®)
0.783
± 2.194
Finerenone (BAY94-8862) 2.5-5 mg OD
0.864
± 2.139
Finerenone (BAY94-8862) 5-10 mg OD
0.854
± 1.854
Finerenone (BAY94-8862) 7.5-15 mg OD
0.79
± 2.179
Finerenone (BAY94-8862) 10-20 mg OD
0.711
± 2.116
Finerenone (BAY94-8862) 15-20 mg OD
0.824
± 2.142
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
0.723
± 2.202
Finerenone (BAY94-8862) 2.5-5 mg OD
0.813
± 2.412
Finerenone (BAY94-8862) 5-10 mg OD
0.839
± 1.93
Finerenone (BAY94-8862) 7.5-15 mg OD
0.719
± 2.204
Finerenone (BAY94-8862) 10-20 mg OD
0.706
± 2.34
Finerenone (BAY94-8862) 15-20 mg OD
0.771
± 2.197
Premature discontinuation
Group
Value
95% CI
Eplerenone (INSPRA®)
0.896
± 0.896
Finerenone (BAY94-8862) 2.5-5 mg OD
1.104
± 2.15
Finerenone (BAY94-8862) 5-10 mg OD
1.006
± 2.422
Finerenone (BAY94-8862) 7.5-15 mg OD
0.884
± 1.973
Finerenone (BAY94-8862) 10-20 mg OD
0.848
± 2.218
Finerenone (BAY94-8862) 15-20 mg OD
1.044
± 2.174
Follow-up
Group
Value
95% CI
Eplerenone (INSPRA®)
0.795
± 2.232
Finerenone (BAY94-8862) 2.5-5 mg OD
0.815
± 2.388
Finerenone (BAY94-8862) 5-10 mg OD
0.886
± 2.199
Finerenone (BAY94-8862) 7.5-15 mg OD
0.726
± 2.397
Finerenone (BAY94-8862) 10-20 mg OD
0.729
± 2.487
Finerenone (BAY94-8862) 15-20 mg OD
0.852
± 2.169
Ratio of NT-proBNP at Specified Visits to NT-proBNP at BaselineSecondary· Day 30, Day 60, Day 90, Premature discontinuation (only for participants who have discontinued the study prematurely, to be performed as soon as possible after withdrawal of study drug) and Follow-up (30 days post-last dose, assessed up to Day 120)
N-terminal pro-B type natriuretic peptide (NT-proBNP) levels in the blood are used for screening, diagnosis of acute chronic heart failure (CHF) and may be useful to establish prognosis in heart failure.
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
0.883
± 2.458
Finerenone (BAY94-8862) 2.5-5 mg OD
0.98
± 2.158
Finerenone (BAY94-8862) 5-10 mg OD
0.874
± 2.14
Finerenone (BAY94-8862) 7.5-15 mg OD
0.888
± 2.123
Finerenone (BAY94-8862) 10-20 mg OD
0.822
± 2.217
Finerenone (BAY94-8862) 15-20 mg OD
0.921
± 2.136
Day 60
Group
Value
95% CI
Eplerenone (INSPRA®)
0.749
± 2.73
Finerenone (BAY94-8862) 2.5-5 mg OD
0.822
± 2.423
Finerenone (BAY94-8862) 5-10 mg OD
0.814
± 2.178
Finerenone (BAY94-8862) 7.5-15 mg OD
0.81
± 2.268
Finerenone (BAY94-8862) 10-20 mg OD
0.748
± 2.496
Finerenone (BAY94-8862) 15-20 mg OD
0.829
± 2.288
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
0.688
± 2.59
Finerenone (BAY94-8862) 2.5-5 mg OD
0.789
± 2.661
Finerenone (BAY94-8862) 5-10 mg OD
0.765
± 2.214
Finerenone (BAY94-8862) 7.5-15 mg OD
0.783
± 2.454
Finerenone (BAY94-8862) 10-20 mg OD
0.728
± 2.795
Finerenone (BAY94-8862) 15-20 mg OD
0.771
± 2.471
Premature discontinuation
Group
Value
95% CI
Eplerenone (INSPRA®)
0.948
± 2.684
