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Clinical Trials List

Protocol Number20186
NCT Number(ClinicalTrials.gov Identfier)NCT05457283
Active

2025-11-01 - 2029-05-31

Phase III

Recruiting5

An 18-month, Open-label, Single-arm Safety Extension Study of an age-and Bodyweight-adjusted Oral Finerenone Regimen, in Addition to an ACEI or ARB, for the Treatment of Children and Young Adults From 1 to 18 Years of Age With Chronic Kidney Disease and Proteinuria

  • Trial Applicant

    BAYER TAIWAN COMPANY LTD.

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/08/18

Investigators and Locations

Principal Investigator I-JUNG TSAI Division of Pediatrics

Co-Principal Investigator

Principal Investigator Min-Hua Tseng Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 田祐霖 Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 邱益煊 Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 王馨慧 Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Yuan-Yow Chiou

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Chronic Kidney Disease

Objectives

主要試驗的目的為提供有關finerenone用於治療CKD兒童及年輕成年患者的長期安全性資料。此外,試驗的其他目標包括收集finerenone的長期療效資料,並為先前於FIONA試驗中接受治療的所有受試者提供持續使用finerenone的機會。

Test Drug

錠劑
錠劑
懸浮液用顆粒劑
懸浮液用顆粒劑

Active Ingredient

Finerenone micronized
BAY 94-8862 granules 3.4% 3 g for oral suspension
BAY 94-8862 granules 3.4% 6 g for oral suspension

Dosage Form

110
110
15C
15C

Dosage

10 mg/ tablet
20 mg/ tablet
2.0 mg/mL

Endpoints

-治療中產生不良事件(TEAE)的受試者人數
-血清鉀離子濃度自基期至第540 ± 7天(第14次回診,治療結束[EoT])的變化
-收縮壓(SBP)自基期至第540 ± 7天(第14次回診,EoT)的變化

Inclution Criteria

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

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

The Estimated Number of Participants

  • Taiwan

    14 participants

  • Global

    193 participants