Drugs / Finerenone
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Finerenone

also known as BAY94-8862 · Kerendia · Finerenona · Karendia

Small molecule targets NR3C2 via inhibition

Developed for
chronic kidney disease · heart failure · diabetic kidney disease · type 2 diabetes mellitus · primary aldosteronism · proteinuria · hypertensive disorder · left ventricular failure
+19 more · IgA glomerulonephritis · symptomatic heart failure · type 1 diabetes mellitus · atrial fibrillation · autonomic neuropathy · cardio-renal syndrome · cardiovascular disorder · diabetic neuropathy · diabetic retinopathy · disease related to solid organ transplantation · glomerulonephritis · hyperaldosteronism · immunoglobulin A vasculitis · membranous glomerulonephritis · metabolic dysfunction-associated steatotic liver disease · primary ovarian failure · retinal nerve fiber layer disorder · secondary hypertension · kidney failure
Investigated by
Bayer · University Medical Center Groningen · Colorado Prevention Center · Aarhus University Hospital · Alexandria University · Bayer Healthcare Pharmaceuticals, Inc./Bayer Schering Pharma
+82 more · Chongqing Medical University · First Affiliated Hospital, Sun Yat-Sen University · Peter Rossing · St. Luke's Hospital, Kansas City, Missouri · The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School · The First Affiliated Hospital with Nanjing Medical University · Affiliated Hospital of Nantong University · Affiliated Hospital of Southwest Medical University · Assiut University · Bangladesh Medical University · Bayer Healthcare Co., Ltd. · Beijing Pinggu District Hospital · Boehringer Ingelheim · Botkin Hospital · Breakthrough T1D · Capital Institute of Pediatrics, China · Capital Medical University · Cathay General Hospital · China National Center for Cardiovascular Diseases · Chinese University of Hong Kong · Chittagong Medical College · Chuxiong Yi Autonomous Prefecture People's Hospital · College of Physicians and Surgeons Pakistan · Daqing Longnan Hospital · Daqing Oil Field Hospital · First Affiliated Hospital Xi'an Jiaotong University · First Affiliated Hospital of Chongqing Medical University · First Affiliated Hospital of Kunming Medical University · First Affiliated Hospital of Zhejiang University · Heart Health Research Center · Hebei General Hospital · Heilongjiang Provicial Hospital · Hospital de Messejana Dr. Carlos Alberto Studart Gomes · Huai'an Fifth People's Hospital · Institute of Liver and Biliary Sciences, India · Instituto de Investigacion Sanitaria INCLIVA · Jinling Hospital, China · Juntendo University · Lomonosov Moscow State University Medical Center · Lund University · Luoyang First People's Hospital · Mansoura University · Nanfang Li · National Cheng-Kung University Hospital · National Key Research and Development Program of China · National Medical Research Center for Cardiology, Ministry of Health of Russian Federation · National Natural Science Foundation of China · Oregon Health and Science University · Peking University People's Hospital · Qilu Hospital of Shandong University · Qiqihar First People's Hospital · Saga University · Saint Luke's Mid America Heart Institute · Second Affiliated Hospital, School of Medicine, Zhejiang University · Second Xiangya Hospital of Central South University · Shanghai Jiao Tong University School of Medicine · Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine · Shanghai Public Health Clinical Center · Shenzhen University General Hospital · Steno Diabetes Center Nordjylland · Suzhou Municipal Hospital · The Affiliated Hospital of Xuzhou Medical University · The First Affiliated Hospital of Henan University of Science and Technology · The First Hospital of Hebei Medical University · The George Institute · The Second Affiliated Hospital of Qiqihar Medical University · The University of Hong Kong-Shenzhen Hospital · Tianjin Medical University General Hospital · Tianjin People's Hospital · University Medical Center Hamburg-Eppendorf · University of Aarhus · University of Cincinnati · University of Michigan · University of North Carolina, Chapel Hill · all 88 on the full record

Regulatory milestones approvals, filings & regulatory actions · 10 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed chronic kidney disease 1 milestone
Filed Japan (PMDA) — chronic kidney disease 2026-08-28

“Bayer today announced that it has submitted a marketing authorization application in Japan to expand the use of finerenone in chronic kidney disease (CKD).” bayer.com ↗

Filed diabetic kidney disease 2 milestones
Filed US (FDA) Kerendia™ diabetic kidney disease 2026-05-21

“has accepted its supplemental New Drug Application (sNDA) and granted Priority Review designation for Kerendia™ (finerenone)” bayer.com ↗