Finerenone (BAY94-8862) 2.5-5 mg OD
1.369
± 2.087
Finerenone (BAY94-8862) 5-10 mg OD
1.267
± 2.261
Finerenone (BAY94-8862) 7.5-15 mg OD
0.927
± 1.864
Finerenone (BAY94-8862) 10-20 mg OD
1.133
± 2.981
Finerenone (BAY94-8862) 15-20 mg OD
0.965
± 2.352
Follow-up
Group
Value
95% CI
Eplerenone (INSPRA®)
0.747
± 2.616
Finerenone (BAY94-8862) 2.5-5 mg OD
0.747
± 2.741
Finerenone (BAY94-8862) 5-10 mg OD
0.887
± 2.604
Finerenone (BAY94-8862) 7.5-15 mg OD
0.809
± 2.647
Finerenone (BAY94-8862) 10-20 mg OD
0.746
± 2.472
Finerenone (BAY94-8862) 15-20 mg OD
0.849
± 2.348
Change From Baseline in KCCQ Questionnaire Scores at Specified VisitsSecondary· Baseline, Day 30 and Day 90
The Kansas City Cardiomyopathy Questionnaire (KCCQ) was the leading health related quality of life measure for subjects with CHF. KCCQ was a 23 item questionnaire that independently measures the impact of subjects HF, or its treatment, on 7 distinct domains: self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. KCCQ clinical summary score is a composite assessment of physical limitations and total symptom scores. Results from the total symptom summary score are present
Baseline
Group
Value
95% CI
Eplerenone (INSPRA®)
43.7
± 23
Finerenone (BAY94-8862) 2.5-5 mg OD
42.8
± 22.6
Finerenone (BAY94-8862) 5-10 mg OD
45.4
± 24
Finerenone (BAY94-8862) 7.5-15 mg OD
42.1
± 23.2
Finerenone (BAY94-8862) 10-20 mg OD
42.3
± 23.7
Finerenone (BAY94-8862) 15-20 mg OD
43.2
± 22.5
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
20.5
± 26.2
Finerenone (BAY94-8862) 2.5-5 mg OD
18.2
± 22.7
Finerenone (BAY94-8862) 5-10 mg OD
19.3
± 26.5
Finerenone (BAY94-8862) 7.5-15 mg OD
23
± 24.4
Finerenone (BAY94-8862) 10-20 mg OD
24.9
± 22.9
Finerenone (BAY94-8862) 15-20 mg OD
20.6
± 27
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
24.3
± 27.6
Finerenone (BAY94-8862) 2.5-5 mg OD
21.3
± 27.2
Finerenone (BAY94-8862) 5-10 mg OD
24.5
± 27
Finerenone (BAY94-8862) 7.5-15 mg OD
29.3
± 28.6
Finerenone (BAY94-8862) 10-20 mg OD
28.3
± 23.8
Finerenone (BAY94-8862) 15-20 mg OD
22.2
± 30.6
Change From Baseline in EQ-5D-3L Questionnaire Scores at Specified VisitsSecondary· Baseline, Day 30, Day 90, Premature discontinuation (only for participants who have discontinued the study prematurely, to be performed as soon as possible after withdrawal of study drug) and Follow-up (30 days post-last dose, assessed up to Day 120)
EuroQol Group 5-Dimension, 3-Level (EQ-5D-3L): participant rated questionnaire to assess health-related quality of life. It consists of EQ-5D descriptive system and EQ-5D Visual Analog Scale (VAS). EQ-5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems (1), some problems (2), and extreme problems (3). For this population, the possible EQ-5D-3L index scores ranges from -0.11 (that is, 3 for all 5 dimensions) to 1.0 (that is, 1 for all 5 dimensions), where higher sco
