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NCT01807221: ARTS-HF

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

Completed Phase 2 Results posted Last 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.

Timeline
17 June 2013
Primary endpoint
11 November 2014
9 December 2014

Quick facts

Lead sponsorBayer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment1,066
Start date17 June 2013
Primary completion11 November 2014
Estimated completion9 December 2014
Sites172 locations across Italy, Finland, Taiwan, Poland, South Korea, Denmark, Netherlands, Sweden

Drugs / interventions tested

Conditions studied

Sponsor

Bayer — full company profile →

Who can join

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 90 Primary · 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.

GroupValue95% CI
Eplerenone (INSPRA®)37.231.6 – 43.1
Finerenone (BAY94-8862) 2.5-5 mg OD30.924.9 – 37.4
Finerenone (BAY94-8862) 5-10 mg OD32.526.3 – 39.2
Finerenone (BAY94-8862) 7.5-15 mg OD37.330.9 – 44.1
Finerenone (BAY94-8862) 10-20 mg OD38.832.3 – 45.5
Finerenone (BAY94-8862) 15-20 mg OD34.227.9 – 40.9
Number of Participants With Death Due to Any Cause Secondary · 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
GroupValue95% CI
Eplerenone (INSPRA®)6
Finerenone (BAY94-8862) 2.5-5 mg OD5
Finerenone (BAY94-8862) 5-10 mg OD1
Finerenone (BAY94-8862) 7.5-15 mg OD1
Finerenone (BAY94-8862) 10-20 mg OD0
Finerenone (BAY94-8862) 15-20 mg OD2
Day 60
GroupValue95% CI
Eplerenone (INSPRA®)7
Finerenone (BAY94-8862) 2.5-5 mg OD7
Finerenone (BAY94-8862) 5-10 mg OD3
Finerenone (BAY94-8862) 7.5-15 mg OD2
Finerenone (BAY94-8862) 10-20 mg OD0
Finerenone (BAY94-8862) 15-20 mg OD4
Day 90
GroupValue95% CI
Eplerenone (INSPRA®)9
Finerenone (BAY94-8862) 2.5-5 mg OD10
Finerenone (BAY94-8862) 5-10 mg OD4
Finerenone (BAY94-8862) 7.5-15 mg OD4
Finerenone (BAY94-8862) 10-20 mg OD1
Finerenone (BAY94-8862) 15-20 mg OD5
Follow-up
GroupValue95% CI
Eplerenone (INSPRA®)15
Finerenone (BAY94-8862) 2.5-5 mg OD16
Finerenone (BAY94-8862) 5-10 mg OD7
Finerenone (BAY94-8862) 7.5-15 mg OD11
Finerenone (BAY94-8862) 10-20 mg OD2
Finerenone (BAY94-8862) 15-20 mg OD8
Number of Participants With Cardiovascular Hospitalization Secondary · 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
GroupValue95% CI
Eplerenone (INSPRA®)28
Finerenone (BAY94-8862) 2.5-5 mg OD23
Finerenone (BAY94-8862) 5-10 mg OD14
Finerenone (BAY94-8862) 7.5-15 mg OD8
Finerenone (BAY94-8862) 10-20 mg OD7
Finerenone (BAY94-8862) 15-20 mg OD15
Day 60
GroupValue95% CI
Eplerenone (INSPRA®)43
Finerenone (BAY94-8862) 2.5-5 mg OD33
Finerenone (BAY94-8862) 5-10 mg OD23
Finerenone (BAY94-8862) 7.5-15 mg OD21
Finerenone (BAY94-8862) 10-20 mg OD15
Finerenone (BAY94-8862) 15-20 mg OD23
Day 90
GroupValue95% CI
Eplerenone (INSPRA®)45
Finerenone (BAY94-8862) 2.5-5 mg OD35
Finerenone (BAY94-8862) 5-10 mg OD26
Finerenone (BAY94-8862) 7.5-15 mg OD29
Finerenone (BAY94-8862) 10-20 mg OD22
Finerenone (BAY94-8862) 15-20 mg OD28
Follow-up
GroupValue95% CI
Eplerenone (INSPRA®)56
Finerenone (BAY94-8862) 2.5-5 mg OD43
Finerenone (BAY94-8862) 5-10 mg OD38
Finerenone (BAY94-8862) 7.5-15 mg OD36
Finerenone (BAY94-8862) 10-20 mg OD27
Finerenone (BAY94-8862) 15-20 mg OD34
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
