Evidence mapPaperPMID 41220896Full record

ArticleClinical kidney journal2025

Dosing, treatment patterns and safety of finerenone use in routine care: an interim analysis of the prospective, real-world and observational FINE-REAL study.

David C Wheeler, Kevin M Pantalone, Lixin Guo, Nihar R Desai, Ricardo Correa-Rotter, Susanne B Nicholas, Nan Hee Kim, Zihe Zheng, Charlie Scott, Andrea Horvat-Broecker and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Clinical kidney journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05348733 (FINE-REAL), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05348733 active not recruitingnot on this map

FINE-REAL: A Non-interventional Study Providing Insights Into the Use of Finerenone in a Routine Clinical Setting

TypeobservationalSponsorBayerRan2022 to 2026Enrolled4,613ConditionsChronic Kidney Disease, Type 2 Diabetes MellitusArmsKerendia (Finerenone, BAY94-8862)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. On interpreting renal safety signals with finerenone in FAERS.International urology and nephrology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

David C WheelerCentre for Kidney and Bladder Health, University College London, London, UK.
Kevin M PantaloneDepartment of Endocrinology, Cleveland Clinic, Cleveland, OH, USA.
Lixin GuoDepartment of Endocrinology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.
Nihar R DesaiSection of Cardiovascular Medicine, Yale School of Medicine, Yale New Haven Hospital, New Haven, CT, USA.
Ricardo Correa-RotterDepartment of Nephrology and Mineral Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Susanne B NicholasDepartment of Medicine, Division of Nephrology, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA, USA.
Nan Hee KimDivision of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-4378-520X
Zihe ZhengUS Medical Affairs - Cardiovascular-Renal, Bayer US LLC, Whippany, NJ, USA.
Charlie ScottClinical Statistics and Analytics, Bayer US LLC, Whippany, NJ, USA.
Andrea Horvat-BroeckerMedical Affairs and Pharmacovigilance, Bayer AG, Wuppertal, Germany.
Martin MerzGlobal Medical and Evidence Cardiology, Bayer AG, Berlin, Germany.
Christoph WannerDepartment of Clinical Studies and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.ORCID https://orcid.org/0000-0001-9507-5301
Sankar D NavaneethanSection of Nephrology, Baylor College of Medicine, Houston, TX, USA.ORCID https://orcid.org/0000-0002-4953-7795

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Finerenone improves cardiovascular and renal outcomes in patients with type 2 diabetes (T2D) and chronic kidney disease (CKD), but real-world data are limited. The FINE-REAL study (NCT05348733) is examining the use of finerenone (10 or 20 mg) in participants with CKD and T2D in routine clinical practice. Methods: FINE-REAL is an ongoing global, prospective, single-arm, non-interventional study. This preplanned interim analysis was conducted 2 years after the first participant first visit. Assessments included demographics, concomitant medications and safety. Results: Data were available for 1916 participants with a median age of 68 years [interquartile range (IQR) 59-74], 65% male, with a median follow-up of 260 days (IQR 139-357). The baseline mean estimated glomerular filtration rate (Chronic Kidney Disease Epidemiology Collaboration equation) was 54 ml/min/1.73 m Conclusions: In this real-world population, most participants initiated finerenone at 10 mg and remained on that dose. Finerenone was well tolerated and safety was consistent with the known profile of the drug. This interim analysis and future data from FINE-REAL will help to guide decision-making regarding the use of finerenone in participants with CKD and T2D.

Indexed as

chronic kidney diseaseFINE-REALfinerenoneobservational studytype 2 diabetes

Identifiers

PMID41220896
PMCPMC12598660

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.