Baseline
Group
Value
95% CI
Eplerenone (INSPRA®)
0.58
± 0.25
Finerenone (BAY94-8862) 2.5-5 mg OD
0.59
± 0.25
Finerenone (BAY94-8862) 5-10 mg OD
0.62
± 0.23
Finerenone (BAY94-8862) 7.5-15 mg OD
0.58
± 0.23
Finerenone (BAY94-8862) 10-20 mg OD
0.56
± 0.25
Finerenone (BAY94-8862) 15-20 mg OD
0.59
± 0.24
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
0.06
± 0.23
Finerenone (BAY94-8862) 2.5-5 mg OD
0.02
± 0.24
Finerenone (BAY94-8862) 5-10 mg OD
0.02
± 0.23
Finerenone (BAY94-8862) 7.5-15 mg OD
0.07
± 0.22
Finerenone (BAY94-8862) 10-20 mg OD
0.06
± 0.23
Finerenone (BAY94-8862) 15-20 mg OD
0.02
± 0.25
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
0.08
± 0.24
Finerenone (BAY94-8862) 2.5-5 mg OD
0.03
± 0.27
Finerenone (BAY94-8862) 5-10 mg OD
0.04
± 0.25
Finerenone (BAY94-8862) 7.5-15 mg OD
0.08
± 0.2
Finerenone (BAY94-8862) 10-20 mg OD
0.1
± 0.24
Finerenone (BAY94-8862) 15-20 mg OD
0.06
± 0.28
Premature discontinuation
Group
Value
95% CI
Eplerenone (INSPRA®)
-0.12
± 0.25
Finerenone (BAY94-8862) 2.5-5 mg OD
-0.06
± 0.29
Finerenone (BAY94-8862) 5-10 mg OD
-0.09
± 0.24
Finerenone (BAY94-8862) 7.5-15 mg OD
-0.1
± 0.24
Finerenone (BAY94-8862) 10-20 mg OD
-0.05
± 0.25
Finerenone (BAY94-8862) 15-20 mg OD
0
± 0.29
Follow-up
Group
Value
95% CI
Eplerenone (INSPRA®)
0.06
± 0.26
Finerenone (BAY94-8862) 2.5-5 mg OD
0.01
± 0.25
Finerenone (BAY94-8862) 5-10 mg OD
0.01
± 0.27
Finerenone (BAY94-8862) 7.5-15 mg OD
0.08
± 0.23
Finerenone (BAY94-8862) 10-20 mg OD
0.07
± 0.23
Finerenone (BAY94-8862) 15-20 mg OD
0.04
± 0.28
Change From Baseline in Serum Potassium at Specified VisitsSecondary· Baseline, Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Baseline
Group
Value
95% CI
Eplerenone (INSPRA®)
4.159
± 0.495
Finerenone (BAY94-8862) 2.5-5 mg OD
4.081
± 0.501
Finerenone (BAY94-8862) 5-10 mg OD
4.211
± 0.541
Finerenone (BAY94-8862) 7.5-15 mg OD
4.174
± 0.443
Finerenone (BAY94-8862) 10-20 mg OD
4.131
± 0.506
Finerenone (BAY94-8862) 15-20 mg OD
4.117
± 0.506
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
0.057
± 0.608
Finerenone (BAY94-8862) 2.5-5 mg OD
0.135
± 0.573
Finerenone (BAY94-8862) 5-10 mg OD
0.075
± 0.523
Finerenone (BAY94-8862) 7.5-15 mg OD
0.085
± 0.475
Finerenone (BAY94-8862) 10-20 mg OD
0.21
± 0.592
Finerenone (BAY94-8862) 15-20 mg OD
0.193
± 0.556
Day 60
Group
Value
95% CI
Eplerenone (INSPRA®)
0.179
± 0.589
Finerenone (BAY94-8862) 2.5-5 mg OD
0.091
± 0.568
Finerenone (BAY94-8862) 5-10 mg OD
0.131
± 0.566
Finerenone (BAY94-8862) 7.5-15 mg OD
0.171
± 0.54
Finerenone (BAY94-8862) 10-20 mg OD
0.274
± 0.522
Finerenone (BAY94-8862) 15-20 mg OD
0.216
± 0.547
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
0.307
± 0.609
