Evidence map›Paper›PMID 40983954›Full record

ArticleESC heart failure2025

Finerenone in diabetic chronic kidney disease-Real-world insights including patients with HFpEF or HFmrEF.

Kristian Hellenkamp, Sophia Kaebe, Miroslava Valentova, Stephan von Haehling, Fani Delistefani, Katja Gollisch, Dirk Raddatz, Ann-Kathrin Schäfer, Michael J Koziolek, Manuel Wallbach

Abstract read
In one paragraph

Article in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Observational
  2. Observational
  3. A Review on Finerenone and Heart Failure with Preserved Ejection Fraction (HFpEF).Cardiovascular & hematological disorders drug targets · 2026
    Review
  4. 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

10 authors.

Kristian HellenkampDepartment of Cardiology and Pneumology, University Medical Centre Göttingen, Göttingen, Germany.
Sophia KaebeDepartment of Nephrology and Rheumatology, University Medical Centre Göttingen, Göttingen, Germany.
Miroslava ValentovaDZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany.
Stephan von HaehlingDepartment of Cardiology and Pneumology, University Medical Centre Göttingen, Göttingen, Germany.
Fani DelistefaniDepartment of Nephrology and Rheumatology, University Medical Centre Göttingen, Göttingen, Germany.
Katja GollischDepartment of Gastroenterology, gastrointestinal Oncology and Endocrinology, University Medical Centre Göttingen, Göttingen, Germany.
Dirk RaddatzDepartment of Gastroenterology, gastrointestinal Oncology and Endocrinology, University Medical Centre Göttingen, Göttingen, Germany.
Ann-Kathrin SchäferDepartment of Nephrology and Rheumatology, University Medical Centre Göttingen, Göttingen, Germany.
Michael J KoziolekDZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany.
Manuel WallbachDZHK (German Centre for Cardiovascular Research), partner site Göttingen, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFinerenone, a highly selective non-steroidal mineralocorticoid receptor antagonist, was approved for the treatment of patients with chronic kidney disease (CKD) and type 2 diabetes mellitus (diabetic kidney disease, DKD). Finerenone reduced the composite endpoint of heart failure events and cardiovascular death in patients with heart failure with preserved or mildly reduced ejection fraction (HFpEF/HFmrEF). This study aimed to investigate the safety and cardiac effects of finerenone in patients with DKD with or without HFpEF/HFmrEF in a real-world setting.

methodsPatients with DKD were prospectively enrolled and were treated with finerenone according to best clinical practice. Clinical, laboratory and echocardiographic assessments were performed before, 4 weeks and 6 months after starting finerenone.

resultsThirty-one patients with DKD were included. At baseline, patients had a typical risk profile with arterial hypertension (90.3%) and hyperlipoproteinemia (87.1%). Most patients were treated with a sodium-glucose cotransporter 2 (SGLT2) inhibitor (93.5%). Treatment with finerenone was safe and well tolerated: after 4 weeks, the glomerular filtration rate decreased slightly from 52 (43-78) mL/min/1.73 m

conclusionsIn a real-world setting, treatment with finerenone is safe and well-tolerated in patients with DKD and may improve functional and structural cardiac parameters. Further investigation is warranted.

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesHeart FailureNaphthyridinesRenal Insufficiency, ChronicStroke VolumeVentricular Function, LeftAgedEchocardiographyFemaleFollow-Up StudiesGlomerular Filtration RateHumansMaleMiddle AgedMineralocorticoid Receptor AntagonistsfinerenoneMineralocorticoid Receptor AntagonistsNaphthyridineschronic kidney diseasediabetic kidney diseasefinerenoneheart failure with preserved ejection fractionHFmrEFHFpEFmineralocorticoid receptor antagonist

Identifiers

PMID40983954
PMCPMC12719821

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.