GroupValue95% CI
Eplerenone (INSPRA®)21
Finerenone (BAY94-8862) 2.5-5 mg OD19
Finerenone (BAY94-8862) 5-10 mg OD12
Finerenone (BAY94-8862) 7.5-15 mg OD9
Finerenone (BAY94-8862) 10-20 mg OD7
Finerenone (BAY94-8862) 15-20 mg OD15
Day 60
GroupValue95% CI
Eplerenone (INSPRA®)35
Finerenone (BAY94-8862) 2.5-5 mg OD30
Finerenone (BAY94-8862) 5-10 mg OD20
Finerenone (BAY94-8862) 7.5-15 mg OD17
Finerenone (BAY94-8862) 10-20 mg OD14
Finerenone (BAY94-8862) 15-20 mg OD22
Day 90
GroupValue95% CI
Eplerenone (INSPRA®)37
Finerenone (BAY94-8862) 2.5-5 mg OD32
Finerenone (BAY94-8862) 5-10 mg OD22
Finerenone (BAY94-8862) 7.5-15 mg OD24
Finerenone (BAY94-8862) 10-20 mg OD18
Finerenone (BAY94-8862) 15-20 mg OD28
Follow-up
GroupValue95% CI
Eplerenone (INSPRA®)47
Finerenone (BAY94-8862) 2.5-5 mg OD40
Finerenone (BAY94-8862) 5-10 mg OD30
Finerenone (BAY94-8862) 7.5-15 mg OD30
Finerenone (BAY94-8862) 10-20 mg OD26
Finerenone (BAY94-8862) 15-20 mg OD34
Ratio of BNP at Specified Visits to BNP at Baseline Secondary · 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
GroupValue95% CI
Eplerenone (INSPRA®)0.925± 2.02
Finerenone (BAY94-8862) 2.5-5 mg OD0.944± 1.952
Finerenone (BAY94-8862) 5-10 mg OD0.878± 1.713
Finerenone (BAY94-8862) 7.5-15 mg OD0.832± 1.959
Finerenone (BAY94-8862) 10-20 mg OD0.852± 1.901
Finerenone (BAY94-8862) 15-20 mg OD0.879± 1.968
Day 60
GroupValue95% CI
Eplerenone (INSPRA®)0.783± 2.194
Finerenone (BAY94-8862) 2.5-5 mg OD0.864± 2.139
Finerenone (BAY94-8862) 5-10 mg OD0.854± 1.854
Finerenone (BAY94-8862) 7.5-15 mg OD0.79± 2.179
Finerenone (BAY94-8862) 10-20 mg OD0.711± 2.116
Finerenone (BAY94-8862) 15-20 mg OD0.824± 2.142
Day 90
GroupValue95% CI
Eplerenone (INSPRA®)0.723± 2.202
Finerenone (BAY94-8862) 2.5-5 mg OD0.813± 2.412
Finerenone (BAY94-8862) 5-10 mg OD0.839± 1.93
Finerenone (BAY94-8862) 7.5-15 mg OD0.719± 2.204
Finerenone (BAY94-8862) 10-20 mg OD0.706± 2.34
Finerenone (BAY94-8862) 15-20 mg OD0.771± 2.197
Premature discontinuation
GroupValue95% CI
Eplerenone (INSPRA®)0.896± 0.896
Finerenone (BAY94-8862) 2.5-5 mg OD1.104± 2.15
Finerenone (BAY94-8862) 5-10 mg OD1.006± 2.422
Finerenone (BAY94-8862) 7.5-15 mg OD0.884± 1.973
Finerenone (BAY94-8862) 10-20 mg OD0.848± 2.218
Finerenone (BAY94-8862) 15-20 mg OD1.044± 2.174
Follow-up
GroupValue95% CI
Eplerenone (INSPRA®)0.795± 2.232
Finerenone (BAY94-8862) 2.5-5 mg OD0.815± 2.388
Finerenone (BAY94-8862) 5-10 mg OD0.886± 2.199
Finerenone (BAY94-8862) 7.5-15 mg OD0.726± 2.397
Finerenone (BAY94-8862) 10-20 mg OD0.729± 2.487
Finerenone (BAY94-8862) 15-20 mg OD0.852± 2.169
Ratio of NT-proBNP at Specified Visits to NT-proBNP at Baseline Secondary · 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
GroupValue95% CI
Eplerenone (INSPRA®)0.883± 2.458
Finerenone (BAY94-8862) 2.5-5 mg OD0.98± 2.158
Finerenone (BAY94-8862) 5-10 mg OD0.874± 2.14
Finerenone (BAY94-8862) 7.5-15 mg OD0.888± 2.123
Finerenone (BAY94-8862) 10-20 mg OD0.822± 2.217
Finerenone (BAY94-8862) 15-20 mg OD0.921± 2.136
Day 60
GroupValue95% CI
Eplerenone (INSPRA®)0.749± 2.73
Finerenone (BAY94-8862) 2.5-5 mg OD0.822± 2.423
Finerenone (BAY94-8862) 5-10 mg OD0.814± 2.178
Finerenone (BAY94-8862) 7.5-15 mg OD0.81± 2.268
Finerenone (BAY94-8862) 10-20 mg OD0.748± 2.496
Finerenone (BAY94-8862) 15-20 mg OD0.829± 2.288
Day 90
GroupValue95% CI