Finerenone (BAY94-8862) 2.5-5 mg OD
0.184
± 0.574
Finerenone (BAY94-8862) 5-10 mg OD
0.153
± 0.516
Finerenone (BAY94-8862) 7.5-15 mg OD
0.164
± 0.579
Finerenone (BAY94-8862) 10-20 mg OD
0.275
± 0.58
Finerenone (BAY94-8862) 15-20 mg OD
0.245
± 0.574
Follow-up
Group
Value
95% CI
Eplerenone (INSPRA®)
0.117
± 0.621
Finerenone (BAY94-8862) 2.5-5 mg OD
0.226
± 0.694
Finerenone (BAY94-8862) 5-10 mg OD
0.054
± 0.623
Finerenone (BAY94-8862) 7.5-15 mg OD
0.05
± 0.572
Finerenone (BAY94-8862) 10-20 mg OD
0.175
± 0.559
Finerenone (BAY94-8862) 15-20 mg OD
0.036
± 0.556
Change From Baseline in Systolic Blood Pressure at Specified VisitsSecondary· Baseline,Day 7,14,30,60,90,Premature discontinuation (only for participants who have discontinued the study prematurely, to be performed as soon as possible after withdrawal of study drug) and Follow-up (30 days post-last dose, assessed up to Day 120)
Baseline
Group
Value
95% CI
Eplerenone (INSPRA®)
120.554
± 18.706
Finerenone (BAY94-8862) 2.5-5 mg OD
119.492
± 16.348
Finerenone (BAY94-8862) 5-10 mg OD
118.498
± 14.355
Finerenone (BAY94-8862) 7.5-15 mg OD
119.087
± 16.677
Finerenone (BAY94-8862) 10-20 mg OD
116.024
± 16.895
Finerenone (BAY94-8862) 15-20 mg OD
116.941
± 16.548
Day 7
Group
Value
95% CI
Eplerenone (INSPRA®)
-0.541
± 13.894
Finerenone (BAY94-8862) 2.5-5 mg OD
-3.178
± 13.72
Finerenone (BAY94-8862) 5-10 mg OD
-2.565
± 12.278
Finerenone (BAY94-8862) 7.5-15 mg OD
0.568
± 12.733
Finerenone (BAY94-8862) 10-20 mg OD
0.162
± 15.416
Finerenone (BAY94-8862) 15-20 mg OD
-0.546
± 13.498
Day 14
Group
Value
95% CI
Eplerenone (INSPRA®)
-3.442
± 14.258
Finerenone (BAY94-8862) 2.5-5 mg OD
-4.488
± 10.31
Finerenone (BAY94-8862) 5-10 mg OD
4.142
± 15.001
Finerenone (BAY94-8862) 7.5-15 mg OD
1.241
± 13.561
Finerenone (BAY94-8862) 10-20 mg OD
-3.099
± 12.591
Finerenone (BAY94-8862) 15-20 mg OD
-2.906
± 15.406
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
0.067
± 15.312
Finerenone (BAY94-8862) 2.5-5 mg OD
-0.824
± 15.747
Finerenone (BAY94-8862) 5-10 mg OD
-0.367
± 14.984
Finerenone (BAY94-8862) 7.5-15 mg OD
0.374
± 14.433
Finerenone (BAY94-8862) 10-20 mg OD
1.786
± 15.039
Finerenone (BAY94-8862) 15-20 mg OD
0.899
± 14.608
Day 60
Group
Value
95% CI
Eplerenone (INSPRA®)
0.684
± 16.315
Finerenone (BAY94-8862) 2.5-5 mg OD
0.337
± 14.176
Finerenone (BAY94-8862) 5-10 mg OD
-1.249
± 13.659
Finerenone (BAY94-8862) 7.5-15 mg OD
-1.811
± 14.462
Finerenone (BAY94-8862) 10-20 mg OD
0.981
± 15.525
Finerenone (BAY94-8862) 15-20 mg OD
0.667
± 14.83
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
-0.967
± 16.408
Finerenone (BAY94-8862) 2.5-5 mg OD
0.922
± 15.847
Finerenone (BAY94-8862) 5-10 mg OD
0.047
± 15.643
Finerenone (BAY94-8862) 7.5-15 mg OD
-0.664
± 15.018
Finerenone (BAY94-8862) 10-20 mg OD
1.216
± 17.831
