Clinical Trials

Numerous clinical trials evaluate finerenone across Phase 1 through Phase 4, including Early Phase 1 and observational studies, focusing on conditions such as chronic kidney disease, type 2 diabetes mellitus, heart failure, primary aldosteronism, and Alport syndrome. Sponsored by pharmaceutical companies like Bayer as well as academic institutions like University Hospital Goettingen, these studies include Phase 3 pediatric heart failure trials and Phase 4 primary aldosteronism evaluations. Across these studies, recruitment statuses range from recruiting and completed to active not recruiting and not yet recruiting.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07192952 RECRUITING
Left Ventricular Systolic Dysfunction; Heart Failure (Pediatric)
Bayer
2026-06-01 PHASE3
NCT07270367 NOT_YET_RECRUITING
Heart Failure
Subodh Verma
2025-12 PHASE3
NCT07575672 NOT_YET_RECRUITING
HFpEF - Heart Failure With Preserved Ejection Fraction; TAVI(Transcatheter Aortic Valve Implantation); Finerenone
Second Affiliated Hospital, Zhejiang University, School of Medicine
2026-07-01 PHASE3
NCT07594145 NOT_YET_RECRUITING
Type 1 Diabetes; T1D Heart Failure; Cardio-renal Vascular Function and Failure; Diabetic Chronic Kidney Disease
Oregon Health and Science University
2026-11-01 PHASE2
NCT07188805 RECRUITING
Left Ventricular Systolic Dysfunction; Heart Failure (Pediatric)
Bayer
2025-11-19 PHASE3
NCT06082063 RECRUITING
Cardiovascular Diseases; Heart Failure; Type 1 Diabetes; Kidney Failure
Steno Diabetes Center Copenhagen
2024-07-01 PHASE3
NCT07547878 NOT_YET_RECRUITING
Chronic Kidney Disease; Type 2 Diabetes
Baylor Research Institute
2026-04-30 PHASE4
NCT07775846 NOT_YET_RECRUITING
Type 2 Diabetic Kidney Disease
Huijie Zhang
2026-09-01 PHASE4
NCT07775482 NOT_YET_RECRUITING
Acute Kidney Injury; Renal Insufficiency,Chronic; Kidney Diseases
Jean-Maxime Côté
2027-01
NCT07442448 ENROLLING_BY_INVITATION
Heart Failure and Preserved Ejection Fraction; Heart Failure; Heart Failure and Mildly Reduced Ejection Fraction
Cathay General Hospital
2026-04 PHASE4
NCT05457283 RECRUITING
Chronic Kidney Disease; Proteinuria; Children
Bayer
2022-11-08 PHASE3
NCT06058585 RECRUITING
Chronic Kidney Diseases
The George Institute
2024-09-04 PHASE3
NCT07799519 RECRUITING
Atrial Fibrillation (AF)
National Cheng-Kung University Hospital
2026-06-09 PHASE2
NCT07239570 RECRUITING
Chronic Kidney Disease(CKD)
Peter Rossing
2025-06-20 PHASE4
NCT07585526 NOT_YET_RECRUITING
MASLD; Chronic Kidney Diseases
Institute of Liver and Biliary Sciences, India
2026-04-15
NCT06906081 RECRUITING
Cardiovascular Autonomic Neuropathy; Type 2 Diabetes; Diabetic Neuropathies
Peter Rossing
2025-05-02 PHASE2
NCT07181135 ENROLLING_BY_INVITATION
Chronic Kidney Disease
University Medical Center Groningen
2026-03-13 PHASE3
NCT07397650 RECRUITING
Acute Heart Failure
Juntendo University
2026-05-11 PHASE4
NCT06024746 RECRUITING
Heart Failure
Colorado Prevention Center
2024-07-09 PHASE3
NCT06008197 RECRUITING
Heart Failure; Acute Heart Failure
Colorado Prevention Center
2024-01-17 PHASE3
NCT07667517 NOT_YET_RECRUITING
Albuminuria; Type 2 Diabetes Mellitus (T2DM); Chronic Kidney Diseases
First Affiliated Hospital of Zhejiang University
2026-07-01 PHASE4
NCT07583173 NOT_YET_RECRUITING
Heart Failure
China National Center for Cardiovascular Diseases
2026-05-15 PHASE4
NCT07315191 RECRUITING
Henoch Schönlein Purpura Nephritis
