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. 2021 Nov 17;61(3):451–462. doi: 10.1007/s40262-021-01083-1

Table 2.

Summary of influence of serum potassium thresholds for inclusion and uptitration limits in a FIDELIO-DKD-like simulation scenario

Hyperkalemia Total population ≤ 4.8 mmol/L limits scenario Total population ≤ 5.0 mmol/L limits scenario Subset only included in ≤ 5.0 mmol/L limits scenario
> 5.5 mmol/L on finerenone (%) 20.3 (17.9–22.6) 24.0 (21.2–26.8) 51.0 (45.2–56.8)
> 5.5 mmol/L on placebo (%) 9.42 (7.99–10.9) 12.9 (11.4–14.3) 42.9 (37.7–48.0)
> 5.5 mmol/L RR (–) 2.16 (1.76–2.56) 1.87 (1.58–2.16) 1.20 (0.982–1.41)
> 6.0 mmol/L on finerenone (%) 4.50 (3.61–5.39) 5.88 (4.91–6.85) 15.0 (10.5–19.4)
> 6.0 mmol/L on placebo (%) 1.71 (1.03–2.40) 2.62 (1.77–3.48) 10.4 (6.45–14.4)
> 6.0 mmol/L RR (–) 2.75 (1.36–4.13) 2.30 (1.51–3.09) 1.49 (0.730–2.25)

The ≤ 4.8 limits scenario is like FIDELIO-DKD; the ≤ 5.0 limits scenario differs by increased inclusion and uptitration limits. The subset included with ≤ 5.0 limits but not with ≤ 4.8 limits is shown in the final column. Data are displayed as mean (95% prediction interval) of 30 iterations of the simulation. Hyperkalemia is calculated as the percentage of patients with one or more central laboratory observations > 5.5 or > 6.0 mmol/L after the baseline visit

RR relative risk or risk ratio of % patients with hyperkalemia with finerenone relative to placebo