Heart FailurePhase 2ARTS-HFNCT01807221
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
A Phase 2 study testing Finerenone (BAY94-8862) and Inspra (eplerenone) in people with Heart Failure, run by Bayer at 172 sites in 25 countries.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Heart Failure
- What is being tested?
- Finerenone (BAY94-8862) and Inspra (eplerenone)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,066 participants
- Where
- 172 sitesin 25 countries
- Study dates
- 17 Jun 2013to 9 Dec 2014
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men and women aged 18 years and older. The lower age limit may be higher if legally required in the participating country
- Women of childbearing potential can only be included in the study if a pregnancy test is negative and if they agree to use adequate contraception when sexually active
- Subjects with worsening chronic heart failure requiring emergency presentation to hospital and treatment with intravenous diuretics at hospital
- Subjects with clinical diagnosis of chronic heart failure (CHF) either ischemic or non ischemic, New York Heart Association (NYHA) functional class II-IV
- Subjects with type 2 diabetes mellitus and / or
- Subjects with 30 mL/min/1.73m^2 </= eGFR </= 60 mL/min/1.73m^2 (MDRD, Modification of Diet in Renal Disease Study Group) at screening
Show all 9Show fewer
- Left ventricular ejection fraction (LVEF) </= 40%
- Blood potassium </= 5.0 mmol/L at screening
- Systolic blood pressure >/= 90 mmHg without signs and symptoms of hypotension at the screening visit
Who cannot join
- Acute de-novo heart failure or acute inflammatory heart disease, e.g. acute myocarditis
- Acute coronary syndrome (ACS) in last 30 days prior to screening
- Cardiogenic shock
- Valvular heart disease requiring surgical intervention during the course of the study
- Stroke or transient ischemic cerebral attack in the last 3 months prior to the screening visit
- Concomitant treatment with any mineralocorticoid receptor antagonist (MRA), renin inhibitor, or potassium-sparing diuretic
Trial locations and contacts
172 sites in 25 countries.
172 sites in 25 countries
Israel12 sites
Study site
Afula, 1834111
Study site
Ashkelon, 7830604
Study site
Hadera, 3810101
Study site
Haifa, 3436212
Study site
Jerusalem, 9103102
Study site
Kfar Saba, 4428164
Study site
Nahariya, 2210001
Study site
Petah Tikva, 4941492
Study site
Rehovot, 7610001
Study site
Safed, 1311001
Study site
Tel Aviv, 64239
Study site
Tsrifin, 7030000
Germany11 sites
Study site
Bad Oeynhausen, North Rhine-Westphalia, 32545
Study site
Berlin, 13353
Study site
Erfurt, Thuringia, 99089
Study site
Frankfurt am Main, Hesse, 60389
Study site
Göttingen, Lower Saxony, 37099
Study site
Hanover, Lower Saxony, 30625
Study site
Homburg, Saarland, 66421
Study site
Limburg an der Lahn, Hesse, 65549
Study site
Mönchengladbach, North Rhine-Westphalia, 41063
Study site
Stade, Lower Saxony, 21682
Study site
Würzburg, Bavaria, 97078
United States10 sites
Study site
Baltimore, Maryland, 21201
Study site
Birmingham, Alabama, 35294-2041
Study site
Detroit, Michigan, 48201
Study site
Detroit, Michigan, 48202
Study site
Fairfield, Ohio, 45014
Study site
Jacksonville, Florida, 32209
Study site
La Jolla, California, 92037
Study site
Los Angeles, California, 90033
Study site
Macon, Georgia, 31201
Study site
Newark, New Jersey, 07103
Denmark10 sites
Study site
Copenhagen Ø, 2100
Study site
Esbjerg, 6700
