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Clinical Trials List

Protocol Number19920
NCT Number(ClinicalTrials.gov Identfier)NCT05196035
Active

2025-05-01 - 2027-11-30

Phase III

Recruiting6

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

  • Trial Applicant

    BAYER TAIWAN COMPANY LTD.

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/04/10

Investigators and Locations

Principal Investigator I-JUNG TSAI Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 王馨慧醫師 Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 邱益煊醫師 Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 田祐霖醫師 Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Min-Hua Tseng Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 邱元佑醫師

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Chronic Kidney Disease 、Proteinuria

Objectives

Primary trial objective: To demonstrate that finerenone plus an ACEI or ARB is superior to placebo in reducing urinary protein excretion. Secondary trial objectives: • To evaluate the safety profile of finerenone plus standard of care (SoC) in children with CKD compared to placebo. • To further support the efficacy of finerenone plus SoC compared to placebo. • To confirm the dosage and systemic exposure of finerenone in CKD patients. • To assess the acceptability and palatability of pediatric formulations for the appropriate age.

Test Drug

Tablets

Tablets

Tablets

Granules for suspension

Granules for suspension

Active Ingredient

Finerenone micronized
Placebo
BAY 94-8862 micronized

Dosage Form

110
110
110
151
151

Dosage

10mg/ tablet
20mg/ tablet
N/A
3.4%(W/W)

Endpoints

Key endpoint:

• UPCR decrease of at least 30% from base period to day 180±7

According to the agreed PIP, the key endpoint is:

• Percentage change in UPCR from base period to day 180±7

Inclution Criteria

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

Exclusion Criteria

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

The Estimated Number of Participants

  • Taiwan

    14 participants

  • Global

    438 participants