Filed China (NMPA) — diabetic kidney disease 2021-07-09

“Finerenone has also been submitted for marketing authorization in China, as well as multiple other countries worldwide” bayer.com ↗

“Finerenone has also been submitted for marketing authorization in the European Union (EU) and in China” bayer.com ↗

“Finerenone has also been submitted for marketing authorization in the European Union (EU) and China” bayer.com ↗

“Finerenone has also been submitted for marketing authorization in China” bayer.com ↗

Filed heart failure 3 milestones
Filed US (FDA) Kerendia™ heart failure 2026-10-08

“the U.S. Food and Drug Administration (FDA) has accepted its supplemental New Drug Application (sNDA) for finerenone (Kerendia™)” bayer.com ↗

“FDA has accepted its supplemental New Drug Application (sNDA) and granted Priority Review designation for finerenone” bayer.com ↗

Filed EU (EMA) Kerendia™ heart failure 2025-02-03

“Finerenone has also been submitted for marketing authorization in this common form of heart failure in China, the EU” bayer.com ↗

“Finerenone has also been submitted for marketing authorization in HF with an LVEF of ≥40% in China, the EU” bayer.com ↗

“Finerenone has also been submitted for marketing authorization in the European Union (EU)” bayer.com ↗

Filed China (NMPA) Kerendia™ heart failure —

“Finerenone has also been submitted for marketing authorization in HF with an LVEF of ≥40% in China” bayer.com ↗

Approved Indication not stated 3 milestones
Label expansions (2) US (FDA) KERENDIA — 2022-09-01 – 2025-07-11 fda.gov ↗
Approved EU (EMA) Kerendia — 2022-02-16 europa.eu ↗
Approved US (FDA) KERENDIA — 2021-07-09 fda.gov ↗

