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Efficacy and safety of finerenone in patients with chronic kidney disease: an individual participant data pooled analysis (INFINITY) - PubMed

4 hours ago
  • #meta-analysis
  • #finerenone
  • #chronic kidney disease
  • Finerenone, a non-steroidal mineralocorticoid receptor antagonist, was evaluated for efficacy and safety across CKD patients, irrespective of disease cause, glycemia, eGFR, or albuminuria levels.
  • Pooled analysis of three trials (FIDELIO-DKD, FIGARO-DKD, FIND-CKD) involving 14,574 participants showed finerenone reduced kidney outcome risk by 24% and cardiovascular outcome risk by 20% compared to placebo.
  • Finerenone consistently reduced risks of kidney failure, cardiovascular death, heart failure hospitalization, and all-cause death across diverse patient subgroups.
  • Hyperkalaemia incidence was higher with finerenone but rarely led to hospitalization, supporting its broad use as a foundational CKD therapy.