Finerenone (BAY94-8862) 15-20 mg OD
0.956
± 15.743
Premature discontinuation
Group
Value
95% CI
Eplerenone (INSPRA®)
-2.991
± 16.456
Finerenone (BAY94-8862) 2.5-5 mg OD
-0.41
± 13.936
Finerenone (BAY94-8862) 5-10 mg OD
-2.167
± 19.963
Finerenone (BAY94-8862) 7.5-15 mg OD
9.391
± 22.378
Finerenone (BAY94-8862) 10-20 mg OD
-2.32
± 11.963
Finerenone (BAY94-8862) 15-20 mg OD
-0.028
± 15.42
Follow-up
Group
Value
95% CI
Eplerenone (INSPRA®)
0.188
± 16.751
Finerenone (BAY94-8862) 2.5-5 mg OD
2.869
± 15.502
Finerenone (BAY94-8862) 5-10 mg OD
1.95
± 16.148
Finerenone (BAY94-8862) 7.5-15 mg OD
-0.928
± 17.953
Finerenone (BAY94-8862) 10-20 mg OD
2.041
± 16.189
Finerenone (BAY94-8862) 15-20 mg OD
3.037
± 16.782
Change From Baseline in Diastolic Blood Pressure at Specified VisitsSecondary· Baseline,Day 7,14,30,60,90,Premature discontinuation (only for participants who have discontinued the study prematurely, to be performed as soon as possible after withdrawal of study drug) and Follow-up (30 days post-last dose, assessed up to Day 120)
Baseline
Group
Value
95% CI
Eplerenone (INSPRA®)
71.633
± 11.647
Finerenone (BAY94-8862) 2.5-5 mg OD
71.044
± 10.762
Finerenone (BAY94-8862) 5-10 mg OD
71.442
± 8.508
Finerenone (BAY94-8862) 7.5-15 mg OD
70.61
± 9.692
Finerenone (BAY94-8862) 10-20 mg OD
70.343
± 10.394
Finerenone (BAY94-8862) 15-20 mg OD
71.145
± 9.809
Day 7
Group
Value
95% CI
Eplerenone (INSPRA®)
-1.351
± 10.237
Finerenone (BAY94-8862) 2.5-5 mg OD
-1.693
± 9.911
Finerenone (BAY94-8862) 5-10 mg OD
-2.143
± 9.848
Finerenone (BAY94-8862) 7.5-15 mg OD
0.013
± 9.733
Finerenone (BAY94-8862) 10-20 mg OD
-0.738
± 10.534
Finerenone (BAY94-8862) 15-20 mg OD
-1.166
± 8.964
Day 14
Group
Value
95% CI
Eplerenone (INSPRA®)
-3.442
± 10.089
Finerenone (BAY94-8862) 2.5-5 mg OD
-0.537
± 9.59
Finerenone (BAY94-8862) 5-10 mg OD
1.608
± 9.423
Finerenone (BAY94-8862) 7.5-15 mg OD
-0.083
± 7.421
Finerenone (BAY94-8862) 10-20 mg OD
-2.387
± 10.51
Finerenone (BAY94-8862) 15-20 mg OD
-0.625
± 9.41
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
-0.503
± 10.826
Finerenone (BAY94-8862) 2.5-5 mg OD
0.146
± 10.667
Finerenone (BAY94-8862) 5-10 mg OD
-0.845
± 8.91
Finerenone (BAY94-8862) 7.5-15 mg OD
-0.068
± 9.633
Finerenone (BAY94-8862) 10-20 mg OD
-0.094
± 10.086
Finerenone (BAY94-8862) 15-20 mg OD
-1.163
± 9.622
Day 60
Group
Value
95% CI
Eplerenone (INSPRA®)
-0.613
± 11.096
Finerenone (BAY94-8862) 2.5-5 mg OD
-0.199
± 11.297
Finerenone (BAY94-8862) 5-10 mg OD
-2.144
± 9.552
Finerenone (BAY94-8862) 7.5-15 mg OD
-0.85
± 10.472
Finerenone (BAY94-8862) 10-20 mg OD
0.17
± 10.312
Finerenone (BAY94-8862) 15-20 mg OD
-0.575
± 10.427
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
-0.716
± 11.035
Finerenone (BAY94-8862) 2.5-5 mg OD
-0.106
± 11.148
