Back to Clinical Trials
Phase 3Recruiting

A Study to Determine the Efficacy and Safety of Finerenone and SGLT2i in Combination in Hospitalized Patients With Heart Failure (CONFIRMATION-HF)

Sponsored by Colorado Prevention Center

About this study

Combination therapy of finerenone plus empagliflozin will be compared to usual care to determine the efficacy and safety of treatment in patients hospitalized with heart failure.

This is an international, randomized, controlled, open-label, trial of an early, intensive management strategy using the combination of finerenone plus sodium-glucose co-transporter 2 inhibitor (SGLT2i) compared with usual care in patients hospitalized with heart failure (HF).

Where this study is enrolling (38)

  • Phoenix, AZ Investigative Site CON-10115

    Phoenix, Arizona

    I'm interested

  • CON-10109, Van Nuys, CA

    Van Nuys, California

    I'm interested

  • Chula Vista, CA Investigative Site CON-10111

    Chula Vista, California

    I'm interested

  • CON-10023, San Francisco, CA

    San Francisco, California

    I'm interested

  • San Francisco, CA Investigative Site CON-10315

    San Francisco, California

    I'm interested
Show all 38 locations
Who can participate

Inclusion criteria

  • ✓Provide electronic or written informed consent, either personally or through a legally authorized representative, as permitted by local regulations
  • ✓Age ≥18 years or legal age of majority if \>18 years in the participant's country of residence
  • ✓Current hospitalization or recently discharged with the primary diagnosis of heart failure
  • ✓Heart failure signs and symptoms at the time of hospital admission
  • ✓Elevated N-terminal pro B-type natriuretic peptide (NTproBNP) ≥500 pg/mL or B-type natriuretic peptide (BNP) ≥125 pg/mL according to the local lab for patients in sinus rhythm; or elevated NTproBNP ≥1500 pg/mL or BNP ≥375 pg/mL for patients with atrial fibrillation (AF), measured during the current hospitalization or in the 72 hours prior to hospital admission
  • ✓Fulfillment of protocol defined stabilization criteria (if randomized during hospitalization)
  • ✓Treatment during the index hospitalization with at least 1 intravenous dose of a loop diuretic (e.g., furosemide, torsemide, bumetanide).
  • ✓Negative pregnancy test and agreement to use adequate contraception during trial (female participants only)

Exclusion criteria

  • ✕Diagnosis of type 1 diabetes or prior history of diabetic ketoacidosis
  • ✕Documented prior history of severe hyperkalemia in the setting of MRA use
  • ✕Treatment with non-steroidal mineralocorticoid receptor antagonist (MRA) or SGLT2i
  • ✕Estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73m² and/or potassium \>5.0 mmol/L
  • ✕Acute myocardial infarction, coronary revascularization, valve replacement/repair, or implantation of a cardiac resynchronization therapy device within 30 days
  • ✕Prior or planned heart transplant
  • ✕Hemodynamically significant uncorrected primary cardiac valvular disease as primary cause of heart failure
  • ✕Cardiomyopathy due to acute inflammatory heart disease, infiltrative diseases, accumulation diseases, muscular dystrophies, cardiomyopathy with reversible causes, known hypertrophic obstructive cardiomyopathy, complex congenital heart disease, or pericardial constriction
  • ✕Probable alternative cause of participant's heart failure symptoms
  • ✕Concomitant systemic therapy with potent cytochrome P450 isoenzyme 3A4 (CYP3A4) inhibitors or moderate CYP3A4 inducers, or potent CYP3A4 inducers
  • ✕Known hypersensitivity to the IP (active substance or excipients)
  • ✕Any other condition or therapy which would make the patient unsuitable for this study

Only the research team can confirm whether you qualify. The intake questionnaire is the best way to find out.

Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you qualify to participate. These results are based on the information you provide and are intended to help you start a conversation with the research team.

Trial data sourced from ClinicalTrials.gov.