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Finerenone in Patients With IgA-nephropathy: Prospective Interventional Trial

RecruitingNAAges 18 Years - anyAllBotkin Hospital
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In plain words

What the trial is, and whether it could suit you

: IgA-nephropathy is the most common glomerulonephritis with the unfavorable prognosis in patients with persistent albuminuria. Finerenone is a new nonsteroidal mineralocorticoid receptor antagonist that has demonstrated efficacy in reducing albuminuria in patients with CKD and type 2 diabetes in two major trials, FIGARO-DKD and FIDELIO. This finding supported the approval of finerenone by the U.S. Food and Drug Administration (FDA) for the treatment of chronic kidney disease (CKD). A subgroup analysis in the pooled FIDELITY trial demonstrated that in patients with CKD stages 1-4 and type 2 diabetes (T2D), the cardio- and nephroprotective effects of finerenone were independent of concomitant therapy with SGLT-2 inhibitors or GLP-1 receptor agonists. Thus, the role of finerenone in slowing CKD progression in T2D can be considered well-established. Given its albuminuria-reducing effects, f

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Adults (\> 18 years) with the primary IgAN diagnosed by kidney biopsy; * Treatment with stable doses of iRAS or/and iSGLT2 inhibitors for at least 3 months prior inclusion into the trial; * Blood pressure \< 140/90 mm Hg * 24-hour urinary albumin excretion \> 300 mg Exclusion Criteria: * Kidney transplantation in medical history * Chronic hepatic disease, including hepatitis, malignant tumor, active malignancy; * Heart failure with ejection fraction \<40%; * Acute myocardial infarction and/or stroke less then 3 months before including in trial; * Presence ANCA in serum * Ongoing immunosuppressive treatment * eGFR \< 20 ml/min * Pregnancy and breastfeeding * Uncontrolled blood pressure
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What it tests

  • Finerenone
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Where

1 site
Botkin Hospital
Moscow, Russia
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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