Type 2 & other diabetes

Rationale and design of an investigator-initiated, multicenter, prospective, placebo-controlled, double-blind, randomized trial to evaluate the effects of finerenone on vascular stiffness and cardiorenal biomarkers in type 2 diabetes and chronic kidney disease (FIVE-STAR)

Cardiovasc DiabetolPublished Randomised controlled trial

Study context

Population
Patients with T2D and chronic kidney disease (CKD) (25 mL/min/1.73 m² ≤ eGFR < 90 mL/min/1.73 m² and 30 mg/g Cr ≤ UACR < 3500 mg/g Cr), Japantarget 100
Planned comparison
Finerenone vs dose-matched placebo for 24 weeks
Primary endpoint
Change from baseline in cardio ankle vascular index (CAVI)
Follow-up
24 weeks
Methodological detailsrationale and design; ongoing, investigator-initiated, multicenter, prospective, placebo-controlled, double-blind, Recruitment September 2023 to July 2024, Equal randomisation, Secondary endpoints: changes in UACR at 12 and 24 weeks and serum and urinary biomarkers at 24 weeks; exploratory proteomic analysis (Olink® Target 96 panels)
  • Rationale and design; ongoing
  • Investigator-initiated
  • Multicenter
  • Prospective
  • Placebo-controlled
  • Double-blind
  • Recruitment September 2023 to July 2024
  • Equal randomisation
  • Secondary endpoints: changes in UACR at 12 and 24 weeks and serum and urinary biomarkers at 24 weeks; exploratory proteomic analysis (Olink® Target 96 panels)

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Rationale and design of an investigator-initiated, multicenter, prospective, placebo-controlled, double-blind, randomized trial to evaluate the effects of finerenone on vascular stiffness and cardiorenal biomarkers in type 2 diabetes and chronic kidney disease (FIVE-STAR). Cardiovasc Diabetol. Published 31 July 2023. doi:10.1186/s12933-023-01928-y

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