Eplerenone (INSPRA®)0.688± 2.59
Finerenone (BAY94-8862) 2.5-5 mg OD0.789± 2.661
Finerenone (BAY94-8862) 5-10 mg OD0.765± 2.214
Finerenone (BAY94-8862) 7.5-15 mg OD0.783± 2.454
Finerenone (BAY94-8862) 10-20 mg OD0.728± 2.795
Finerenone (BAY94-8862) 15-20 mg OD0.771± 2.471
Premature discontinuation
GroupValue95% CI
Eplerenone (INSPRA®)0.948± 2.684
Finerenone (BAY94-8862) 2.5-5 mg OD1.369± 2.087
Finerenone (BAY94-8862) 5-10 mg OD1.267± 2.261
Finerenone (BAY94-8862) 7.5-15 mg OD0.927± 1.864
Finerenone (BAY94-8862) 10-20 mg OD1.133± 2.981
Finerenone (BAY94-8862) 15-20 mg OD0.965± 2.352
Follow-up
GroupValue95% CI
Eplerenone (INSPRA®)0.747± 2.616
Finerenone (BAY94-8862) 2.5-5 mg OD0.747± 2.741
Finerenone (BAY94-8862) 5-10 mg OD0.887± 2.604
Finerenone (BAY94-8862) 7.5-15 mg OD0.809± 2.647
Finerenone (BAY94-8862) 10-20 mg OD0.746± 2.472
Finerenone (BAY94-8862) 15-20 mg OD0.849± 2.348
Change From Baseline in KCCQ Questionnaire Scores at Specified Visits Secondary · 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
GroupValue95% CI
Eplerenone (INSPRA®)43.7± 23
Finerenone (BAY94-8862) 2.5-5 mg OD42.8± 22.6
Finerenone (BAY94-8862) 5-10 mg OD45.4± 24
Finerenone (BAY94-8862) 7.5-15 mg OD42.1± 23.2
Finerenone (BAY94-8862) 10-20 mg OD42.3± 23.7
Finerenone (BAY94-8862) 15-20 mg OD43.2± 22.5
Day 30
GroupValue95% CI
Eplerenone (INSPRA®)20.5± 26.2
Finerenone (BAY94-8862) 2.5-5 mg OD18.2± 22.7
Finerenone (BAY94-8862) 5-10 mg OD19.3± 26.5
Finerenone (BAY94-8862) 7.5-15 mg OD23± 24.4
Finerenone (BAY94-8862) 10-20 mg OD24.9± 22.9
Finerenone (BAY94-8862) 15-20 mg OD20.6± 27
Day 90
GroupValue95% CI
Eplerenone (INSPRA®)24.3± 27.6
Finerenone (BAY94-8862) 2.5-5 mg OD21.3± 27.2
Finerenone (BAY94-8862) 5-10 mg OD24.5± 27
Finerenone (BAY94-8862) 7.5-15 mg OD29.3± 28.6
Finerenone (BAY94-8862) 10-20 mg OD28.3± 23.8
Finerenone (BAY94-8862) 15-20 mg OD22.2± 30.6
Change From Baseline in EQ-5D-3L Questionnaire Scores at Specified Visits Secondary · 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
GroupValue95% CI
Eplerenone (INSPRA®)0.58± 0.25
Finerenone (BAY94-8862) 2.5-5 mg OD0.59± 0.25
Finerenone (BAY94-8862) 5-10 mg OD0.62± 0.23
Finerenone (BAY94-8862) 7.5-15 mg OD0.58± 0.23
Finerenone (BAY94-8862) 10-20 mg OD0.56± 0.25
Finerenone (BAY94-8862) 15-20 mg OD0.59± 0.24
Day 30
GroupValue95% CI
Eplerenone (INSPRA®)0.06± 0.23
Finerenone (BAY94-8862) 2.5-5 mg OD0.02± 0.24
Finerenone (BAY94-8862) 5-10 mg OD0.02± 0.23
Finerenone (BAY94-8862) 7.5-15 mg OD0.07± 0.22
Finerenone (BAY94-8862) 10-20 mg OD0.06± 0.23
Finerenone (BAY94-8862) 15-20 mg OD0.02± 0.25
Day 90
GroupValue95% CI
Eplerenone (INSPRA®)0.08± 0.24
Finerenone (BAY94-8862) 2.5-5 mg OD0.03± 0.27
Finerenone (BAY94-8862) 5-10 mg OD0.04± 0.25
Finerenone (BAY94-8862) 7.5-15 mg OD0.08± 0.2
Finerenone (BAY94-8862) 10-20 mg OD0.1± 0.24
Finerenone (BAY94-8862) 15-20 mg OD0.06± 0.28
Premature discontinuation
GroupValue95% 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 OD0± 0.29
Follow-up
GroupValue95% CI
Eplerenone (INSPRA®)0.06± 0.26
Finerenone (BAY94-8862) 2.5-5 mg OD0.01± 0.25
Finerenone (BAY94-8862) 5-10 mg OD0.01± 0.27
Finerenone (BAY94-8862) 7.5-15 mg OD0.08± 0.23
Finerenone (BAY94-8862) 10-20 mg OD0.07± 0.23
Finerenone (BAY94-8862) 15-20 mg OD0.04± 0.28