Trials 69 · started per year

today
US approved 2021
EU approved 2022
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 15 trials
Phase 1 NCT07116512 May → Jul 2023 left ventricular failure Bayer Completed No outcome recorded
Phase 1 NCT04881994 Mar → Sep 2014 advanced heart failure, diabetic kidney disease Bayer Completed No outcome recorded
Phase 1 NCT01687920 Sep → Nov 2012 heart failure Bayer Completed No outcome recorded
Phase 1 NCT04908436 Oct 2010 → May 2011 advanced heart failure, chronic kidney disease Bayer Completed No outcome recorded
Phase 1 NCT01473108 Mar → Nov 2010 — Bayer Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT06143566 Mar 2024 → Sep 2027 expected hypertensive disorder, type 2 diabetes mellitus University of Texas Southwestern Medical Center Recruiting No outcome recorded
Phase 216 trials · 2 met primary · 2 missed
Phase 2 NCT07815509 Sep 2026 → Dec 2027 expected primary ovarian failure The University of Hong Kong-Shenzhen Hospital Not yet recruiting No outcome recorded
Phase 2 NCT07594145 Sep 2026 → Dec 2029 expected cardio-renal syndrome, diabetic kidney disease, symptomatic heart failure, type 1 diabetes mellitus Oregon Health and Science University Not yet recruiting No outcome recorded
Phase 2 NCT07799519 Jun 2026 → Jun 2028 expected atrial fibrillation National Cheng-Kung University Hospital Recruiting No outcome recorded
Phase 2 NCT06906081 May 2025 → Jan 2028 expected autonomic neuropathy, diabetic neuropathy, type 2 diabetes mellitus Peter Rossing Recruiting No outcome recorded
Phase 2 NCT06835322 Apr 2025 → Mar 2026 glomerulonephritis Alexandria University Completed No outcome recorded
Phase 2 NCT06655480 Mar 2025 → Dec 2027 expected intrinsic cardiomyopathy, symptomatic heart failure National Medical Research Center for Cardiology, Ministry of Health of Russian Federation Recruiting No outcome recorded
Phase 2 NCT07819227 Feb 2025 → Aug 2026 chronic kidney disease University Medical Center Groningen Completed No outcome recorded
Phase 2 NCT06818305 Jan → Oct 2025 chronic kidney disease, renal cell carcinoma Jinling Hospital, China Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT06059664 Apr 2024 → Mar 2027 expected — University of North Carolina, Chapel Hill Recruiting No outcome recorded
Phase 2 NCT05254002 Jun 2022 → Mar 2025 chronic kidney disease, type 2 diabetes mellitus Bayer Completed Met primary
Phase 318 trials · 5 met primary
Phase 3 NCT07575672 Jul 2026 → Dec 2029 expected heart failure Second Affiliated Hospital, School of Medicine, Zhejiang University Not yet recruiting No outcome recorded
Phase 3 NCT07192952 Jun 2026 → Dec 2030 expected left ventricular failure Bayer Recruiting No outcome recorded
Phase 3 NCT07598864 May 2026 → May 2027 expected diabetic kidney disease Chittagong Medical College Not yet recruiting No outcome recorded
Phase 3 NCT07181135 Mar 2026 → Dec 2027 expected chronic kidney disease University Medical Center Groningen Enrolling by invitation No outcome recorded
Phase 3 NCT07188805 Nov 2025 → Nov 2029 expected left ventricular failure Bayer Recruiting No outcome recorded
Phase 3 NCT07356388 Jan 2025 → Oct 2027 expected disease related to solid organ transplantation, proteinuria kewen Chen,MD Active not recruiting No outcome recorded
Phase 3 NCT06580288 Oct 2024 → Jun 2026 overdue IgA glomerulonephritis Zhejiang University Not yet recruiting No outcome recorded
Phase 3 NCT06058585 Sep 2024 → Dec 2029 expected chronic kidney disease The George Institute Recruiting No outcome recorded
Phase 3 NCT06033950 Aug 2024 → Aug 2026 overdue heart failure Colorado Prevention Center Recruiting No outcome recorded
Phase 3 NCT06024746 Jul 2024 → Nov 2027 expected heart failure Colorado Prevention Center Recruiting No outcome recorded
Phase 422 trials
Phase 4 NCT07830940 Sep 2026 → Sep 2027 expected heart failure Assiut University Not yet recruiting No outcome recorded
Phase 4 NCT07667517 Jul 2026 → Oct 2027 expected chronic kidney disease, proteinuria, type 2 diabetes mellitus First Affiliated Hospital of Zhejiang University Not yet recruiting No outcome recorded
Phase 4 NCT07583173 May 2026 → Oct 2027 expected heart failure China National Center for Cardiovascular Diseases Not yet recruiting No outcome recorded
Phase 4 NCT07523867 Apr → Oct 2026 expected diabetic kidney disease, heart failure Hospital de Messejana Dr. Carlos Alberto Studart Gomes Not yet recruiting No outcome recorded
Phase 4 NCT07442448 Apr 2026 → Dec 2028 expected heart failure Cathay General Hospital Enrolling by invitation No outcome recorded
Phase 4 NCT07397650 Feb 2026 → Dec 2027 expected heart failure Juntendo University Recruiting No outcome recorded
Phase 4 NCT07351864 Jan → Oct 2026 expected heart failure Mansoura University Active not recruiting No outcome recorded
Phase 4 NCT07235891 Nov 2025 → Dec 2026 expected chronic kidney disease, retinal nerve fiber layer disorder Alexandria University Not yet recruiting No outcome recorded
Phase 4 NCT07239570 Jun 2025 → Jun 2028 expected chronic kidney disease Peter Rossing Recruiting No outcome recorded
Phase 4 NCT07315191 Jun 2025 → Oct 2027 expected immunoglobulin A vasculitis Capital Institute of Pediatrics, China Recruiting No outcome recorded
Phase not applicable7 trials
— NCT07849348 Sep 2026 → Feb 2027 expected chronic kidney disease Peking University People's Hospital Not yet recruiting No outcome recorded
— NCT07678151 Jul 2026 → Apr 2027 expected hypertensive disorder Heart Health Research Center Not yet recruiting No outcome recorded
— NCT07585526 Apr 2026 → Mar 2028 expected chronic kidney disease, metabolic dysfunction-associated steatotic liver disease Institute of Liver and Biliary Sciences, India Not yet recruiting No outcome recorded
— NCT07688928 Apr 2026 → Mar 2027 expected primary aldosteronism, secondary hypertension Bangladesh Medical University Recruiting No outcome recorded
— NCT07326631 Jan → Jun 2026 overdue diabetic kidney disease, heart failure College of Physicians and Surgeons Pakistan Not yet recruiting No outcome recorded
— NCT07056595 May 2025 → May 2026 overdue IgA glomerulonephritis Botkin Hospital Recruiting No outcome recorded
— NCT04795726 Mar → Jun 2021 diabetic retinopathy Bayer Completed No outcome recorded
Comparator or background therapy11 trials
Phase 1 NCT02957396 Comparator Nov 2016 → Jan 2017 — Bayer Completed No outcome recorded
Phase 1 NCT02956109 Comparator Nov → Dec 2016 — Bayer Completed No outcome recorded
Phase 2 NCT05897372 Background Aug 2023 → Sep 2024 diabetic kidney disease Iain Bressendorff Terminated No outcome recorded Stop: Enrollment
Phase 3 NCT07270367 Comparator Dec 2025 → Dec 2030 expected heart failure Subodh Verma Not yet recruiting No outcome recorded
Phase 3 NCT07223502 Comparator May 2025 → Sep 2026 hypertensive disorder Sarfez Pharmaceuticals, Inc. Withdrawn No outcome recorded Stop: Enrollment

