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Mineralocorticoid Receptor Antagonist

Finerenone for Chronic Kidney Disease in Type 1 Diabetes (FINE-ONE Trial)

Phase 3
Recruiting
Research Sponsored by Bayer
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Participants with a clinical diagnosis of CKD and fulfilling both the criteria (central assessment): eGFR ≥25 and <90 mL/min/1.73 m^2 using CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) 2009 formula at the Screening visit, UACR ≥200 mg/g (22.6 mg/mmol) to <5000 mg/g (565 mg/mmol) at the Screening visit (geometric mean of the 3 measurements)
Participant must be ≥18 years of age (or the legal age of consent according to local legislation) at the time of signing the informed consent.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from baseline up to 7 months
Awards & highlights

FINE-ONE Trial Summary

This trial is for people with type 1 diabetes and chronic kidney disease. Researchers want to learn if a drug called finerenone works better than a placebo to reduce kidney disease from getting worse.

Who is the study for?
Adults with Type 1 diabetes and chronic kidney disease (CKD) who are on stable blood pressure medication can join. They must have a certain level of kidney function, protein in urine, and controlled blood sugar levels. People with heart failure needing specific treatments or those recently on certain diabetes medications cannot participate.Check my eligibility
What is being tested?
The trial is testing if Finerenone, which blocks proteins that may harm kidneys and the heart, is more effective than a placebo at slowing CKD progression in people with Type 1 diabetes. Participants will also continue their standard care treatments during the study.See study design
What are the potential side effects?
Potential side effects include medical problems arising from treatment (TEAEs), serious TEAEs requiring hospitalization or causing disability, and high potassium levels in the blood (hyperkalaemia).

FINE-ONE Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have chronic kidney disease with specific kidney function and protein levels.
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I am at least 18 years old or the legal age in my country.

FINE-ONE Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from baseline up to 7 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and from baseline up to 7 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in Urinary albumin-to-creatinine ratio (UACR)
Secondary outcome measures
Number of participants with Hyperkalaemia
Number of participants with treatment-emergent adverse events (TEAEs), Treatment-emergent serious adverse event (TESAEs)

FINE-ONE Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Finerenone armExperimental Treatment1 Intervention
Participants with eGFR ≥25 to <60 mL/min/1.73 m^2 at Screening visit will take Finerenone Dose A. Participants with eGFR ≥60 mL/min/1.73 m^2 at Screening visit will take Dose B. Up-titration and down-titration of study intervention will be based on local potassium and kidney function (eGFR) values. Treatment duration is 6 months.
Group II: Placebo armPlacebo Group1 Intervention
Participants will take Finerenone matching placebo for 6 months.

Find a Location

Who is running the clinical trial?

BayerLead Sponsor
2,240 Previous Clinical Trials
25,332,557 Total Patients Enrolled

Media Library

Finerenone (Mineralocorticoid Receptor Antagonist) Clinical Trial Eligibility Overview. Trial Name: NCT05901831 — Phase 3
Chronic Kidney Disease Research Study Groups: Placebo arm, Finerenone arm
Chronic Kidney Disease Clinical Trial 2023: Finerenone Highlights & Side Effects. Trial Name: NCT05901831 — Phase 3
Finerenone (Mineralocorticoid Receptor Antagonist) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05901831 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any facilities in North America conducting this research project?

"Currently, this clinical trial is enrolling patients at University of Colorado School of Medicine - Barbara Davis Center for Childhood Diabetes (BDC) in Aurora, Colorado; Elixia Fort Lauderdale, LLC (Renal Electrolyte and Hypertension Consultants) in Orlando, Florida; Hanson Diabetes Center in Port Charlotte, Georgia; as well as 42 other sites."

Answered by AI

Is the recruitment process still open for this clinical trial?

"According to the data provided on clinicaltrials.gov, this trial is not accepting new participants. It was initially listed on September 29th 2023 and last updated June 5th 2023; however, there are still 1784 other studies recruiting patients now."

Answered by AI

What potential risks may be associated with a Finerenone arm for patients?

"Data surrounding the safety of Finerenone has been deemed adequate, therefore it was allocated a 3 on our team's scale. This trial being Phase 3 indicates that efficacy and safety have both undergone multiple rounds of evaluation."

Answered by AI

Who else is applying?

What site did they apply to?
Morehouse School of Medicine | Clinical Research Centre
What portion of applicants met pre-screening criteria?
Did not meet criteria
~147 spots leftby Sep 2025