Phase 3 study for people with Chronic Kidney Disease

Recruiting Phase 3

Sources: ClinicalTrials.gov Checked: 11 October 2026 Not medical advice

This trial at a glance

Status Recruiting
Phase Phase 3
Sponsor Bayer
Registry number NCT05457283
Started 8 November 2022 Today 16 October 2026 Estimated completion 7 August 2028

Where this trial is running

Trial sites and the status recorded for each
SiteCityState or countryStatus at this site
Queensland Children's Hospital South Brisbane QLD Active not recruiting
Monash Children's Hospital Clayton VIC Withdrawn
Royal Children's Hospital Melbourne Parkville VIC Recruiting

voxsanity.com.au · trial sites from public registries · registry record synced 11 October 2026 · not medical advice

Who can join

Age 1 Year to 18 Years
Sex Anyone, regardless of sex
Healthy volunteers Not accepted
Enrolment target 100

The official eligibility criteria

Registry text, reproduced exactly. These are the words the trial's sponsor published on ClinicalTrials.gov. They have not been edited, shortened or rewritten, and they are written for researchers rather than for patients.

Inclusion Criteria:

* Participants must be ≥1 year to 18 years of age, at the time of signing the informed consent/assent.

* Prior participation in the finerenone Phase 3 study FIONA (19920) and not permanently discontinued from treatment by the end of treatment (EoT) visit in FIONA.

* Participants must have a clinical diagnosis of chronic kidney disease (CKD) at Visit 1 which is defined as

* CKD stages 1-3 (estimated glomerular filtration rate \[eGFR\] ≥30 mL/min/1.73m\^2) for children ≥1 year to \<19 years of age at FIONA EoT and at Visit 1

* 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 (BP) management, unchanged for at least 30 days prior to Visit 1.

* K+ ≤5.0 mmol/L for children ≥2 years of age at both FIONA EoT and Visit 1, and ≤5.3 mmol/L for children \<2 years of age at both FIONA EoT and Visit 1

* Participants who have reached legal age of consent: Capable of giving signed informed consent.

* Participant is able to receive enteral feeding (solid food, bottle or cup fed, feeding through nasogastric or gastric feeding tubes) with or without breastfeeding.

Exclusion Criteria:

* Planned urological surgery expected to influence renal function

* Patients who are candidates for renal transplantation, i.e., a kidney transplantation scheduled within the study time frame

* Systemic hypertension Stage 2 defined according to institutional guidelines on BP management at Visit 1.

* Systemic hypotension defined as symptomatic hypotension or a mean systolic BP below the 5th percentile for age, sex and height but no lower than 80 mmHg for participants \<18 years and symptomatic hypotension or a mean systolic blood pressure (SBP) \<90 mmHg in participants ≥18 years at Visit 1.

* Known hypersensitivity to the study treatment (active substance or excipients)

* Severe hepatic insufficiency defined by e.g. Child-Pugh C or analogous scores.

* Participants using rituximab, cyclophosphamide, abatacept, or intravenous glucocorticoids

* Concomitant therapy with a mineralocorticoid receptor antagonist (MRA)(eplerenone, spironolactone, esaxerenone, canrenone), any renin inhibitor (aliskiren, enalkiren, remikiren), any sodium-glucose co-transporter-2 (SGLT2) inhibitor (SGLT2i), sacubitril/valsartan combination (ARNI), or potassium-sparing diuretic (amiloride, triamterene)

* Concomitant therapy with both ACEI and ARBs together

* Concomitant therapy with strong cytochrome P450 isoenzyme 3A4 (CYP3A4) inhibitors, moderate or strong CYP3A4 inducers

* Previous assignment to treatment during this study

* Simultaneous participation in another interventional clinical study (e.g., Phase 1 to 4 clinical studies).

* Any suspected (serious) adverse event related to study intervention which led to permanent discontinuation during the FIONA study.

* Pregnant or breastfeeding or intention to become pregnant during the study

Dates on the record

Started 8 November 2022
Estimated completion 7 August 2028
Registry last updated 24 September 2026
Checked by Voxsanity 11 October 2026

Results, publications and the official record

Sources and dates

  • ClinicalTrials.gov – the record this page reformats
  • ClinicalTrials.gov processing date: 24 September 2026.
  • This page last checked by Voxsanity: 11 October 2026.

Voxsanity reformats data from public registries into this layout. It does not edit, interpret or add to what the registry published.

Not medical advice.

Individual trial records are refreshed on a rolling basis rather than all at once, so a record may be up to several weeks old. Each trial page and trial card shows the date its own record was last synced. Where a record has lagged, its status, sites and enrolment can differ from the current registry state in either direction, so check the registry link on the trial page before acting on them.

Letter for your doctor

A one-page summary of this trial to print or email to your GP. It carries the registry's own record of the trial and its eligibility criteria, and nothing Voxsanity has written about whether it suits you.