Study site
Glostrup Municipality, 2600
Study site
Hellerup, 2900
Study site
Herlev, 2730
Study site
Hvidovre, 2650
Study site
København NV, 2400
Study site
Køge, 4600
Study site
Svendborg, 5700
Study site
Viborg, 8800
Canada9 sites
Study site
Calgary, Alberta, T2N 4Z6
Study site
Montreal, Quebec, H1T 1C8
Study site
Montreal, Quebec, H2W 1T8
Study site
Montreal, Quebec, H3T 1E2
Study site
Ottawa, Ontario, K1Y 4W7
Study site
Québec, G1V 4G5
Study site
Saint-Jean-sur-Richelieu, Quebec, J3A 1C3
Study site
Sherbrooke, Quebec, J1H 5N4
Study site
Toronto, Ontario, M5B 1W8
Netherlands9 sites
Study site
Amsterdam, 1061 AE
Study site
Delft, 2625 AD
Study site
Groningen, 9700 RB
Study site
Groningen, 9728 NT
Study site
Hoogeveen, 7909 AA
Study site
Nijmegen, 6525 GA
Study site
Rotterdam, 3045 PM
Study site
Veldhoven, 5504 DB
Study site
Zutphen, 7207 AE
Poland9 sites
Study site
Bialystok, 15-276
Study site
Bydgoszcz, 85-681
Study site
Gdansk, 80-952
Study site
Katowice, 40-635
Study site
Kielce, 25-736
Study site
Krakow, 31-121
Study site
Szczecin, 70-965
Study site
Warsaw, 04-628
Study site
Wroclaw, 50-981
South Africa9 sites
Study site
Cape Town, Western Cape, 7500
Study site
Isipingo Rail, KwaZulu-Natal, 4110
Study site
Kuils River, Western Cape, 7580
Study site
Merebank, KwaZulu-Natal, 4052
Study site
Petoria, Gauteng
Study site
Pinelands, Western Cape, 7405
Study site
Somerset West, Western Cape, 7130
Study site
Tongaat, KwaZulu-Natal, 4400
Study site
Worcester, Western Cape, 6850
Italy8 sites
Study site
Arezzo, Tuscany, 52040
Study site
Bergamo, Lombardy, 24127
Study site
Foggia, Apulia, 71100
Study site
Milan, Lombardy, 20149
Study site
Monza Brianza, Lombardy, 20900
Study site
Perugia, Umbria, 06129
Study site
Pisa, Tuscany, 56124
Study site
Rome, Lazio, 00163
Spain8 sites
Study site
Barcelona, 08003
Study site
Barcelona, 08035
Study site
El Palmar, Murcia, 30120
Study site
Madrid, 28041
Study site
Majadahonda, Madrid, 28222
Study site
Olot, Girona, 17800
Study site
Valencia, 46010
Study site
Valencia, 46026
Austria7 sites
Study site
Graz, Styria, 8020
Study site
Graz, Styria, 8036
Study site
Innsbruck, Tyrol, 6020
Study site
Krems, Lower Austria, 3500
Study site
Linz, Upper Austria, 4010
Study site
Salzburg, 5020
Study site
Vienna, 1100
Bulgaria7 sites
Study site
Burgas, 8018
Study site
Pazardzhik, 4400
Study site
Rousse, 7002
Study site
Sofia, 1233
Study site
Sofia, 1309
Study site
Sofia, 1431
Study site
Varna, 9010
France7 sites
Study site
Bron, 69677
Study site
Nice, 06200
Study site
Paris, 75013
Study site
Paris, 75475
Study site
Rouen, 76031
Study site
Toulouse, 31403
Study site
Vandœuvre-lès-Nancy, 54500
Sweden7 sites
Study site
Falun, 791 82
Study site
Gothenburg, 416 85
Study site
Örebro, 701 85
Study site
Stockholm, 118 83
Study site
Stockholm, 141 86
Study site
Stockholm, 182 88
Study site
Umeå, 901 85
Lithuania6 sites
Study site
Kaunas, LT-44320
Study site
Kaunas, LT-47144
Study site
Kaunas, LT-50161
Study site
Klaipėda, 92288
Study site
Klaipėda, LT-92288
Study site
Vilnius, LT-08661
Portugal6 sites
Study site
Almada, 2801-951
Study site
Faro, 8000-386
Study site
Lisbon, 1449-005
Study site
Lisbon, 1500-650
Study site
Lisbon, 1649-035
Study site
Porto, P-4200
Greece5 sites
Study site
Athens, 11526
Study site
Athens, 11527
Study site
Chaïdári, 12462
Study site
Larissa, 41100
Study site
Nea Ionia / Athens, 14233
Hungary5 sites
Study site
Budapest, 1027
Study site
Budapest, 1085
Study site