Capital Institute of Pediatrics, China
2025-06-13 PHASE4
NCT07356388 ACTIVE_NOT_RECRUITING
Kidney Transplantation Recipients; Proteinuria Patients
kewen Chen,MD
2025-01-30 PHASE3
NCT07155694 NOT_YET_RECRUITING
Diabetic Kidney Disease
Washington D.C. Veterans Affairs Medical Center
2026-10-01 PHASE4
NCT07598864 NOT_YET_RECRUITING
Diabetic Nephropathy
Chittagong Medical College
2026-05-01 PHASE3
NCT07678151 NOT_YET_RECRUITING
Hypertension (HTN)
Heart Health Research Center
2026-07-13
NCT05196035 ACTIVE_NOT_RECRUITING
Chronic Kidney Disease; Proteinuria
Bayer
2022-03-28 PHASE3
NCT07537088 NOT_YET_RECRUITING
T2DM (Type 2 Diabetes Mellitus); CKD - Chronic Kidney Disease
First Affiliated Hospital of Wannan Medical College
2026-05 PHASE4
NCT06059664 RECRUITING
Kidney Transplant; Complications
University of North Carolina, Chapel Hill
2024-04-23 PHASE2
NCT07688928 RECRUITING
Primary Aldosteronism; Endocrine Hypertension
Bangladesh Medical University
2026-04-15
NCT07026539 RECRUITING
Type 2 Diabetes Mellitus (T2DM); Chronic Kidney Disease Due to Type 2 Diabetes Mellitus; Cardiovascular Diseases
University of Aarhus
2024-10-23 PHASE4
NCT07235891 NOT_YET_RECRUITING
Retinal Nerve Fiber Layer Thickness; Chronic Kidney Disease
Alexandria University
2025-11-20 PHASE4
NCT06954090 ENROLLING_BY_INVITATION
Type 2 DM; Type 2 DM /Diabetic Nephropathy; Albuminuria
Steno Diabetes Center Copenhagen
2025-11-20 PHASE4
NCT06573411 RECRUITING
Primary Membranous Nephropathy
First Affiliated Hospital, Sun Yat-Sen University
2024-09-30 PHASE4
NCT07523867 NOT_YET_RECRUITING
Heart Failure; Diabetic Kidney Disease; Hyperkalemia
Hospital de Messejana Dr. Carlos Alberto Studart Gomes
2026-04 PHASE4
NCT06033950 RECRUITING
Heart Failure
Colorado Prevention Center
2024-08-20 PHASE3
NCT06727409 RECRUITING
Patients With Type 2 Diabetes
Chinese University of Hong Kong
2024-12-12 PHASE4
NCT07223502 RECRUITING
Hypertension (HTN)
Sarfez Pharmaceuticals, Inc.
2025-12-01 PHASE3
NCT07326631 NOT_YET_RECRUITING
Diabetic Kidney Disease (DKD); Heart Failure
College of Physicians and Surgeons Pakistan
2026-01-01
NCT06580288 NOT_YET_RECRUITING
IgA Nephropathy
Zhejiang University
2024-10-08 PHASE3
NCT07056595 RECRUITING
IgA Nephropathy (IgAN)
Botkin Hospital
2025-05-21
NCT07351864 NOT_YET_RECRUITING
Heart Failure
Mansoura University
2026-01-18 PHASE4
NCT06835322 COMPLETED
Glomerulonephritis
Alexandria University
2025-04-01 PHASE2
NCT05047263 COMPLETED
Non-diabetic Chronic Kidney Disease
Bayer
2021-09-21 PHASE3
NCT06244758 COMPLETED
Type2diabetes
University of Erlangen-Nürnberg Medical School
2024-01-18 PHASE3
NCT06818305 TERMINATED
Renal Cell Carcinoma (Kidney Cancer); Renal Cell Carcinoma (RCC); Nephrectomy; Chronic Kidney Disease(CKD)
Jinling Hospital, China
2025-01-01 PHASE2
NCT06094920 COMPLETED
Diabetes Mellitus Type 2 With Proteinuria; Diabetes Mellitus, Type 2; Diabetes Mellitus; Diabetes; Diabetes Complications; Albuminuria; Chronic Kidney Diseases; Chronic Kidney Disease Due to Type 2 Diabetes Mellitus; Chronic Kidney Disease stage3; Chronic Kidney Disease stage4; CKD; CKD Stage 3; CKD Stage 4
University Medical Center Groningen
2024-07-29 PHASE4
NCT05901831 COMPLETED
Chronic Kidney Disease; Type 1 Diabetes Mellitus
Bayer
2024-02-26 PHASE3
NCT05705271 COMPLETED
Chronic Kidney Disease; Type 2 Diabetes Mellitus
Bayer
2023-02-08 PHASE4
NCT06381323 COMPLETED
Primary Aldosteronism; Finerenone; Mineralocorticoid Receptor Antagonist