Finerenone (BAY94-8862) 5-10 mg OD
-1.738
± 9.015
Finerenone (BAY94-8862) 7.5-15 mg OD
-1.121
± 9.96
Finerenone (BAY94-8862) 10-20 mg OD
-0.545
± 11.212
Finerenone (BAY94-8862) 15-20 mg OD
-0.877
± 11.327
Premature discontinuation
Group
Value
95% CI
Eplerenone (INSPRA®)
-3.185
± 11.853
Finerenone (BAY94-8862) 2.5-5 mg OD
0.868
± 9.239
Finerenone (BAY94-8862) 5-10 mg OD
-2.194
± 15.522
Finerenone (BAY94-8862) 7.5-15 mg OD
4.101
± 12.151
Finerenone (BAY94-8862) 10-20 mg OD
-2.96
± 9.199
Finerenone (BAY94-8862) 15-20 mg OD
-0.083
± 10.113
Follow-up
Group
Value
95% CI
Eplerenone (INSPRA®)
-1.218
± 11.477
Finerenone (BAY94-8862) 2.5-5 mg OD
0.696
± 13.172
Finerenone (BAY94-8862) 5-10 mg OD
-0.444
± 10.197
Finerenone (BAY94-8862) 7.5-15 mg OD
-1.16
± 11.114
Finerenone (BAY94-8862) 10-20 mg OD
-0.298
± 11.521
Finerenone (BAY94-8862) 15-20 mg OD
-0.172
± 10.211
Change From Baseline in Heart Rate at Specified VisitsSecondary· Baseline,Day 7,14,30,60,90,Premature discontinuation (only for participants who have discontinued the study prematurely, to be performed as soon as possible after withdrawal of study drug) and Follow-up (30 days post-last dose, assessed up to Day 120)
Baseline
Group
Value
95% CI
Eplerenone (INSPRA®)
74.957
± 13.813
Finerenone (BAY94-8862) 2.5-5 mg OD
73.369
± 13.396
Finerenone (BAY94-8862) 5-10 mg OD
72.681
± 12.623
Finerenone (BAY94-8862) 7.5-15 mg OD
74.184
± 12.369
Finerenone (BAY94-8862) 10-20 mg OD
73.852
± 11.999
Finerenone (BAY94-8862) 15-20 mg OD
74.329
± 13.187
Day 7
Group
Value
95% CI
Eplerenone (INSPRA®)
-0.8
± 10.751
Finerenone (BAY94-8862) 2.5-5 mg OD
1.073
± 13.5
Finerenone (BAY94-8862) 5-10 mg OD
-0.63
± 11.696
Finerenone (BAY94-8862) 7.5-15 mg OD
-0.719
± 10.77
Finerenone (BAY94-8862) 10-20 mg OD
-0.548
± 11.144
Finerenone (BAY94-8862) 15-20 mg OD
-1.176
± 13.398
Day 14
Group
Value
95% CI
Eplerenone (INSPRA®)
-3.109
± 15.101
Finerenone (BAY94-8862) 2.5-5 mg OD
0.599
± 16.387
Finerenone (BAY94-8862) 5-10 mg OD
1.842
± 14.988
Finerenone (BAY94-8862) 7.5-15 mg OD
-1.324
± 13.666
Finerenone (BAY94-8862) 10-20 mg OD
0.423
± 11.247
Finerenone (BAY94-8862) 15-20 mg OD
-3.969
± 13.715
Day 30
Group
Value
95% CI
Eplerenone (INSPRA®)
0.294
± 13.61
Finerenone (BAY94-8862) 2.5-5 mg OD
1.064
± 14.128
Finerenone (BAY94-8862) 5-10 mg OD
0.435
± 13.63
Finerenone (BAY94-8862) 7.5-15 mg OD
-0.349
± 12.636
Finerenone (BAY94-8862) 10-20 mg OD
-0.802
± 11.311
Finerenone (BAY94-8862) 15-20 mg OD
-1.633
± 12.719
Day 60
Group
Value
95% CI
Eplerenone (INSPRA®)
0.297
± 13.033
Finerenone (BAY94-8862) 2.5-5 mg OD
-0.975
± 14.953
Finerenone (BAY94-8862) 5-10 mg OD
-1.741
± 10.86
Finerenone (BAY94-8862) 7.5-15 mg OD
-2.318
± 14.225
Finerenone (BAY94-8862) 10-20 mg OD
0.192
± 13.377
Finerenone (BAY94-8862) 15-20 mg OD
-1.608
± 13.828
Day 90