Budapest, 1097
Study site
Nagykanizsa, 8800
Study site
Székesfehérvár, 8000
Taiwan5 sites
Study site
New Taipei City, 220
Study site
Taipei, 10002
Study site
Taipei, 11217
Study site
Taipei
Study site
Taizung, 402
Turkey (Türkiye)5 sites
Study site
Ankara, 06100
Study site
Ankara, 06500
Study site
Ankara
Study site
Antalya, 07003
Study site
Izmir, 35100
Australia4 sites
Study site
Adelaide, South Australia, 5042
Study site
Concord, 2139
Study site
Darlinghurst, New South Wales, 2010
Study site
Prahran, 3004
Czechia4 sites
Study site
Jindřichův Hradec, 377 01
Study site
Ostrava, 728 80
Study site
Prague, 150 30
Study site
Slaný, 274 01
Finland4 sites
Study site
Espoo, 02740
Study site
Helsinki, 00099
Study site
Rovaniemi, 96101
Study site
Turku, 20520
South Korea4 sites
Study site
Seoul, 03080
Study site
Seoul, 03722
Study site
Seoul, 05505
Study site
Wŏnju, Gang''weondo, 26426
About this study
Official title: A Randomized, Double-blind, Double-dummy, Multi-center Study to Assess Safety and Efficacy of Different Oral Doses of BAY94-8862 in Subjects With Emergency Presentation at the Hospital Because of Worsening Chronic Heart Failure With Left Ventricular Systolic Dysfunction and Either Type 2 Diabetes Mellitus With or Without Chronic Kidney Disease or Chronic Kidney Disease Alone Versus Eplerenone
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.
- Conditions
- Heart Failure
- Being tested
- Finerenone (BAY94-8862), Placebo, Inspra (eplerenone)
- Keywords
- Heart Decompensation
- Medical subject headings
- Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Finerenone (BAY94-8862)Drug
PlaceboDrug
Inspra (eplerenone)Drug
| Study group | Role | What they receive |
|---|---|---|
| Finerenone(BAY94-8862)[2.5mg] + Placebo | Experimental | Oral - 2.5mg once daily (OD) for 30 days. Potential up-titration to 5mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days. Receives: Drug: Finerenone (BAY94-8862); Drug: Placebo |
| Finerenone (BAY94-8862)[5mg] + Placebo | Experimental | Oral - 5mg OD for 30 days. Potential up-titration to 10 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days. Receives: Drug: Finerenone (BAY94-8862); Drug: Placebo |
| Finerenone (BAY94-8862)[7.5mg] + Placebo | Experimental | Oral - 7.5mg OD for 30 days. Potential up-titration to 15 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days. Receives: Drug: Finerenone (BAY94-8862); Drug: Placebo |
| Finerenone (BAY94-8862)[10mg] + Placebo | Experimental | Oral - 10mg OD for 30 days. Potential up-titration to 20 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days. Receives: Drug: Finerenone (BAY94-8862); Drug: Placebo |
| Finerenone (BAY94-8862)[15mg] + Placebo | Experimental | Oral - 15mg OD for 30 days. Potential up-titration to 20 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days. Receives: Drug: Finerenone (BAY94-8862); Drug: Placebo |
| Eplerenone [25 mg] + Placebo | Active comparator | Oral - 25mg every other day (EOD). Potential up-titration to 25mg OD after 30 days and 50mg OD after 60 days.Placebo OD for 90 days. Receives: Drug: Placebo; Drug: Inspra (eplerenone) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With a Relative Decrease in NT-proBNP of More Than 30% From Baseline to 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.
Measured: Baseline and Day 90
Secondary outcomes (7)
Number of Participants With Death Due to Any Cause
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.
