UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063230
Receipt number R000072372
Scientific Title Effectiveness and safety of continuous low-dose (10 mg/day) finerenone administration in patients with type 2 diabetes and chronic kidney disease
Date of disclosure of the study information 2026/10/09
Last modified on 2026/10/09 15:12:58

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Basic information

Public title

Effectiveness and safety of continuous low-dose (10 mg/day) finerenone administration in patients with type 2 diabetes and chronic kidney disease

Acronym

Effectiveness and safety of continuous low-dose (10 mg/day) finerenone administration in patients with type 2 diabetes and chronic kidney disease

Scientific Title

Effectiveness and safety of continuous low-dose (10 mg/day) finerenone administration in patients with type 2 diabetes and chronic kidney disease

Scientific Title:Acronym

Effectiveness and safety of continuous low-dose (10 mg/day) finerenone administration in patients with type 2 diabetes and chronic kidney disease

Region

Japan


Condition

Condition

Patients with type 2 diabetes and chronic kidney disease.

Classification by specialty

Medicine in general Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the clinical effectiveness (changes in urinary albumin-to-creatinine ratio and estimated glomerular filtration rate) and safety (changes in serum potassium levels) of continuous low-dose (10 mg/day) finerenone therapy over 6 months in patients with type 2 diabetes and chronic kidney disease in a real-world clinical setting. Furthermore, this study aims to explore baseline objective indicators for safe treatment continuation by identifying factors associated with early serum potassium elevation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Change in urinary albumin-to-creatinine ratio (uACR) from baseline at 6 months of administration

Key secondary outcomes

1.Time-course changes in estimated glomerular filtration rate (eGFR) and serum potassium levels up to 6 months after finerenone initiation. 2. Identification of factors associated with the change in serum potassium levels at 1 month of administration, as well as factors associated with maintaining serum potassium levels at <= 4.8 mEq/L.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients with type 2 diabetes and chronic kidney disease. 2. Patients who initiated finerenone at 10 mg/day between August 2023 and December 2025 at our outpatient clinic. 3. Patients who continuously received finerenone at 10 mg/day for 6 months based on the clinical judgment of their attending physicians.

Key exclusion criteria

1. Patients whose finerenone dose was increased to 20 mg/day within 6 months. 2. Patients with an observation period of less than 6 months (e.g., due to death, transfer, or lost to follow-up). 3. Patients who discontinued finerenone due to adverse events or other clinical reasons within 6 months.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Hiroyuki
Middle name
Last name Ito

Organization

Edogawa Hospital

Division name

Department of Diabetes, Metabolism and Kidney Disease

Zip code

133-0052

Address

2-24-18, Higashikoiwa, Edogawa-Ku, Tokyo

TEL

+81-3-3673-1221

Email

ito@edogawa.or.jp


Public contact

Name of contact person

1st name Hiroyuki
Middle name
Last name Ito

Organization

Edogawa Hospital

Division name

Department of Diabetes, Metabolism and Kidney Disease

Zip code

133-0052

Address

2-24-18, Higashikoiwa, Edogawa-Ku, Tokyo

TEL

+81-3-3673-1221

Homepage URL


Email

ito@edogawa.or.jp


Sponsor or person

Institute

Edogawa Hospital

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of Edogawa Hospital

Address

2-24-18, Higashikoiwa, Edogawa-Ku, Tokyo

Tel

+81-3-3673-1221

Email

ito@edogawa.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 10 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

60

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2026 Year 08 Month 25 Day

Date of IRB

2026 Year 10 Month 02 Day

Anticipated trial start date

2026 Year 10 Month 09 Day

Last follow-up date

2026 Year 10 Month 15 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Retrospective observational study


Management information

Registered date

2026 Year 10 Month 09 Day

Last modified on

2026 Year 10 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072372