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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT05196035




Registration number
NCT05196035
Ethics application status
Date submitted
7/01/2022
Date registered
19/01/2022

Titles & IDs
Public title
A Study to Learn More About How Well the Study Treatment Finerenone Works, How Safe it is, How it Moves Into, Through, and Out of the Body, and the Effects it Has on the Body When Taken With an ACE Inhibitor or Angiotensin Receptor Blocker in Children With Chronic Kidney Disease and Proteinuria
Scientific title
A 6-month Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety and PK/PD of an age-and Body Weight-adjusted Oral Finerenone Regimen, in Addition to an ACEI or ARB, for the Treatment of Children, 6 Months to <18 Years of Age, With Chronic Kidney Disease and Proteinuria
Secondary ID [1] 0 0
2023-504884-17-00
Secondary ID [2] 0 0
19920
Universal Trial Number (UTN)
Trial acronym
FIONA
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Chronic Kidney Disease 0 0
Proteinuria 0 0
Condition category
Condition code
Renal and Urogenital 0 0 0 0
Kidney disease
Renal and Urogenital 0 0 0 0
Other renal and urogenital disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Finerenone (Kerendia, BAY94-8862)
Treatment: Drugs - Placebo

Experimental: Finerenone (Kerendia, BAY94-8862) - Participants will receive finerenone treatment.

Placebo comparator: Placebo - Participants will receive placebo to finerenone.


Treatment: Drugs: Finerenone (Kerendia, BAY94-8862)
Finerenone in different doses, treatment duration will be 180±7 days

Treatment: Drugs: Placebo
Placebo to finerenone, treatment duration will be 180±7 days
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Urinary protein-to-creatinine ratio (UPCR) reduction of at least 30% from baseline to day 180±7
Timepoint [1] 0 0
From baseline to day 180±7
Secondary outcome [1] 0 0
Number participants with treatment emergent adverse events (TEAEs)
Timepoint [1] 0 0
From the start of study intervention to last study intervention + 3 days (up to 190 days)
Secondary outcome [2] 0 0
Change in serum potassium levels from baseline to day 180±7
Timepoint [2] 0 0
From baseline to day 180±7
Secondary outcome [3] 0 0
Change in serum creatinine from baseline to day 180±7
Timepoint [3] 0 0
From baseline to day 180±7
Secondary outcome [4] 0 0
Change in eGFR from baseline to day 180±7
Timepoint [4] 0 0
From baseline to day 180±7
Secondary outcome [5] 0 0
Change in systolic blood pressure from baseline to day 180±7
Timepoint [5] 0 0
From baseline to day 180±7
Secondary outcome [6] 0 0
Mean reduction from baseline to day 180±7 in UPCR
Timepoint [6] 0 0
From baseline to day 180±7
Secondary outcome [7] 0 0
Change in UACR from baseline to day 180±7
Timepoint [7] 0 0
From baseline to day 180±7
Secondary outcome [8] 0 0
Pharmacokinetics (PK) finerenone Cmax, md
Timepoint [8] 0 0
Pre-dose, post-dose (1.5-5 hours after intake of intervention), up to day 180±7
Secondary outcome [9] 0 0
Pharmacokinetics (PK) finerenone AUCt,md
Timepoint [9] 0 0
Pre-dose, post-dose (1.5-5 hours after intake of intervention), up to day 180±7
Secondary outcome [10] 0 0
Taste and texture questionnaire of the pediatric formulation
Timepoint [10] 0 0
On day 30±3 and day 180±7

Eligibility
Key inclusion criteria
* Participants must be 6 months to <18 years old at the time when the informed consent/assent is signed
* Participants must have a clinical diagnosis of chronic kidney disease (CKD) at screening which is defined as

* CKD stages 1-3 (eGFR =30 mL/min/1.73m^2) for children =1 year to <18 years of age or
* a serum creatinine = 0.40 mg/dL for infants 6 months to < 1 year of age and
* severely increased proteinuria as defined by

* Urinary protein-to-creatinine ratio (UPCR) of = 0.50 g/g in participants = 2 years with CKD stage 2 and 3 or
* UPCR = 1.0 g/g for patients < 2 years of age or = 2 years of age and with CKD stage 1
* Participants must have stable kidney function between screening and D0 defined as:

* For participants with a creatinine of > 0.8 mg/dL at screening: no increase or decrease in eGFR by = 20% at D0
* For participants with a creatinine of = 0.8 mg/dL at screening: no increase or decrease in creatinine = 0.15 mg/dL at D0.
* Treated with an angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) at optimized doses defined as maximally tolerable doses within the recommended dose range according to guidelines on blood pressure management, unchanged for at least 30 days prior to screening
* K+ =5.0 mmol/L for children =2 years of age at both screening and D0, and =5.3 mmol/L for children <2 years of age at both screening and D0
Minimum age
6 Months
Maximum age
17 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Planned urological surgery expected to influence renal function
* Children with hemolytic uremic syndrome (HUS) diagnosed =6 months prior to screening
* Patients with nephrotic syndrome receiving albumin infusions within the last 6 months prior to screening
* Patients who are candidates for renal transplantation, i.e., a kidney transplantation scheduled within the study time frame
* Renal allograft in place
* Bilateral renal artery stenosis
* Acute kidney injury requiring dialysis within 6 months prior to screening
* Systemic hypertension stage 2 in children =1 year of age defined according to guidelines on blood pressure management at screening or randomization
* Systolic blood pressure (SBP) above 110 mmHg in infants 6 months to <1 year of age at screening or randomization
* Systemic hypotension defined as a systolic blood pressure below the 5th percentile for age, sex and height at either screening or randomization but no lower than 80 mmHg (although for some participants the 5th percentile of SBP is < 80 mmHg they must be excluded if their SBP is <80 mmHg)
* Participants with immune-mediated CKD using rituximab, cyclophosphamide, abatacept, or high-dose glucocorticoids, within <6 months prior to screening

