Finerenone and renal oxidative stress

2023-508266-15-00 Protocol FINE Therapeutic confirmatory (Phase III) Ended

Start 18 Jan 2024 · End 25 Nov 2025 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol FINE

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 75
Countries 1
Sites 1

type 2 diabetes mellitus

The main goal is to demonstrate the effect of finerenone on the oxidative stress of renal vasculature.

Key facts

Sponsor
Universitaetsklinikum Erlangen AöR
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Trial duration
18 Jan 2024 → 25 Nov 2025
Decision date (initial)
2023-12-19
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

The main goal is to demonstrate the effect of finerenone on the oxidative stress of renal vasculature.

Conditions and MedDRA coding

type 2 diabetes mellitus

VersionLevelCodeTermSystem organ class
21.1 LLT 10045242 Type II diabetes mellitus 10027433

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. age of 18 - 75 years
  2. diagnosis of type 2 diabetes mellitus (defined by ADA criteria)
  3. male and female patients (females of childbearing potential must be using effective contraceptive precautions per CTFG quidance)
  4. females of childbearing potential or within two years of the menopause must have a negative urine pregnancy test at screening visit
  5. informed consent must be given in written form

Exclusion criteria 11

  1. any other form of diabetes mellitus than type 2 diabetes mellitus
  2. use of GLP-1 analogue for weight loss or insulin within the past 3 months
  3. HbA1c ≥ 10.5%
  4. serum potassium > 4.8 mmol/l
  5. body mass index > 40 kg/m²
  6. estimated glomerular filtration rate (eGFR) < 45 ml/min/1.73m² (CKD-EPI Formula)
  7. uncontrolled arterial hypertension (BP ≥ 180/110 mmHg)
  8. subclinical or clinical hyperthyroidism
  9. use of strong CYP3A4-Inhibitors (for example Itraconazol, Clarithromycin, Ketoconazol, Ritonavir, Nelfinavir, Cobicistat, Telithromycin, Nefazodon) or CYP3A4-Inducers (for example Rifampicin, Carbamazepin, Phenytoin, Phenobarbital, St. John’s wort (Johanniskraut), Efavirenz)
  10. use of other aldosterone receptor antagonist like spironolactone or eplerenone or potassium sparing diuretics or direct renin inhibitors
  11. congestive heart failure (CHF) NYHA stage IV

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Primary endpoint is to analyse the impact of finerenone on the oxidative stress level of renal vasculature by the increase of renal perfusion following vitamin C infusion compared to placebo

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Kerendia 20 mg film-coated tablets

PRD9506430 · Product

Active substance
Finerenone
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
20 mg milligram(s)
Max total dose
1.4 g gram(s)
Max treatment duration
10 Week(s)
Authorisation status
Authorised
ATC code
C03DA05 — -
Marketing authorisation
EU/1/21/1616/006
MA holder
BAYER AG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Kerendia 10 mg film coated tablets

PRD9506151 · Product

Active substance
Finerenone
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
140 mg milligram(s)
Max treatment duration
2 Week(s)
Authorisation status
Authorised
ATC code
C03DA05 — -
Marketing authorisation
EU/1/21/1616/001
MA holder
BAYER AG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Placebo: film-coated tablet without active substance for oral use

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Auxiliary 4

Centricor® Vitamin C Ampullen 100 mg/ml Injektionslösung

PRD1165503 · Product

Active substance
Ascorbic Acid
Substance synonyms
VITAMIN C, ASCORBIC ACID (E 300), CEVITAMIC ACID, (2R)-2-[(1S)-1,2-DIHYDROXYETHYL]-4,5-DIHYDROXY-FURAN-3-ONE
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INFUSION
Max daily dose
6000 mg/h milligram(s)/hour
Max total dose
6000 mg/h milligram(s)/hour
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
A11GA01 — ASCORBIC ACID (VIT C)
Marketing authorisation
6425372.01.01
MA holder
WÖRWAG PHARMA GMBH & CO. KG
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

ACCUPAQUE™ 350 Injektionslösung oder Lösung zum Einnehmen

PRD2886065 · Product

Active substance
Iohexol
Pharmaceutical form
ORAL SOLUTION
Route of administration
INFUSION
Max daily dose
323 mg/h milligram(s)/hour
Max total dose
323 mg/h milligram(s)/hour
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
V08AB02 — IOHEXOL
Marketing authorisation
3004003.00.00
MA holder
GE HEALTHCARE BUCHLER GMBH & CO. KG
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

L-Arginine Hydrochloride

SUB22706 · Substance

Active substance
L-Arginine Hydrochloride
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INFUSION
Max daily dose
200 mg/kg/h milligram(s)/kilogram/hour
Max total dose
200 mg/kg/h milligram(s)/kilogram/hour
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

SCP2100749 · ATC

Route of administration
INFUSION
Max daily dose
3 mg/Kg milligram(s)/kilogram
Max total dose
3 mg/Kg milligram(s)/kilogram
Max treatment duration
2 Week(s)
Authorisation status
Authorised
ATC code
V04CH30 — AMINOHIPPURIC ACID
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Universitaetsklinikum Erlangen AöR

Sponsor organisation
Universitaetsklinikum Erlangen AöR
Address
Maximiliansplatz 2, Innenstadt Innenstadt
City
Erlangen
Postcode
91054
Country
Germany

Scientific contact point

Organisation
Universitaetsklinikum Erlangen AöR
Contact name
Dr. med. Dennis Kannenkeril

Public contact point

Organisation
Universitaetsklinikum Erlangen AöR
Contact name
Dr. med. Dennis Kannenkeril

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 75 1
Rest of world 0

Investigational sites

Germany

1 site · Ended
Universitaetsklinikum Erlangen AöR
Department of Medicine 4 – Nephrology and Hypertension, Ulmenweg 18, Innenstadt, Erlangen

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2024-01-18 2025-11-25 2024-02-20 2025-07-29

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_FINE 1.2
Recruitment arrangements (for publication) K1_Recruitment_IC_procedure 1.1
Recruitment arrangements (for publication) K2_Recruitment_material_advertisement 1
Recruitment arrangements (for publication) K2_Recruitment_material_flyer_redacted 1
Subject information and informed consent form (for publication) L1_SIS_ICF_FINE_adult_redacted 1.2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Kerendia_10mg-20mg_Filmtabletten NA
Synopsis of the protocol (for publication) D1_Protocol_synopsis_DE_2023-508266-15_redacted 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-09 Germany Acceptable
2023-12-13
2023-12-19
2 SUBSTANTIAL MODIFICATION SM-1 2024-07-31 Germany Acceptable
2024-08-15
2024-08-16