Measured: Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Number of Participants With Cardiovascular Hospitalization
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.
Measured: Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Number of Participants With Emergency Presentations for Worsening Chronic Heart Failure (WCHF)
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.
Measured: Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Ratio of BNP at Specified Visits to BNP at Baseline
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.
Measured: 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)
Ratio of NT-proBNP at Specified Visits to NT-proBNP at Baseline
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.
Measured: 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)
Change From Baseline in KCCQ Questionnaire Scores at Specified Visits
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 presented. Scores are transformed to a range of 0-100, in which higher scores reflect better health status. In the below table, categorical data represents change from baseline data at respective time points.
Measured: Baseline, Day 30 and Day 90
Change From Baseline in EQ-5D-3L Questionnaire Scores at Specified Visits
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 scores indicate a better health state.
Measured: 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)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Mar 2013 (estimated)
- Study start17 Jun 2013
- Primary completion11 Nov 2014
- Study completion9 Dec 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Heart FailureStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,066 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01807221
- Sponsor's protocol ID
- 14564
- Other IDs
- 2012-002627-15
- Acronym
- ARTS-HF
- Status last verified
- Jul 2021
- First submitted
- 7 Mar 2013
- Last updated
- 6 Jul 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Filippatos G, Anker SD, Bohm M, Gheorghiade M, Kober L, Krum H, Maggioni AP, Ponikowski P, Voors AA, Zannad F, Kim SY, Nowack C, Palombo G, Kolkhof P, Kimmeskamp-Kirschbaum N, Pieper A, Pitt B. A randomized controlled study of finerenone vs. eplerenone in patients with worsening chronic heart failure and diabetes mellitus and/or chronic kidney disease. Eur Heart J. 2016 Jul 14;37(27):2105-14. doi: 10.1093/eurheartj/ehw132. Epub 2016 Apr 29.
PubMed 27130705Chung EY, Ruospo M, Natale P, Bolignano D, Navaneethan SD, Palmer SC, Strippoli GF. Aldosterone antagonists in addition to renin angiotensin system antagonists for preventing the progression of chronic kidney disease. Cochrane Database Syst Rev. 2020 Oct 27;10(10):CD007004. doi: 10.1002/14651858.CD007004.pub4.
PubMed 33107592Pitt B, Anker SD, Bohm M, Gheorghiade M, Kober L, Krum H, Maggioni AP, Ponikowski P, Voors AA, Zannad F, Nowack C, Kim SY, Pieper A, Kimmeskamp-Kirschbaum N, Filippatos G. 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. Eur J Heart Fail. 2015 Feb;17(2):224-32. doi: 10.1002/ejhf.218.
PubMed 25678098Ostrominski JW, Filippatos G, Claggett BL, Miao ZM, Desai AS, Jhund PS, Henderson A, Rohwedder K, Brinker MD, Scalise A, Schloemer P, Lam CSP, Senni M, Shah SJ, Voors AA, Zannad F, Rossing P, Ruilope LM, Anker SD, Pitt B, Agarwal R, McMurray JJV, Solomon SD, Vaduganathan M. Effect of Finerenone on Morbidity and Mortality in CKD. J Am Soc Nephrol. 2026 Feb 1;37(2):312-325. doi: 10.1681/ASN.0000000823. Epub 2025 Sep 12.
