- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06164379
Efficacy and Safety of Finerenone vs. Spironolactone in Patients With Primary Aldosteronism (FAVOR)
December 2, 2023 updated by: Ji-Guang Wang, Shanghai Jiao Tong University School of Medicine
A Double-blind, Randomized Controlled Study of Finerenone vs. Spironolactone in Hypertensive Patients With Primary Aldosteronism
To study the efficacy and safety of finerenone vs. spironolactone in patients with primary aldosteronism
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
- Study design: This is a multi-center, double-blind, randomized, non-inferiority trial of finerenone vs. spironolactone in hypertensive patients with primary aldosteronism (PA). All patients will be randomized into finerenone group (Intervention group) and spironolactone group (Control group).
- Objective: To compare the antihypertensive effects and Correction of hypokalemia in patients with PA.
- Medicine: Finerenone (10mg tablet) and the matching placebo; Spironolactone (20mg tablet) and the matching placebo.
- Study population: Men or women aged from18 years to 75 years old, with history of hypertension, Clinic DBP <110 mmHg, SBP <180 mmHg without any antihypertensive drugs for 2 weeks, were diagnosed PA and confirmed by captopril inhibition test or Saline infusion test. At the end of induction, Serum potassium level ≥ 3 mmol/L but less than 5 mmol/L.
- Randomized and treatment: The initial dose of finerenone group is 10mg and spironolactone group is 20mg, respectively (week 0). For patients not meeting clinic blood pressure < 140/90mmHg and the serum potassium ≥ 3.5 mmol/L, the dose of finerenone or spironolactone should be increased one tablet at every visit (week 2, week 4). The whole treatment period was 8 weeks.
- Follow up: After the induction period of two weeks and meeting the inclusion criteria, the patients with primary aldosteronism were randomized in an equal ratio to receive finerenone 10mg once daily. Patients received the initial dose (10mg, week 0) of drug for the first two weeks of randomized treatments period. Thereafter, the dose of finernone would not be changed for the adequate blood pressure (BP) control and the normal serum potassium. For patients not meeting BP < 140/90mmHg and the serum potassium ≥ 3.5 mmol/L, the dose of finerenone would be increased to 20mg once daily for the second 2 weeks later (week 2) and 30 mg 4 weeks later (week 4), respectively. The whole treatment period was 8 weeks. if blood pressure > 160/110 mmHg during the clinical trial, amlodipine 5 mg once was added. At every visit, the clinic and ambulatory blood pressure will be measured. The levels of serum potassium, creatinine, renin, aldosterone will be examined. The urinary microalbumin creatinine ratio will be also examined.
- Organization: The Centre for Epidemiological Studies and Clinical Trials, Department of Hypertension, Ruijin Hospital, Shanghai, China.
Study Type
Interventional
Enrollment (Estimated)
150
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Jiguang Wang, MD. PhD
- Phone Number: 610911 +86-2164370045
- Email: jiguangw@163.com
Study Contact Backup
- Name: Yuanyuan Kang, MD. PhD
- Phone Number: 610912 +86-2164370045
- Email: kangyuanyuan@163.com
Study Locations
-
-
Shanghai
-
Shanghai, Shanghai, China, 200025
- Shanghai Institite of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age: 18-75 years old.
- History of hypertension, Clinic DBP <110 mmHg, SBP <180 mmHg without any antihypertensive drugs for 2 weeks.
- Primary Aldosteronism diagnosed and confirmed by captopril inhibition test or Saline infusion test.
- At the end of induction, Serum potassium level ≥ 3 mmol/L but less than 5 mmol/L.