Change From Baseline in Serum Potassium at Specified Visits Secondary · Baseline, Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Baseline
GroupValue95% CI
Eplerenone (INSPRA®)4.159± 0.495
Finerenone (BAY94-8862) 2.5-5 mg OD4.081± 0.501
Finerenone (BAY94-8862) 5-10 mg OD4.211± 0.541
Finerenone (BAY94-8862) 7.5-15 mg OD4.174± 0.443
Finerenone (BAY94-8862) 10-20 mg OD4.131± 0.506
Finerenone (BAY94-8862) 15-20 mg OD4.117± 0.506
Day 30
GroupValue95% CI
Eplerenone (INSPRA®)0.057± 0.608
Finerenone (BAY94-8862) 2.5-5 mg OD0.135± 0.573
Finerenone (BAY94-8862) 5-10 mg OD0.075± 0.523
Finerenone (BAY94-8862) 7.5-15 mg OD0.085± 0.475
Finerenone (BAY94-8862) 10-20 mg OD0.21± 0.592
Finerenone (BAY94-8862) 15-20 mg OD0.193± 0.556
Day 60
GroupValue95% CI
Eplerenone (INSPRA®)0.179± 0.589
Finerenone (BAY94-8862) 2.5-5 mg OD0.091± 0.568
Finerenone (BAY94-8862) 5-10 mg OD0.131± 0.566
Finerenone (BAY94-8862) 7.5-15 mg OD0.171± 0.54
Finerenone (BAY94-8862) 10-20 mg OD0.274± 0.522
Finerenone (BAY94-8862) 15-20 mg OD0.216± 0.547
Day 90
GroupValue95% CI
Eplerenone (INSPRA®)0.307± 0.609
Finerenone (BAY94-8862) 2.5-5 mg OD0.184± 0.574
Finerenone (BAY94-8862) 5-10 mg OD0.153± 0.516
Finerenone (BAY94-8862) 7.5-15 mg OD0.164± 0.579
Finerenone (BAY94-8862) 10-20 mg OD0.275± 0.58
Finerenone (BAY94-8862) 15-20 mg OD0.245± 0.574
Follow-up
GroupValue95% CI
Eplerenone (INSPRA®)0.117± 0.621
Finerenone (BAY94-8862) 2.5-5 mg OD0.226± 0.694
Finerenone (BAY94-8862) 5-10 mg OD0.054± 0.623
Finerenone (BAY94-8862) 7.5-15 mg OD0.05± 0.572
Finerenone (BAY94-8862) 10-20 mg OD0.175± 0.559
Finerenone (BAY94-8862) 15-20 mg OD0.036± 0.556
Change From Baseline in Systolic Blood Pressure at Specified Visits Secondary · 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
GroupValue95% CI
Eplerenone (INSPRA®)120.554± 18.706
Finerenone (BAY94-8862) 2.5-5 mg OD119.492± 16.348
Finerenone (BAY94-8862) 5-10 mg OD118.498± 14.355
Finerenone (BAY94-8862) 7.5-15 mg OD119.087± 16.677
Finerenone (BAY94-8862) 10-20 mg OD116.024± 16.895
Finerenone (BAY94-8862) 15-20 mg OD116.941± 16.548
Day 7
GroupValue95% 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 OD0.568± 12.733
Finerenone (BAY94-8862) 10-20 mg OD0.162± 15.416
Finerenone (BAY94-8862) 15-20 mg OD-0.546± 13.498
Day 14
GroupValue95% 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 OD4.142± 15.001
Finerenone (BAY94-8862) 7.5-15 mg OD1.241± 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
GroupValue95% 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 OD0.374± 14.433
Finerenone (BAY94-8862) 10-20 mg OD1.786± 15.039
Finerenone (BAY94-8862) 15-20 mg OD0.899± 14.608
Day 60
GroupValue95% CI
Eplerenone (INSPRA®)0.684± 16.315
Finerenone (BAY94-8862) 2.5-5 mg OD0.337± 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 OD0.981± 15.525
Finerenone (BAY94-8862) 15-20 mg OD0.667± 14.83
Day 90
GroupValue95% CI
Eplerenone (INSPRA®)-0.967± 16.408
Finerenone (BAY94-8862) 2.5-5 mg OD0.922± 15.847
Finerenone (BAY94-8862) 5-10 mg OD0.047± 15.643
Finerenone (BAY94-8862) 7.5-15 mg OD-0.664± 15.018
Finerenone (BAY94-8862) 10-20 mg OD1.216± 17.831
Finerenone (BAY94-8862) 15-20 mg OD0.956± 15.743
Premature discontinuation
GroupValue95% 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 OD9.391± 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
GroupValue95% CI