PubMed 40938666
Study at a glance
From the registry record, last updated by the sponsor on 6 Jul 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Double-dummy, Multi-center Study to Assess Safety and Efficacy of Different Oral Doses of BAY94-8862 in Subjects With Emergency Presentation at the Hospital Because of Worsening Chronic Heart Failure With Left Ventricular Systolic Dysfunction and Either Type 2 Diabetes Mellitus With or Without Chronic Kidney Disease or Chronic Kidney Disease Alone Versus Eplerenone
- ClinicalTrials.gov ID
- NCT01807221
- Acronym / sponsor ID
- ARTS-HF / 14564
- Conditions
- Heart Failure
- Keywords
- Heart Decompensation
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,066 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- 17 Jun 2013 (actual)
- Primary completion
- 11 Nov 2014 (actual)
- Study completion
- 9 Dec 2014 (actual)
- First posted
- 8 Mar 2013 (estimated)
- Results
- Posted 15 Jun 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Finerenone(BAY94-8862)[2.5mg] + Placebo | Experimental | Drug: Finerenone (BAY94-8862), Drug: PlaceboOral - 2.5mg once daily (OD) for 30 days. Potential up-titration to 5mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days. |
| Finerenone (BAY94-8862)[5mg] + Placebo | Experimental | Drug: Finerenone (BAY94-8862), Drug: PlaceboOral - 5mg OD for 30 days. Potential up-titration to 10 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days. |
| Finerenone (BAY94-8862)[7.5mg] + Placebo | Experimental | Drug: Finerenone (BAY94-8862), Drug: PlaceboOral - 7.5mg OD for 30 days. Potential up-titration to 15 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days. |
| Finerenone (BAY94-8862)[10mg] + Placebo | Experimental | Drug: Finerenone (BAY94-8862), Drug: PlaceboOral - 10mg OD for 30 days. Potential up-titration to 20 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days. |
| Finerenone (BAY94-8862)[15mg] + Placebo | Experimental | Drug: Finerenone (BAY94-8862), Drug: PlaceboOral - 15mg OD for 30 days. Potential up-titration to 20 mg OD after 30 days or 60 days. Treatment duration 90 days. Placebo OD for 90 days. |
| Eplerenone [25 mg] + Placebo | Active comparator | Drug: Placebo, Drug: Inspra (eplerenone)Oral - 25mg every other day (EOD). Potential up-titration to 25mg OD after 30 days and 50mg OD after 60 days.Placebo OD for 90 days. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Men and women aged 18 years and older. The lower age limit may be higher if legally required in the participating country
- Women of childbearing potential can only be included in the study if a pregnancy test is negative and if they agree to use adequate contraception when sexually active
- Subjects with worsening chronic heart failure requiring emergency presentation to hospital and treatment with intravenous diuretics at hospital
- Subjects with clinical diagnosis of chronic heart failure (CHF) either ischemic or non ischemic, New York Heart Association (NYHA) functional class II-IV
- Subjects with type 2 diabetes mellitus and / or
Key exclusion criteria (6 listed)
- Acute de-novo heart failure or acute inflammatory heart disease, e.g. acute myocarditis
- Acute coronary syndrome (ACS) in last 30 days prior to screening
- Cardiogenic shock
- Valvular heart disease requiring surgical intervention during the course of the study
- Stroke or transient ischemic cerebral attack in the last 3 months prior to the screening visit
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Finerenone (BAY94-8862) | Drug | Finerenone (BAY94-8862)[10mg] + Placebo, Finerenone (BAY94-8862)[15mg] + Placebo, Finerenone (BAY94-8862)[5mg] + Placebo, Finerenone (BAY94-8862)[7.5mg] + Placebo, Finerenone(BAY94-8862)[2.5mg] + Placebo |
| Placebo | Drug | Eplerenone [25 mg] + Placebo, Finerenone (BAY94-8862)[10mg] + Placebo, Finerenone (BAY94-8862)[15mg] + Placebo, Finerenone (BAY94-8862)[5mg] + Placebo, Finerenone (BAY94-8862)[7.5mg] + Placebo, Finerenone(BAY94-8862)[2.5mg] + Placebo |
| Inspra (eplerenone) | Drug | Eplerenone [25 mg] + Placebo |
Primary outcome
Percentage of Participants With a Relative Decrease in NT-proBNP of More Than 30% From Baseline to Day 90
Time frame: 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.