News releases announcing trial results or a regulatory action · 50

DateIssuerRelease
2026-10-08 Bayer Regulatory U.S. FDA accepts Bayer’s supplemental New Drug Application for finerenone in chronic kidney disease without diabetes bayer.com ↗
Bayer today announced that the U.S. Food and Drug Administration (FDA) has accepted its supplemental New Drug Application (sNDA) for finerenone (Kerendia™), supporting a potential new indication in adults with chronic kidney disease (CKD) without diabetes.
2026-09-17 Bayer Regulatory U.S. FDA approves finerenone for new indication in patients with chronic kidney disease associated with type 1 diabetes bayer.com ↗
Bayer announced today that the U.S. Food and Drug Administration (FDA) has approved Kerendia™ (finerenone), a selective, non-steroidal mineralocorticoid receptor antagonist (nsMRA), for the treatment of adult patients with chronic kidney disease (CKD) associated with type 1 diabetes (T1D).
2026-08-30 Bayer Results Finerenone slowed kidney function decline and reduced kidney-cardiovascular risk versus placebo in patients with hypertensive nephropathy bayer.com ↗
The analysis showed that finerenone (Kerendia™/Firialta™) slowed kidney function decline and reduced kidney-cardiovascular risk compared with placebo, in addition to standard of care, in patients with hypertensive nephropathy.
2026-08-28 Bayer Regulatory Bayer submits application in Japan for expanded use of Kerendia in chronic kidney disease therapeutic area bayer.com ↗
Bayer today announced that it has submitted a marketing authorization application in Japan to expand the use of finerenone in chronic kidney disease (CKD).
2026-07-30 Bayer Regulatory Bayer submits application for next indication of Kerendia in China bayer.com ↗
2026-06-05 Bayer Results Finerenone significantly reduced the risk of kidney disease progression and cardiovascular outcomes in broad patient populations with CKD bayer.com ↗
Finerenone also significantly reduced the risk of the main composite cardiovascular outcome of heart failure hospitalisation or cardiovascular death by 20% versus placebo
2026-06-05 Bayer Results Bayer’s finerenone significantly reduced kidney function decline and a composite of cardiovascular-kidney outcomes versus placebo in patients with non-diabetic chronic kidney disease bayer.com ↗
Finerenone also significantly reduced the key secondary endpoint, a composite of cardiovascular-kidney outcomes by 23% (HR 0.77 [95% CI, 0.60-0.99; p=0.04])
2026-05-22 Bayer Regulatory Kerendia™ approved in China for new indication in adult patients with heart failure with LVEF ≥40% bayer.com ↗
The Chinese National Medical Products Administration granted approval for a label update to extend the indication of Kerendia™ to adult patients with heart failure (HF) with left ventricular ejection fraction (LVEF) ≥40%
2026-05-21 Bayer Regulatory U.S. FDA grants Priority Review for finerenone in chronic kidney disease associated with type 1 diabetes bayer.com ↗
Bayer announced today that the U.S. Food and Drug Administration (FDA) has accepted its supplemental New Drug Application (sNDA) and granted Priority Review designation for Kerendia™ (finerenone) for the treatment of chronic kidney disease (CKD) associated with type 1 diabetes (T1D).
2026-03-30 Bayer Regulatory Kerendia™ approved in EU for new indication in adult patients with heart failure with LVEF ≥40% bayer.com ↗
In the EU, Kerendia (10mg, 20mg, 40mg) is now indicated for the treatment of symptomatic chronic heart failure with LVEF ≥40% in adults, expanding its use beyond the existing indication in patients with chronic kidney disease associated with type 2 diabetes.
2026-03-16 Bayer Results Finerenone meets primary endpoint in pivotal Phase III FIND-CKD study in patients with non-diabetic chronic kidney disease bayer.com ↗
The Phase III study FIND-CKD, evaluating the efficacy and safety of finerenone (Kerendia™) versus placebo when added to standard of care in adult patients with non-diabetic chronic kidney disease (CKD), has met its primary endpoint.
2026-01-30 Bayer Regulatory Finerenone recommended for the treatment of patients with heart failure with LVEF ≥40% in the EU bayer.com ↗
CHMP adopts positive opinion for the marketing authorization of finerenone for patients with heart failure (HF) with left ventricular ejection fraction (LVEF) ≥40%, i.e. mildly reduced or preserved LVEF, in the European Union

All press releases naming this drug 75 releases

DateIssuerRelease

Evidence & citations 9 cited values

Every value below carries the sentence it was read from. 85 sources stand behind the page.

