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Worsening Chronic Heart FailurePhase 1NCT04908436

A Study to Learn How BAY94-8862 Moves Into, Through and Out of the Body, How Safe it is and How it Affects the Body in Adult Participants With Reduced Kidney Function and in Healthy Participants With Similar Age, Weight and Gender Distribution

A Phase 1 study testing Finerenone (BAY94-8862) in people with Worsening Chronic Heart Failure and Chronic Kidney Disease, run by Bayer at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Researchers are looking for a better way to treat people who have worsening of chronic heart failure, a long-term condition where the heart does not pump blood as well as it should. In this study researchers wanted to learn more about a new substance called finerenone (BAY94-8862). Read more about this study

Who is it for?
Ages 18 to 79 yearsHealthy volunteers can take part
What is being tested?
Finerenone (BAY94-8862)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33 participants
Where
1 siteGermany
Study dates
27 Oct 2010to 27 Jan 2012
Phase
Phase 1
Are there results?
None posted in the registry

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 to 79 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • The informed consent must be signed before any study specific tests or procedures are done;
  • Male participants and female participants without childbearing potential (postmenopausal women with 12 month of spontaneous amenorrhea or with 6 month of spontaneous amenorrhea and serum follicle-stimulating hormone (FSH) levels >30 mIU/mL; women with 6 weeks post bilateral ovarectomy, women with bilateral tubal ligation, and women with hysterectomy);
  • Age: 18 to 79 years at the first screening examination;
  • Race: White;
  • Body mass index (BMI): ≥ 18 and ≤ 34 kg / m2;
  • Participants with renal impairment
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  • Creatinine clearance (CLCR) ≤ 80 mL/min determined from a 24 hour urine collection interval 2 - 14 days prior to dosing;
  • Stable renal disease, ie a serum creatinine value determined at least 3-6 months before the pre-study visit should not vary by more than 20% from the serum creatinine value determined at the pre-study visit;
  • Healthy participants
  • Mean age and body weight in Group 1 (control group, healthy participants) and Groups 2 - 4 should not vary by more than +/- 10 years and +/- 10 kg, respectively.

Who cannot join

  • Participation in another clinical trial during the preceding 3 months for multiple dose studies and 1 month for single-dose studies; (final examination from previous study to first treatment of new study);
  • Exclusion periods from other studies or simultaneous participation in other clinical studies;
  • Donation of more than 100 mL of blood within 4 weeks before the first study drug administration or more than 500 mL in the preceding 3 months;
  • Regular use of following medication during or within the 1 - 2 weeks preceding the study:
  • concomitant administration of other Aldosterone-antagonists (eg. eplerenone or spironolactone), potassium-sparing diuretics, potassium supplements, nonsteroidal anti-inflammatory drugs like ASS (secondary prevention with a dose of 100 mg daily is allowed), indomethacin or ibuprofen
  • concomitant use of cytochrome P450 isoenzyme 3A4 (CYP3A4) inducers (eg St. John´s wort, rifampicin, carbamazepin, phenytoin, phenobarbital, bosentan)
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  • concomitant use of weak to moderate CYP3A4 inhibitors (eg erythromycin, quinupristin/dalfopristin, saquinavir, fluconazole, amiodarone, diltiazem, fluvoxamine, verapamil, valproic acid, fluoxetine, grapefruit juice)
  • strong inhibitors of CYP3A4 (eg human immunodeficiency virus (HIV) protease inhibitors like indinavir, nelfinavir, ritonavir, atazanavir, lopinavir, amprenavir and saquinavir; macrolide/ketolide antibiotics like clarithromycin, telithromycin; antimycotic agents like itraconazole and ketoconazole [topical formulations will be allowed]; nefazodone)
  • moderate and strong inhibitors of cytochrome P450 isoenzyme 2C8 (CYP2C8) (eg gemfibrozil, montelukast, trimethoprim, glitazones)
  • Women of childbearing potential, pregnant or lactating women;
  • Positive results for hepatitis B virus surface antigen (HBsAg), hepatitis C virus antibodies (anti-HCV), human immune deficiency virus antibodies (anti-HIV 1+2);
  • Serum potassium level ≥ 5.5 mmol/L;
  • Serum sodium level ≤ 130 mmol/L;
  • For participants with renal impairment
  • Acute renal failure;
  • Acute nephritis;
  • Any organ transplant;
  • Failure of any other major organ system other than the kidney;
  • Diastolic blood pressure (DBP) > 100 mmHg and/or systolic blood pressure (SBP) > 180 mmHg (at the pre-study examination; readings taken at the end of the dosing interval of antihypertensive medication, if any);
  • Heart rate below 45 or above 110 BPM at screening visit;
  • Hemoglobin < 8 g/dL;
  • Serum albumin < 30 g/L;
  • Severe cerebrovascular or cardiac disorders, eg myocardial infarction less than 6 months prior to dosing, congestive heart failure of New York Heart Association (NYHA) grade III or IV, decompensated heart failure, severe arrhythmia requiring antiarrhythmic treatment;
  • For healthy participants
  • A history of relevant diseases of vital organs, of the central nervous system or other organs;
  • Systolic blood pressure below 100 mmHg or above 145 mmHg;
  • Diastolic blood pressure above 95 mmHg;
  • Heart rate below 45 or above 95 BPM at screening visit;
  • Clinically relevant deviations of the screened laboratory parameters in clinical chemistry, hematology, or urinalysis from reference range;
  • Relevant deviation from the normal range in the clinical examination as judged by the investigator.