Eplerenone (INSPRA®)0.188± 16.751
Finerenone (BAY94-8862) 2.5-5 mg OD2.869± 15.502
Finerenone (BAY94-8862) 5-10 mg OD1.95± 16.148
Finerenone (BAY94-8862) 7.5-15 mg OD-0.928± 17.953
Finerenone (BAY94-8862) 10-20 mg OD2.041± 16.189
Finerenone (BAY94-8862) 15-20 mg OD3.037± 16.782
Change From Baseline in Diastolic Blood Pressure at Specified Visits Secondary · 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
GroupValue95% CI
Eplerenone (INSPRA®)71.633± 11.647
Finerenone (BAY94-8862) 2.5-5 mg OD71.044± 10.762
Finerenone (BAY94-8862) 5-10 mg OD71.442± 8.508
Finerenone (BAY94-8862) 7.5-15 mg OD70.61± 9.692
Finerenone (BAY94-8862) 10-20 mg OD70.343± 10.394
Finerenone (BAY94-8862) 15-20 mg OD71.145± 9.809
Day 7
GroupValue95% 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 OD0.013± 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
GroupValue95% 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 OD1.608± 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
GroupValue95% CI
Eplerenone (INSPRA®)-0.503± 10.826
Finerenone (BAY94-8862) 2.5-5 mg OD0.146± 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
GroupValue95% 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 OD0.17± 10.312
Finerenone (BAY94-8862) 15-20 mg OD-0.575± 10.427
Day 90
GroupValue95% 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
GroupValue95% CI
Eplerenone (INSPRA®)-3.185± 11.853
Finerenone (BAY94-8862) 2.5-5 mg OD0.868± 9.239
Finerenone (BAY94-8862) 5-10 mg OD-2.194± 15.522
Finerenone (BAY94-8862) 7.5-15 mg OD4.101± 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
GroupValue95% CI
Eplerenone (INSPRA®)-1.218± 11.477
Finerenone (BAY94-8862) 2.5-5 mg OD0.696± 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 Visits Secondary · 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
GroupValue95% CI
Eplerenone (INSPRA®)74.957± 13.813
Finerenone (BAY94-8862) 2.5-5 mg OD73.369± 13.396
Finerenone (BAY94-8862) 5-10 mg OD72.681± 12.623
Finerenone (BAY94-8862) 7.5-15 mg OD74.184± 12.369
Finerenone (BAY94-8862) 10-20 mg OD73.852± 11.999
Finerenone (BAY94-8862) 15-20 mg OD74.329± 13.187
Day 7
GroupValue95% CI
Eplerenone (INSPRA®)-0.8± 10.751
Finerenone (BAY94-8862) 2.5-5 mg OD1.073± 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
GroupValue95% CI
Eplerenone (INSPRA®)-3.109± 15.101
Finerenone (BAY94-8862) 2.5-5 mg OD0.599± 16.387
Finerenone (BAY94-8862) 5-10 mg OD1.842± 14.988
Finerenone (BAY94-8862) 7.5-15 mg OD-1.324± 13.666
Finerenone (BAY94-8862) 10-20 mg OD0.423± 11.247
Finerenone (BAY94-8862) 15-20 mg OD-3.969± 13.715
Day 30
GroupValue95% CI
Eplerenone (INSPRA®)0.294± 13.61
Finerenone (BAY94-8862) 2.5-5 mg OD1.064± 14.128
Finerenone (BAY94-8862) 5-10 mg OD0.435± 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
GroupValue95% 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 OD0.192± 13.377
Finerenone (BAY94-8862) 15-20 mg OD-1.608± 13.828
Day 90
GroupValue95% 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
GroupValue95% 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 OD1.101± 10.22
Finerenone (BAY94-8862) 10-20 mg OD4.733± 13.646
Finerenone (BAY94-8862) 15-20 mg OD-2.072± 19.731
Follow-up
GroupValue95% 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 OD0.834± 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.