FieldValueCited text
Known as finerenone “One group was treated with mineralocorticoid receptor antagonists(MRAs) (including spironolactone 20-60mg/ day, or eplerenone50-100mg/day, or finerenone 10-20mg/ day) in...” NCT05688579 ↗
76

“BACKGROUND: Finerenone (BAY 94-8862) is a potent non-steroidal, selective mineralocorticoid receptor antagonist being developed for the treatment of patients with type 2...” PMID 31583611 ↗ Mar 2020

“The goal of this clinical trial is to learn if Finerenone works to treat proteinuria patients after kidney transplantation.” NCT07356388 ↗

“A combination of finerenone 10 mg, empagliflozin 12.5 mg, and losartan 50 mg or 100 mg within a polycapsule.” NCT06143566 ↗

“Empagliflozin 10mg tablet, Valsartan+Sacubitril 100-200-400 mg tablet, Finerenone 20-40 mg tablet” NCT06655480 ↗

“Drug: Finerenone” NCT07537088 ↗

NCT06164379 ↗

NCT06835322 ↗

NCT07116512 ↗

NCT04795726 ↗

NCT07688928 ↗

Show 66 more sources

Known as BAY94-8862 “Finerenone (BAY 94-8862) is a potent non-steroidal, selective mineralocorticoid receptor antagonist being developed for the treatment of patients with type 2 diabetes and...” PMID 31583611 ↗ Mar 2020
33

“Finerenone (BAY 94-8862) is a nonsteroidal mineralocorticoid receptor antagonist in development for the treatment of diabetic kidney disease.” PMID 27431783 ↗ Jul 2016

“In this study researchers wanted to learn more about a new substance called finerenone (BAY94-8862).” NCT04881994 ↗

“Finerenone (BAY 94-8862) is a selective, nonsteroidal mineralocorticoid receptor antagonist.” PMID 30825073 ↗ Oct 2019

“BAY 94-8862 is a novel, non-steroidal, mineralocorticoid receptor antagonist” PMID 22562554 ↗ May 2012

“Finerenone (BAY94-8862): 20 mg intact tablet” NCT02957396 ↗

“Drug: Finerenone (Kerendia, BAY94-8862)” NCT05013008 ↗

“Finerenone (BAY94-8862): intervention A” NCT07116512 ↗

“Finerenone (BAY 94-8862) PEG solution” NCT01473108 ↗

“Finerenone (BAY94-8862): 1 0mg tablet” NCT02956109 ↗

“Kerendia (Finerenone, BAY94-8862)” NCT06906081 ↗

Show 23 more sources

Known as Finerenona ChEMBL registry synonym — accepted as the source's own label CHEMBL2181927 ↗
Known as Karendia “The goal of this clinical trial is to learn if the drug finerenone (Karendia) can improve heart function in participants who are at risk for heart and kidney disease.” NCT07270367 ↗
Known as Kerendia “the European Medicines Agency (EMA) has already approved finerenone (Kerendia®) within the EU” NCT06244758 ↗
7

“Drug: Finerenone (Kerendia, BAY94-8862)” NCT05013008 ↗

“Finerenone (Kerendia, BAY94-8862)” NCT07188805 ↗

“Finerenone (Kerendia, BAY94-8862)” NCT05196035 ↗

“Finerenone (Kerendia, BAY94-8862)” NCT05705271 ↗

“Finerenone (Kerendia, BAY94-8862)” NCT05457283 ↗

“Finerenone (Kerendia, BAY94-8862)” NCT07192952 ↗

“Kerendia (Finerenone, BAY94-8862)” NCT06906081 ↗

Action Inhibit “BAY 94-8862 is a novel, non-steroidal, mineralocorticoid receptor antagonist” PMID 22562554 ↗ May 2012
1

“Mineralocorticoid receptor antagonist” CHEMBL2181927 ↗

Modality Small molecule “Finerenone (BAY 94-8862) is a potent non-steroidal, selective mineralocorticoid receptor antagonist” PMID 31583611 ↗ Mar 2020
Route Oral “BAY94-8862) given orally” NCT01345656 ↗
Target NR3C2 “Mineralocorticoid receptor antagonist” CHEMBL2181927 ↗