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Finerenone study for PA

Exploratory, non-blinded, single-arm study of finerenone for primary aldosteronism

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCTs061250034
Enrollment
6
Registered
2025-07-15
Start date
2025-11-12
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Primary aldosteronism

Interventions

once a day finerenone orally administered for 12 weeks

Sponsors

Wada Jun
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Patients aged 18 to 80 years old 2) Patients who provide written consent to participate in this study 3) Patients diagnosed with primary aldosteronism based on the results of at least one of the following tests: captopril challenge test or saline loading test

Exclusion criteria

Exclusion criteria: 1) Pregnant women 2) Breastfeeding women 3) Patients with severe renal dysfunction (eGFR: less than 25 mL/min/1.73m2) 4) Patients undergoing renal replacement therapy (hemodialysis or peritoneal dialysis) 5) Patients who have previously undergone renal transplantation 6) Patients with severe hepatic impairment (Child-Pugh classification B or C) 7) Patients with hyperkalemia (K > 5.5 mEq/L) 8) Patients with Addison's disease 9) Patients with a history of hypersensitivity to finerenone ingredients 10) Patients who have taken spironolactone, eplerenone, or esaxerenone within 8 weeks before enrollment 11) Patients taking drugs listed as contraindications for concomitant use for finerenone 12) Patients judged by the principal investigator or subinvestigator to be ineligible for the study.

Design outcomes

Primary

MeasureTime frame
Plasma renin activity after 4 and 12 weeks

Secondary

MeasureTime frame
1) Active renin concentration after 4 and 12 weeks 2) Serum potassium level after 4 and 12 weeks 3) Proteinuria after 4 and 12 weeks 4) Albuminuria after 4 and 12 weeks 5) eGFR after 4 and 12 weeks 6) Clinic blood pressure after 4 and 12 weeks 7) Home blood pressure after 4 and 12 weeks 8) Incidence of hyperkalemia for 12 weeks 9) Incidence of doubling of serum creatinine for 12 weeks 10) Incidence of other adverse events for 12 weeks

Contacts

Public ContactSatoshi Fujisawa

Okayama University Hospital

fujisawa_sa@okayama-u.ac.jp+81-86-235-7234

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026