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Study site

    Kiel, Schleswig-Holstein, 24105

Other trials in Germany

About this study

Official title: Investigation of Pharmacokinetics, Safety, and Tolerability of BAY 94-8862 in Male and Female Subjects With Renal Impairment and in Age- and Weight-matched Healthy Subjects Following a Single Oral Dose of 10 mg BAY 94-8862 IR Tablet in a Single-center, Non-randomized, Non-controlled, Non-blinded, Observational Study With Group Stratification

Researchers are looking for a better way to treat people who have worsening of chronic heart failure, a long-term condition where the heart does not pump blood as well as it should.

In this study researchers wanted to learn more about a new substance called finerenone (BAY94-8862).

Read more

Finerenone is a substance that blocks the activation of a protein in the body called mineralocorticoid receptor (MR). An increased activation of MR is involved in the development of hypertension, organ damage and worsening of heart failure. Many patients with worsening chronic heart failure also suffer from chronic kidney disease. Chronic kidney disease is a long-term decrease in the kidneys' ability to work properly.

The researchers studied how finerenone moves into, through and out of the body. The researchers also looked at how safe finerenone is and how it affects the body. The main purpose of this study was to help researchers develop recommendations for the amount of the substance (the dosing) to be given to patients with reduced kidney function.

Being tested
Finerenone (BAY94-8862)
Medical subject headings
Renal Insufficiency, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Finerenone (BAY94-8862)Drug

    10 mg BAY94-8862 immediate release (IR) tablet, administered orally

Study groups in NCT04908436
Study groupRoleWhat they receive
Normal renal functionExperimentalHealthy participants with creatinine clearance (CLCR) >80 mL/min received single oral dose of 10 mg BAY94-8862 as an IR tablet under fasting conditions.
Receives: Drug: Finerenone (BAY94-8862)
Mild renal impairmentExperimentalParticipants with CLCR 50-80 mL/min received single oral dose of 10 mg BAY94-8862 as an IR tablet under fasting conditions.
Receives: Drug: Finerenone (BAY94-8862)
Moderate renal impairmentExperimentalParticipants with CLCR 30-<50 mL/min received single oral dose of 10 mg BAY94-8862 as an IR tablet under fasting conditions.
Receives: Drug: Finerenone (BAY94-8862)
Severe renal impairmentExperimentalParticipants with CLCR <30 mL/min received single oral dose of 10 mg BAY94-8862 as an IR tablet under fasting conditions.
Receives: Drug: Finerenone (BAY94-8862)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Area under the plasma concentration vs time curve from zero to infinity for total (bound and unbound) drug after single dose administration of BAY94-8862 (AUC)

    AUC for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  2. Maximum total (bound and unbound) drug concentration in plasma after single dose administration of BAY94-8862 (Cmax)

    Cmax for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  3. AUC for unbound drug (AUCu)

    AUCu for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  4. Cmax for unbound drug (Cmax,u)

