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NCT05013008: FIGARO-BM

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

Completed Phase 2 Results posted Last updated 15 September 2023
What this trial tests

Phase 2 trial testing Finerenone (Kerendia, BAY94-8862) in Chronic Kidney Disease in 951 participants. Completed in 31 December 2021.

Timeline
18 August 2021
Primary endpoint
31 December 2021
31 December 2021

Quick facts

Lead sponsorBayer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeother
Enrollment951
Start date18 August 2021
Primary completion31 December 2021
Estimated completion31 December 2021
Sites115 locations across Hong Kong, Italy, Finland, Japan, Taiwan, South Korea, Denmark, Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

Bayer — full company profile →

Who can join

18 and older, any sex, with Chronic Kidney Disease or Type 2 Diabetes Mellitus. 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.

Mean Change in Plasma Biomarker Levels After 36 Months of Treatment Versus 4 Months of Treatment in a Set of 27 Pre-defined Biomarkers Primary · At 4 months (Visit 3) of treatment and 36 months (Visit 11) of treatment

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-D

Matrilysin (P09237)
GroupValue95% CI
Finerenone1.014± 1.125
Placebo1.062± 1.201
von Willebrand factor (P04275)
GroupValue95% CI
Finerenone0.979± 1.773
Placebo1.131± 1.765
CCN family member 4 (O95388)
GroupValue95% CI
Finerenone1.109± 1.266
Placebo1.164± 1.329
Transforming growth factor beta-1 proprotein (P01137)
GroupValue95% CI
Finerenone1.122± 1.312
Placebo1.184± 1.369
Transforming growth factor beta receptor type 3 (Q03167)
GroupValue95% CI
Finerenone1.133± 1.687
Placebo1.224± 1.649
Interleukin-15 receptor subunit alpha (Q13261)
GroupValue95% CI
Finerenone1.121± 1.402
Placebo1.179± 1.442
Metalloproteinase inhibitor 1 (P01033)
GroupValue95% CI
Finerenone1.056± 1.456
Placebo1.105± 1.381
Pappalysin-1 (Q13219)
GroupValue95% CI
Finerenone1.088± 3.371
Placebo1.273± 3.034

Sponsor's own description

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. 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.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Efficacy and Safety of Finerenone in Chronic Kidney Disease: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.
    Zhang MZ, Bao W, Zheng QY, Wang YH, et al · · 2022 · cited 25× · PMID 35197856 · DOI 10.3389/fphar.2022.819327
  2. Finerenone effects on biomarkers: an analysis from the FIGARO-DKD trial.
    Berger M, MacNamara A, Ferreira JP, Kolkhof P, et al · · 2025 · cited 6× · PMID 40415577 · DOI 10.1093/eurheartj/ehaf316
  3. Proteins and signalling pathways targeted by dapagliflozin and finerenone: Insights from DAPA-CKD and FIGARO-DKD.
    de la Rambelje MA, Voors AA, Greasley PJ, Berger M, et al · · 2026 · cited 2× · PMID 41077935 · DOI 10.1111/dom.70193

Verify or expand the search:

Other trials of Finerenone (Kerendia, BAY94-8862)

Trials testing the same drug.

Other recruiting trials for Chronic Kidney Disease

Currently open trials in the same condition.

Other Bayer trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT05013008.

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