A Study to Learn How Well the Study Treatment Finerenone Works and How Safe it is in People With Long-term Decrease in the Kidneys' Ability to Work Properly (Chronic Kidney Disease) Together With Type 1 Diabetes (FINE-ONE)
Chronic Kidney Disease, Type 1 Diabetes Mellitus
About this trial
This is an interventional treatment trial for Chronic Kidney Disease
Eligibility Criteria
Inclusion Criteria: 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. Participants with Type 1 diabetes (T1D), i.e. T1D continuously treated with insulin, started within one year from diagnosis. If the onset was after age 35, documentation of the presence of one or more of the following: Circulating T1D-associated autoantibodies Hospitalization for diabetic ketoacidosis Plasma C-peptide below the limit of detection with standard assay (with concurrent blood glucose >100 mg/dl). HbA1c at Screening <10% (central assessment). Note: One reassessment is allowed for HbA1c during the Screening period in case the first measurement is missing/unreadable/invalid. K+ ≤ 4.8 mmol/L at Screening (local assessment) 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) Participants on a stable (preferably without any change in the dosage for at least 4 weeks prior to the Screening visit) ACEI (Angiotensin-converting enzyme inhibitor) or ARB (Angiotensin receptor blocker) treatment. Exclusion Criteria: Participant with T2D (Type 2 diabetes). Participant with mean BP (Blood pressure) higher than 160/100 mmHg or mean systolic BP lower than 90 mmHg at the Screening visit Symptomatic heart failure with reduced ejection fraction with class 1A indication for Mineralocorticoid receptor antagonists (MRAs). Participants with current or previous (within 8 weeks prior to the Screening visit) treatment with a SGLT-2/-1 (Sodium-Glucose co-transporter-2/-1) inhibitor or GLP1 (Glucagon-like peptide-1) receptor agonist.
Sites / Locations
- Stanford Health Care (SHC)
- Touro University (TU) - College of Osteopathic Medicine (TUCOM) - California
- University of Colorado School of Medicine - Barbara Davis Center for Childhood Diabetes (BDC)
- Christiana Care Health System (Services)
- University of Miami Leonard M. Miller School of Medicine (UMMSM) - Peggy and Harold Katz Family Drug Discovery Center
- Elixia Central Florida
- Hanson Clinical Research Center, Inc.
- Jedidiah Clinical Research
- Metabolic Research Institute, Inc.
- Morehouse School of Medicine | Clinical Research Centre
- Northwestern University
- University of Iowa Hospitals & Clinics
- Wichita Nephrology Group Pa
- Tulane Medical Center (TMC) - Tulane Lakeside Specialty Clinic
- Omega Clinical Research Center
- MedStar Health Research Institute
- Harvard Medical School - Joslin Diabetes Center and Joslin Clinic (JDC)
- University of Michigan Health System (UMHS) - Metabolism Endocrinology & Diabetes Clinic (MEND) at Domino's Farms
- University of Missouri Health Care
- Washington University School of Medicine in St. Louis
- Cleveland Clinic - Main Campus
- University of North Carolina (UNC) - Hospitals Outpatient Center at Eastowne
- Physicians East, P.A. - Endocrinology
- Carolina Health Specialists - Medical Complex - 82nd Parkway Location
- University of Texas Health San Antonio
- Consano Clinical Research, LLC.
- Eastern Virginia Medical School (EVMS) - Strelitz Diabetes Center
- Providence Medical Group - Spokane Nephrology - Providence Kidney Care Spokane
- Alberta Health Services (AHS) - Richmond Road Diagnostic and Treatment Centre (RRDTC)
- Alberta Diabetes Institute Clinical Research Unit
- Centre de Recherche Clinique de Laval (CRCL)
- McGill University Health Centre (MUHC) - Research Institute (RI) - McConnell Centre for Innovative Medicine (CIM)
- Toronto General Hospital - University Health Network, Renal Physiology laboratory
- Zhongshan People's Hospital
- The 4th Affiliated Hospital of Harbin Medical University
- The Central Hospital of Wuhan, Tongji Medl Collg Huazhong...
- Affiliated Hospital of Jiangsu University
- Shanxi Bethune Hospital
- Peking University People's Hospital
- Southern Medical University - Nanfang Hospital (Southern Hospital)
- Nanjing Medical University (NMU) - Huai'an First People's Hospital
- Nanjing Medical University (NMU) - The Second Affiliated Hospital
- Fudan University - Shanghai Minhang District Central Hospital
- Zhongshan Hospital Fudan University, Qingpu Branch
- Aalborg Universitetshospital
- Sydvestjysk Sygehus - Esbjerg
- Steno Diabetes Center Copenhagen
- Regionshospitalet Gødstrup
- Nordsjaellands Hospital - Hillerod
- Odense Universitetshospital, Endokrinologisk Afd. M
- InnoDiab Forschung GmbH
- Ruhr-Universitaet Bochum - Herz und Diabeteszentrum NRW (Heart and Diabetes Center)
- A.O.U. di Bologna Policlinico S.Orsola Malpighi
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
- A.O.U. Careggi
- ASST Papa Giovanni XXIII (Azienda Ospedaliera Papa Giovanni XXIII)
- Azienda Sanitaria Locale TO 5 - Ospedale Maggiore Chieri
- Università degli Studi "G. D'Annunzio" Chieti - Endocrinologia
- Ospedale FBF e Oftalmico Milano
- Ospedale San Raffaele (HSR) (Istituto Scientifico Universitario San Raffaele)
- ASST Santi Paolo e Carlo - Ospedale San Paolo Polo Universitario
- Seoul National University Hospital
- Korea University Anam Hospital
- Asan Medical Center
- Severance Hospital, Yonsei University Health System
- Gerencia de Gestion Integrada A Coruna | Department of Endocrinology and Nutrition
- Hospital Clinic de Barcelona | Instituto Clinic de Enfermedades Digestivas y Metabolicas - Endocrinologia y Nutricion
- Hospital Vithas Sevilla | Endocrinology Department
- Hospital Gregorio Maranon | Endocrinology Department
- Hospital Universitario Puerta de Hierro Majadahonda | Clinical Pharmacology Department
- Hospital Universitario Virgen de la Victoria | Unidad de Investigacion Clinica - Endocrinology Department
- North Bristol NHS Trust - Southmead Hospital
- University Hospitals of Derby and Burton NHS Foundation Trust - Royal Derby Hospital
- NHS Greater Glasgow and Clyde (NHSGGC) - Glasgow Royal Infirmary (GRI)
- Royal London Hospital
- Wythenshawe Hospital
- Walsall Healthcare NHS Trust - Manor Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Finerenone arm
Placebo arm
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.
Participants will take Finerenone matching placebo for 6 months.