7 secondary outcomes
Number of Participants With Death Due to Any Cause
Time frame: Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Number of Participants With Cardiovascular Hospitalization
Time frame: Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Number of Participants With Emergency Presentations for Worsening Chronic Heart Failure (WCHF)
Time frame: Day 30, Day 60, Day 90 and Follow-up (30 days post-last dose, assessed up to Day 120)
Ratio of BNP at Specified Visits to BNP at Baseline
Time frame: 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)
Ratio of NT-proBNP at Specified Visits to NT-proBNP at Baseline
Time frame: 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)
Change From Baseline in KCCQ Questionnaire Scores at Specified Visits
Time frame: Baseline, Day 30 and Day 90
Change From Baseline in EQ-5D-3L Questionnaire Scores at Specified Visits
Time frame: 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)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jul 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 27130705Filippatos G, Anker SD, Bohm M, Gheorghiade M, Kober L, Krum H, Maggioni AP, Ponikowski P, Voors AA, Zannad F, Kim SY, Nowack C, Palombo G, Kolkhof P, Kimmeskamp-Kirschbaum N, Pieper A, Pitt B. A randomized controlled study of finerenone vs. eplerenone in patients with worsening chronic heart failure and diabetes mellitus and/or chronic kidney disease. Eur Heart J. 2016 Jul 14;37(27):2105-14. doi: 10.1093/eurheartj/ehw132. Epub 2016 Apr 29.
- Results publication: PubMed 33107592Chung EY, Ruospo M, Natale P, Bolignano D, Navaneethan SD, Palmer SC, Strippoli GF. Aldosterone antagonists in addition to renin angiotensin system antagonists for preventing the progression of chronic kidney disease. Cochrane Database Syst Rev. 2020 Oct 27;10(10):CD007004. doi: 10.1002/14651858.CD007004.pub4.
- Results publication: PubMed 25678098Pitt B, Anker SD, Bohm M, Gheorghiade M, Kober L, Krum H, Maggioni AP, Ponikowski P, Voors AA, Zannad F, Nowack C, Kim SY, Pieper A, Kimmeskamp-Kirschbaum N, Filippatos G. 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. Eur J Heart Fail. 2015 Feb;17(2):224-32. doi: 10.1002/ejhf.218.
- Derived from this study: PubMed 40938666Ostrominski JW, Filippatos G, Claggett BL, Miao ZM, Desai AS, Jhund PS, Henderson A, Rohwedder K, Brinker MD, Scalise A, Schloemer P, Lam CSP, Senni M, Shah SJ, Voors AA, Zannad F, Rossing P, Ruilope LM, Anker SD, Pitt B, Agarwal R, McMurray JJV, Solomon SD, Vaduganathan M. Effect of Finerenone on Morbidity and Mortality in CKD. J Am Soc Nephrol. 2026 Feb 1;37(2):312-325. doi: 10.1681/ASN.0000000823. Epub 2025 Sep 12.
- Click here to find information about studies related to Bayer Healthcare products conducted in Europe.Link provided by the sponsor.
Related trials for Heart Failure
RecruitingPhase 4
The Effects of Ferric Derisomaltose in Patients With Acute Heart Failure and Iron Deficiency on Exercise Capacity and Quality of Life(COREVIVE-HFrEF)
Heart Failure With Reduced Ejection Fraction, Iron Deficiency
Not yet recruitingPhase 2
A Study of Bimagrumab in Participants With HFpEF
Heart Failure, Diastolic, Diastolic Heart Failure
Recruiting
Evaluation of a French Hospital Discharge Therapeutic Education Program by Nurses for Heart Failure Patient (EduSor)
Heart Failure
Active, not recruiting
Assessment of Combined CCM and ICD Device in HFrEF
Heart Failure, Heart Failure With Reduced Ejection Fraction
Not yet recruiting
RELIEVE-HFrEF TRIAL: REducing Lung congestIon Symptoms Using the v-wavE Shunt in adVancEd Heart Failure With Reduced EF
Heart Failure and Reduced Ejection Fraction, Heart Failure Chronic
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
172 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Finerenone (BAY94-8862) and Inspra (eplerenone) in people with Heart Failure, run by Bayer at 172 sites in 25 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 172 sites in Israel, Germany, United States, Denmark, Canada and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Jun 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With a Relative Decrease in NT-proBNP of More Than 30% From Baseline to Day 90 (time frame: Baseline and Day 90). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01807221, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jul 2021.