Eplerenone (INSPRA®)
Serious: 77/221 (35%)
Deaths: 19/221
Finerenone(BAY94-8862) 2.5-5 mg OD
Serious: 72/172 (42%)
Deaths: 17/172
Finerenone (BAY94-8862) 5-10 mg OD
Serious: 47/163 (29%)
Deaths: 9/163
Finerenone (BAY94-8862) 7.5-15 mg OD
Serious: 52/167 (31%)
Deaths: 12/167
Finerenone (BAY94-8862) 10-20 mg OD
Serious: 46/169 (27%)
Deaths: 2/169
Finerenone (BAY94-8862) 15-20 mg OD
Serious: 57/163 (35%)
Deaths: 9/163

Serious adverse events (172 terms)

ReactionSystemEplerenone (INSPRA®)Finerenone(BAY94-8862) 2.5…Finerenone (BAY94-8862) 5-…Finerenone (BAY94-8862) 7.…Finerenone (BAY94-8862) 10…Finerenone (BAY94-8862) 15…
Cardiac failureCardiac disorders
Cardiac failure chronicCardiac disorders
HyperkalaemiaMetabolism and nutrition disorders
Cardiac failure acuteCardiac disorders
Cardiac failure congestiveCardiac disorders
Renal failure acuteRenal and urinary disorders
Ventricular tachycardiaCardiac disorders
Cardiac arrestCardiac disorders
Ventricular fibrillationCardiac disorders
PneumoniaInfections and infestations
Renal failure chronicRenal and urinary disorders
Atrial fibrillationCardiac disorders
Coronary artery diseaseCardiac disorders
Sudden deathGeneral disorders
Sudden cardiac deathGeneral disorders
CellulitisInfections and infestations
ErysipelasInfections and infestations
SepsisInfections and infestations
Septic shockInfections and infestations
Blood potassium increasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
SyncopeNervous system disorders
Ischaemic strokeNervous system disorders
Renal failureRenal and urinary disorders
Other adverse events (10 terms — click to expand)

