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