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Finerenone and Eye Blood Vessel Health in People With Chronic Kidney Disease

Tests finerenone's effect on the retina in adults with chronic kidney disease.

Plain-language title generated from the registry record
Registry title: Retinal Protective Effects of Novel Finerenone in Patients With Chronic Kidney Disease

Key facts

Where
Alexandria, EgyptSee the site
Phase
Phase 4

Where in Egypt

  • Alexandria universityAlexandria, EgyptNo longer taking part

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Trial details

Who runs it
Alexandria University
Trial code
NCT07235891
Record updated
19 November 2025
Original description
Interestingly, A hypothesis-generating analysis was conducted from two studies using routine ophthalmological examinations from clinical trial participants (ReFineDR/DeFineDR), suggesting a potential benefit of finerenone in the delay of progression of non-proliferative diabetic retinopathy (NPDR), independent of baseline HbA1c. Potential benefits of finerenone were also observed in the prevention of required ocular interventions. However, the studies relied on routine ophthalmological examinations done retrospectively, which may have affected data quality and certainly affected quantity. Hence, there is a compelling need to conduct randomized studies with adequate power to detect a potential benefit of finerenone in delaying retinopathy progression, particularly given the lack of alternative options for oral treatment of retinopathy.Read full original descriptionShow less

Investigating the Impact of Finerenone on Retinal Vascular Dysfunction in Patients With Chronic Kidney Disease

Interestingly, A hypothesis-generating analysis was conducted from two studies using routine ophthalmological examinations from clinical trial participants (ReFineDR/DeFineDR), suggesting a potential benefit of finerenone in the delay of progression of non-proliferative diabetic retinopathy (NPDR), independent of baseline HbA1c. Potential benefits of finerenone were also observed in the prevention of required ocular interventions. However, the studies relied on routine ophthalmological examinations done retrospectively, which may have affected data quality and certainly affected quantity. Hence, there is a compelling need to conduct randomized studies with adequate power to detect a potential benefit of finerenone in delaying retinopathy progression, particularly given the lack of alternative options for oral treatment of retinopathy.

Inclusion: Age: above 18 years; Diabetic and non-diabetic non-hemodialysis CKD patients (Stage 2 - Stage 4).

Exclusion: Prior/planned ocular interventions (retinal laser treatment, intravitreal injection or vitrectomy); Malignancy; Serum potassium level > 5.5 mEq/L; Patients on hemodialysis (HD); Pregnant and lactating women.

ClinicalTrials.gov NCT07235891