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
2024-03-01 PHASE4
NCT06457074 UNKNOWN
Primary Aldosteronism
Qifu Li
2024-06-04 PHASE4
NCT05254002 COMPLETED
Type 2 Diabetes Mellitus; Chronic Kidney Disease
Bayer
2022-06-23 PHASE2
NCT05814770 UNKNOWN
Primary Aldosteronism; Hypertension
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
2023-05 PHASE4
NCT05887817 UNKNOWN
Type 2 Diabetes; Chronic Kidney Diseases
Saga University
2023-09-07 PHASE4
NCT06164379 UNKNOWN
Primary Aldosteronism
Shanghai Jiao Tong University School of Medicine
2023-12-16 PHASE4
NCT06330974 Not yet recruiting
Asthma|Asthma in Children|Allergy|Rhinitis Allergic|Atopic Dermatitis|Allergen Immunotherapy
Tampere University|Professor Lauri Lehtimäki|Professor Mika Mäkelä|Professor Sanna Toppila-Salmi|Professor Ilkka Junttila
2024-10 --
NCT05897372 TERMINATED
Diabetic Kidney Disease
Iain Bressendorff
2023-08-01 PHASE2
NCT06402760 Not yet recruiting
Psoriasis|Diabetes
Shanghai Yueyang Integrated Medicine Hospital|Shanghai Hongkou District Center for Disease Control And Prevention
2024-07-01 Early Phase 1
NCT04435626 COMPLETED
Heart Failure
Bayer
2020-09-14 PHASE3
NCT06359418 Not yet recruiting
Obesity|Pre-diabetes
Guang''anmen Hospital of China Academy of Chinese Medical Sciences|Hubei Hospital of Traditional Chinese Medicine|The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine|Dongfang Hospital Beijing University of Chinese Medicine|Guangdong Provincial Hospital of Traditional Chinese Medicine|Heilongjiang Academy of traditional Chinese Medicine
2024-04-10 Not Applicable
NCT05924620 COMPLETED
Primary Aldosteronism
Chongqing Medical University
2023-06-21 PHASE4
NCT07116512 COMPLETED
Heart Failure With Left Ventricular Ejection Fraction Greater Than or Equal to 40 Per Cent; Healthy Volunteers
Bayer
2023-05-02 PHASE1
NCT05013008 COMPLETED
Chronic Kidney Disease; Type 2 Diabetes Mellitus
Bayer
2021-08-18 PHASE2
NCT04795726 COMPLETED
Diabetic Retinopathy
Bayer
2021-03-10
NCT02545049 COMPLETED
Diabetic Kidney Disease
Bayer
2015-09-17 PHASE3
NCT02540993 COMPLETED
Chronic Kidney Disease
Bayer
2015-09-17 PHASE3
NCT02957396 COMPLETED
Pharmacokinetics
Bayer
2016-11-17 PHASE1
NCT02956109 COMPLETED
Pharmacokinetics
Bayer
2016-11-16 PHASE1
NCT01807221 COMPLETED
Heart Failure
Bayer
2013-06-17 PHASE2
NCT04881994 COMPLETED
Worsening Chronic Heart Failure; Diabetic Nephropathy
Bayer
2014-03-25 PHASE1
NCT01874431 COMPLETED
Diabetic Nephropathies
Bayer
2013-06-12 PHASE2
NCT04908436 COMPLETED
Worsening Chronic Heart Failure; Chronic Kidney Disease
Bayer
2010-10-27 PHASE1
NCT01473108 COMPLETED
Clinical Pharmacology
Bayer
2010-03-29 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-06-29)

Check the Finerenone (BAY 94-8862) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Finerenone acts as a highly selective nonsteroidal mineralocorticoid receptor antagonist that competitively binds to the receptor with an IC50 of 18 nM, thereby inhibiting aldosterone-dependent nuclear translocation and transcriptional activation. By blocking these pro-inflammatory and pro-fibrotic signaling pathways within cardiovascular and renal tissues, finerenone reduces vascular inflammation, cellular hypertrophy, and fibrotic scarring, which provides therapeutic benefit in clinical conditions such as chronic kidney disease and type 2 diabetes mellitus.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.