Group
Value
95% CI
Eplerenone (INSPRA®)
-0.189
± 12.289
Finerenone (BAY94-8862) 2.5-5 mg OD
-1.647
± 13.001
Finerenone (BAY94-8862) 5-10 mg OD
-2.89
± 12.034
Finerenone (BAY94-8862) 7.5-15 mg OD
-2.212
± 12.041
Finerenone (BAY94-8862) 10-20 mg OD
-0.71
± 13.777
Finerenone (BAY94-8862) 15-20 mg OD
-1.145
± 14.284
Premature discontinuation
Group
Value
95% CI
Eplerenone (INSPRA®)
-2.278
± 15.909
Finerenone (BAY94-8862) 2.5-5 mg OD
-1.424
± 15.587
Finerenone (BAY94-8862) 5-10 mg OD
-0.222
± 7.591
Finerenone (BAY94-8862) 7.5-15 mg OD
1.101
± 10.22
Finerenone (BAY94-8862) 10-20 mg OD
4.733
± 13.646
Finerenone (BAY94-8862) 15-20 mg OD
-2.072
± 19.731
Follow-up
Group
Value
95% CI
Eplerenone (INSPRA®)
-1.281
± 13.789
Finerenone (BAY94-8862) 2.5-5 mg OD
-2.057
± 13.982
Finerenone (BAY94-8862) 5-10 mg OD
-0.626
± 14.196
Finerenone (BAY94-8862) 7.5-15 mg OD
-1.326
± 15.488
Finerenone (BAY94-8862) 10-20 mg OD
0.834
± 14.159
Finerenone (BAY94-8862) 15-20 mg OD
-1.317
± 14.636
Adverse events — posted to ClinicalTrials.gov
Time frame: Adverse events: from the start of study treatment until 3 days post-last dose, up to approximately 93 days. All Cause Mortality: assessed until 30 days post-last dose, up to approximately 120 days..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
To assess a new drug, BAY94-8862, given orally at different doses, to evaluate whether it was safe and can help the well-being of patients with worsening chronic heart failure and either type II diabetes with or without chronic kidney disease or kidney disease alone. These treatment doses were compared to eplerenone, another marketed drug approved to treat heart failure.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT05047263 — A Trial to Learn How Well Finerenone Works and How Safe it is in Adult Participants With Non-diabetic Chronic Kidney Dis
· Phase 3
· completed
NCT04795726 — A Study That Uses Data From Routine Eye Examinations of Patients Participating in Studies FIDELIO-DKD and FIGARO-DKD to
· NA
· completed
NCT04435626 — Study to Evaluate the Efficacy (Effect on Disease) and Safety of Finerenone in Participants With Heart Failure and Left
· Phase 3
· completed
NCT04477707 — A Study That Uses Data From Routine Eye Examinations of Patients Participating in Studies FIDELIO-DKD and FIGARO-DKD to
· completed
NCT02540993 — Efficacy and Safety of Finerenone in Subjects With Type 2 Diabetes Mellitus and Diabetic Kidney Disease
· Phase 3
· completed
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Trials by the same sponsor.
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· Phase 3
· not yet recruiting
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Bayer
Last refreshed: 6 July 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01807221.