    Cmax,u BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  5. AUC divided by dose per kg body weight (AUCnorm)

    AUCnorm for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  6. AUCnorm for unbound drug (AUCu,norm)

    AUCu, norm for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  7. Cmax divided by dose per body weight (Cmax,norm)

    Cmax, norm for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  8. Cmax,norm for unbound drug (Cmax,u,norm)

    Cmax,u,norm for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

Secondary outcomes (21)
  1. Plasma renin activity (PRA)

    Change from baseline in plasma renin activity

    Measured: Prior to dosing and 12 hours post-dose

  2. Plasma angiotensin II

    Change from baseline in plasma angiotensin II

    Measured: Prior to dosing and 12 hours post-dose

  3. Serum aldosterone

    Change from baseline in serum aldosterone

    Measured: Prior to dosing and 12 hours post-dose

  4. Plasminogen activator inhibitor-1 (PAI-1)

    Change from baseline in PAI-1

    Measured: Prior to dosing and 12 hours post-dose

  5. Urinary volume

    Change in volume of urine excreted

    Measured: Prior to dosing up to 24 hours post-dose

  6. Urinary creatinine

    Change in urine creatinine concentrations

    Measured: Prior to dosing up to 24 hours post-dose

  7. Urinary electrolytes

    Change in urinary electrolytes

    Measured: Prior to dosing up to 24 hours post-dose

  8. Half-life associated with the terminal slope (t½)

    t½ for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  9. Fraction unbound (fu)

    fu for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: 1 hour and 6 hours post-dose

  10. AUC divided by dose (AUC/D)

    AUC/D for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  11. AUC from time 0 to the last data point (AUC(0-tlast))

    AUC(0-tlast) for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  12. Cmax divided by dose (Cmax/D)

    Cmax/D for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  13. Time to reach Cmax (tmax)

    Time to reach Cmax (in case of two identical Cmax values, the first tmax was to be used) for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  14. Mean residence time (MRT)

    MRT for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  15. Total body clearance of drug calculated after extravascular administration (CL/F)

    CL/F for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  16. Total body clearance of unbound drug from plasma calculated after oral administration (apparent oral unbound clearance) (CLu/F)

    CLu/F for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  17. Apparent volume of distribution during terminal phase after extravascular administration (Vz/F)

    Vz/F for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  18. Amount excreted into urine from 0 to 96 h (end of urine sampling) after study drug administration (AE,ur)

    AE,ur for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  19. Percent amount excreted into urine from 0 to 96 h (end of urine sampling) after study drug administration (%AE,ur)

    %AE,ur for BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  20. Renal body clearance of drug (CLR)

    CLR of BAY94-8862 and its metabolites M1 (BAY1040818), M2 (BAY1088089) and M3 (BAY1088090)

    Measured: Up to 96 hours post-dose

  21. Number of participants with adverse events

    Measured: Approximately 5 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Jun 2021
  2. Study start27 Oct 2010
  3. Primary completion5 May 2011
  4. Study completion27 Jan 2012

Resources

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 1
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04908436
Sponsor's protocol ID
14509
Other IDs
2010-022321-16
Status last verified
Jan 2022
First submitted
27 May 2021
Last updated
28 Jan 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

Publications

  • Heinig R, Kimmeskamp-Kirschbaum N, Halabi A, Lentini S. Pharmacokinetics of the Novel Nonsteroidal Mineralocorticoid Receptor Antagonist Finerenone (BAY 94-8862) in Individuals With Renal Impairment. Clin Pharmacol Drug Dev. 2016 Nov;5(6):488-501. doi: 10.1002/cpdd.263. Epub 2016 Jul 18.

    PubMed 27431783

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Finerenone (BAY94-8862) in people with Worsening Chronic Heart Failure and Chronic Kidney Disease, run by Bayer at 1 site in Germany.

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 10 inclusion and 30 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 28 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Area under the plasma concentration vs time curve from zero to infinity for total (bound and unbound) drug after single dose administration of BAY94-8862 (AUC) (time frame: Up to 96 hours post-dose). The study lists 8 primary outcomes in all. 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 NCT04908436, which also lists 1 linked publication.

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 28 Jan 2022.

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