ReactionSystemEplerenone (INSPRA®)Finerenone(BAY94-8862) 2.5…Finerenone (BAY94-8862) 5-…Finerenone (BAY94-8862) 7.…Finerenone (BAY94-8862) 10…Finerenone (BAY94-8862) 15…
HypokalaemiaMetabolism and nutrition disorders
Cardiac failureCardiac disorders
Blood creatinine increasedInvestigations
DizzinessNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
HyperkalaemiaMetabolism and nutrition disorders
Renal impairmentRenal and urinary disorders

Most-reported serious reactions: Cardiac failure, Cardiac failure chronic, Hyperkalaemia, Cardiac failure acute, Cardiac failure congestive, Renal failure acute, Ventricular tachycardia, Cardiac arrest.

Data from ClinicalTrials.gov NCT01807221 adverse events section.

Sponsor's own description

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):

  1. Safety and tolerability of the novel non-steroidal mineralocorticoid receptor antagonist BAY 94-8862 in patients with chronic heart failure and mild or moderate chronic kidney disease: a randomized, double-blind trial.
    Pitt B, Kober L, Ponikowski P, Gheorghiade M, et al · · 2013 · cited 438× · PMID 23713082 · DOI 10.1093/eurheartj/eht187
  2. A randomized controlled study of finerenone vs. eplerenone in patients with worsening chronic heart failure and diabetes mellitus and/or chronic kidney disease.
    Filippatos G, Anker SD, Böhm M, Gheorghiade M, et al · · 2016 · cited 302× · PMID 27130705 · DOI 10.1093/eurheartj/ehw132
  3. The New Biology of Diabetic Kidney Disease-Mechanisms and Therapeutic Implications.
    Lytvyn Y, Bjornstad P, van Raalte DH, Heerspink HL, et al · · 2020 · cited 108× · PMID 31633153 · DOI 10.1210/endrev/bnz010
  4. Aldosterone antagonists in addition to renin angiotensin system antagonists for preventing the progression of chronic kidney disease.
    Chung EY, Ruospo M, Natale P, Bolignano D, et al · · 2020 · cited 84× · PMID 33107592 · DOI 10.1002/14651858.cd007004.pub4
  5. Improving the residual risk of renal and cardiovascular outcomes in diabetic kidney disease: A review of pathophysiology, mechanisms, and evidence from recent trials.
    Chaudhuri A, Ghanim H, Arora P. · · 2022 · cited 71× · PMID 34779091 · DOI 10.1111/dom.14601
  6. Rationale and design of MinerAlocorticoid Receptor antagonist Tolerability Study-Heart Failure (ARTS-HF): a randomized study of finerenone vs. eplerenone in patients who have worsening chronic heart failure with diabetes and/or chronic kidney disease.
    Pitt B, Anker SD, Böhm M, Gheorghiade M, et al · · 2015 · cited 66× · PMID 25678098 · DOI 10.1002/ejhf.218
  7. Third-generation Mineralocorticoid Receptor Antagonists: Why Do We Need a Fourth?
    Gomez-Sanchez EP. · · 2016 · cited 36× · PMID 26466326 · DOI 10.1097/fjc.0000000000000329
  8. Cardiovascular-renal protective effect and molecular mechanism of finerenone in type 2 diabetic mellitus.
    Lv R, Xu L, Che L, Liu S, et al · · 2023 · cited 30× · PMID 36860374 · DOI 10.3389/fendo.2023.1125693

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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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing