Table 2.
Effect of finerenone in clinical treatment
Type | Object | Follow-up period | Effect of outcome |
---|---|---|---|
Clinical trial (FIDELIO-DKD) | 5674 patients with type 2 diabetes with CKD | Median follow-up of 2.6 years | Reduce risks of CKD progression and cardiovascular events [73] |
Clinical trial (FIGARO-DKD) | 7352 patients with CKD and type 2 diabetes | Median follow-up of 3.4 years | Improve cardiovascular outcomes [74] |
Randomized, double-blind trial (ARTS Part B) | 392 patients with HFrEF and moderate CKD | 29 ± 2 days | Decrease the levels of B-type natriuretic peptide, amino-terminal proBNP, and albuminuria; have lower incidences of hyperkalaemia and worsening renal function than spironolactone [75] |
Randomized, double-blind trial (ARTS-HF) | 1066 patients with worsening chronic heart failure and diabetes mellitus and/or CKD | 90 days | Induce a 30% or greater decrease in NT-proBNP levels in a similar proportion of patients to eplerenone [77] |
Meta-analysis | 51,496 patients with type 2 diabetes and CKD | Ranged from 90 days to 4 years | Reduce the risk of major adverse cardiovascular events, renal outcome and hospitalization for heart failure [78] |