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
28/03/2022
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
11/03/2027
Actual
Sample size
Target
219
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
QLD,VIC
Recruitment hospital [1] 0 0
Queensland Children's Hospital - South Brisbane
Recruitment hospital [2] 0 0
Monash Children's Hospital - Clayton
Recruitment hospital [3] 0 0
Royal Children's Hospital Melbourne - Parkville
Recruitment postcode(s) [1] 0 0
4101 - South Brisbane
Recruitment postcode(s) [2] 0 0
3168 - Clayton
Recruitment postcode(s) [3] 0 0
3052 - Parkville
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
District of Columbia
Country [3] 0 0
United States of America
State/province [3] 0 0
Florida
Country [4] 0 0
United States of America
State/province [4] 0 0
Iowa
Country [5] 0 0
United States of America
State/province [5] 0 0
Maryland
Country [6] 0 0
United States of America
State/province [6] 0 0
Missouri
Country [7] 0 0
United States of America
State/province [7] 0 0
Ohio
Country [8] 0 0
United States of America
State/province [8] 0 0
Oregon
Country [9] 0 0
United States of America
State/province [9] 0 0
Pennsylvania
Country [10] 0 0
United States of America
State/province [10] 0 0
Texas
Country [11] 0 0
United States of America
State/province [11] 0 0
Utah
Country [12] 0 0
United States of America
State/province [12] 0 0
Washington
Country [13] 0 0
Argentina
State/province [13] 0 0
Ciudad Auton. De Buenos Aires
Country [14] 0 0
Argentina
State/province [14] 0 0
Provincia De San Luis
Country [15] 0 0
Argentina
State/province [15] 0 0
Provincia De Santa Fe
Country [16] 0 0
Argentina
State/province [16] 0 0
Buenos Aires
Country [17] 0 0
Austria
State/province [17] 0 0
Oberösterreich
Country [18] 0 0
Austria
State/province [18] 0 0
Steiermark
Country [19] 0 0
Austria
State/province [19] 0 0
Salzburg
Country [20] 0 0
Austria
State/province [20] 0 0
Wien
Country [21] 0 0
Belgium
State/province [21] 0 0
Bruxelles - Brussel
Country [22] 0 0
Belgium
State/province [22] 0 0
Gent
Country [23] 0 0
Belgium
State/province [23] 0 0
Leuven
Country [24] 0 0
Belgium
State/province [24] 0 0
Liège
Country [25] 0 0
Canada
State/province [25] 0 0
Alberta
Country [26] 0 0
Canada
State/province [26] 0 0
Ontario
Country [27] 0 0
Canada
State/province [27] 0 0
Quebec
Country [28] 0 0
Czechia
State/province [28] 0 0
Praha 2
Country [29] 0 0
Czechia
State/province [29] 0 0
Praha 5
Country [30] 0 0
Denmark
State/province [30] 0 0
Copenhagen
Country [31] 0 0
Denmark
State/province [31] 0 0
Odense C
Country [32] 0 0
Denmark
State/province [32] 0 0
Århus N
Country [33] 0 0
Finland
State/province [33] 0 0
Helsinki
Country [34] 0 0
Finland
State/province [34] 0 0
Tampere
Country [35] 0 0
Finland
State/province [35] 0 0
Turku
Country [36] 0 0
France
State/province [36] 0 0
BORDEAUX cedex
Country [37] 0 0
France
State/province [37] 0 0
Bron
Country [38] 0 0
France
State/province [38] 0 0
Montpellier
Country [39] 0 0
France
State/province [39] 0 0
Paris
Country [40] 0 0
France
State/province [40] 0 0
Strasbourg
Country [41] 0 0
France
State/province [41] 0 0
TOULOUSE Cedex 9
Country [42] 0 0
Germany
State/province [42] 0 0
Baden-Württemberg
Country [43] 0 0
Germany
State/province [43] 0 0
Niedersachsen
Country [44] 0 0
Germany
State/province [44] 0 0
Nordrhein-Westfalen
Country [45] 0 0
Germany
State/province [45] 0 0
Berlin
Country [46] 0 0
Germany
State/province [46] 0 0
Hamburg
Country [47] 0 0
Greece
State/province [47] 0 0
Athens
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Greece
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Heraklion
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Greece
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Ioannina
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Greece
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Thessaloniki
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Hungary
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Budapest
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Hungary
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Debrecen
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Hungary
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Pecs
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Hungary
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Szeged
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Israel
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Beer Sheva
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Israel
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Jerusalem
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Israel
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Nahariya
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Israel
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Petach Tikva
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Israel
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Tel Aviv
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Italy
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Emilia-Romagna
Country [61] 0 0
Italy
State/province [61] 0 0
Lazio
Country [62] 0 0
Italy
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Liguria
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Italy
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Lombardia
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Italy
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Firenze
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Italy
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Torino
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Korea, Republic of
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Daegu Gwang''yeogsi
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Korea, Republic of
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Gyeonggido
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Korea, Republic of
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Gyeongsangnamdo
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Korea, Republic of
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Seoul Teugbyeolsi
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Lithuania
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Kaunas
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Lithuania
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Klaipeda
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Lithuania
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Vilnius
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Netherlands
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Groningen
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Netherlands
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Utrecht
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Poland
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Bialystok
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Poland
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Gdansk
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Poland
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Lodz
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Poland
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Warszawa
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Portugal
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Braga
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Portugal
State/province [80] 0 0
Porto
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Spain
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Barcelona
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Spain
State/province [82] 0 0
Madrid
Country [83] 0 0
Spain
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Málaga
Country [84] 0 0
Spain
State/province [84] 0 0
Sevilla
Country [85] 0 0
Sweden
State/province [85] 0 0
Lund
Country [86] 0 0
Sweden
State/province [86] 0 0
Stockholm
Country [87] 0 0
Switzerland
State/province [87] 0 0
Basel-Stadt
Country [88] 0 0
Switzerland
State/province [88] 0 0
Vaud
Country [89] 0 0
Switzerland
State/province [89] 0 0
Geneva
Country [90] 0 0
Turkey
State/province [90] 0 0
Adana
Country [91] 0 0
Turkey
State/province [91] 0 0
Ankara
Country [92] 0 0
Turkey
State/province [92] 0 0
Istanbul
Country [93] 0 0
United Kingdom
State/province [93] 0 0
Glasgow
Country [94] 0 0
United Kingdom
State/province [94] 0 0
London
Country [95] 0 0
United Kingdom
State/province [95] 0 0
Manchester
Country [96] 0 0
United Kingdom
State/province [96] 0 0
Nottingham

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Bayer
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Bayer Clinical Trials Contact
Address 0 0
Country 0 0
Phone 0 0
(+) 1-888-84 22937
Fax 0 0
Email 0 0
clinical-trials-contact@bayer.com
Contact person for scientific queries

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
No/undecided IPD sharing reason/comment
Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014.

Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.


Results not provided in https://clinicaltrials.gov/study/NCT05196035