- Signed the informed consent
Exclusion Criteria:
- Other kinds of secondary hypertension
- Obesity with BMI>30kg/m²(BMI= kg/㎡)
- Serum potassium > 5.5 mmol/L
- Serious hypertension(msSBP≥180mmHg, and/or msDBP≥110mmHg)
- Abnormal renal function: serum creatinine ≥ 2 × ULN or eGFR < 25 ml/(min * 1.73㎡);
- Abnormal liver function: ALT and AST ≥ 2 × ULN;
- Cardiac insufficiency, acute myocardial infarction, stroke or other acute cardiovascular events within 6 months;
- Take spironolactone, guanethidine or reserpine 30 days before enrollment;
- Known or suspected tumor; Other autoimmune diseases, uncontrolled infectious diseases, serious respiratory, blood and nervous system diseases;
- There is a pregnancy plan in pregnancy or 3 months before and after treatment. Breast-feeding women;
- Those who have mental illness, alcohol or drug abuse and cannot cooperate with treatment.
- Be allergic to the study drugs
- Without Signed the informed consent
- Anticipating another clinical trial
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Finerenone group
After the induction period of two weeks, the patients with primary aldosteronism were randomized in an equal ratio to receive finerenone 10mg once daily.
Patients received the initial dose (10mg, week 0) of drug for the first two weeks of randomized treatments period.
Thereafter, the dose of finerenone would not be changed for the adequate blood pressure (BP) control and the normal serum potassium.
For patients not meeting BP < 140/90mmHg and the serum potassium ≥ 3.5 mmol/L, the dose of finerenone would be increased to 20mg once daily for the second 2 weeks later (week 2) and 30 mg 4 weeks later (week 4), respectively.
The whole treatment period was 8 weeks.
if blood pressure > 160/110 mmHg during the clinical trial, amlodipine 5 mg once was added.
|
At every visit, the clinic and ambulatory blood pressure will be measured.
The levels of serum potassium, creatinine, renin, aldosterone will be examined.
The urinary microalbumin creatinine ratio will be also examined.
|
Active Comparator: Spironolactone group
After the induction period of two weeks, the patients with primary aldosteronism were randomized in an equal ratio to receive spironolactone 20mg once daily.
Patients received the initial dose (20mg, week 0) of drug for the first two weeks of randomized treatments period.
Thereafter, the dose of spironolactone would not be changed for the adequate blood pressure (BP) control and the normal serum potassium.
For patients not meeting BP < 140/90mmHg and the serum potassium ≥ 3.5 mmol/L, the dose of finernone would be increased to 40mg once daily for the second 2 weeks later (week 2) and 60 mg 4 weeks later (week 4), respectively.
the whole treatment period was 8 weeks.
if blood pressure > 160/110 mmHg during the clinical trial, amlodipine 5 mg once was added.
|
At every visit, the clinic and ambulatory blood pressure will be measured.
The levels of serum potassium, creatinine, renin, aldosterone will be examined.
The urinary microalbumin creatinine ratio will be also examined.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The change of 24-hour ambulatory systolic blood pressure from the baseline level.
Time Frame: 8 weeks
|
24-hour ambulatory systolic blood pressure
|
8 weeks
|
The proportion of patients with normal serum potassium level.
Time Frame: 8 weeks
|
serum potassium level
|
8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The change of clinic systolic and diastolic blood pressure from the baseline level.
Time Frame: 8 weeks
|
clinic systolic and diastolic blood pressure
|
8 weeks
|
The change of other components of 24-hour ambulatory blood pressure from the baseline level.
Time Frame: 8 weeks
|
other components of 24-hour ambulatory blood pressure
|
8 weeks
|
The changes of plasma renin and aldosterone from the baseline levels.
Time Frame: 8 weeks
|
plasma renin and aldosterone
|
8 weeks
|
The change of urinary microalbumin creatinine ratio (ACR) from the baseline level.
Time Frame: 8 weeks
|
urinary microalbumin creatinine ratio
|
8 weeks
|
The change of estimate glomerular filtration rate from the baseline level.
Time Frame: 8 weeks
|
estimate glomerular filtration rate
|
8 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of Treatment-Adverse Events as assessed by gynaecomastia, mastodynia, menstrual abnormalities, impotence, hyperkalemia and other adverse events.
Time Frame: 8 weeks
|
gynaecomastia, mastodynia, menstrual abnormalities, impotence, hyperkalemia
|
8 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Director: Jiguang Wang, MD. PhD, Department of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, China
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
December 16, 2023
Primary Completion (Estimated)
December 16, 2024
Study Completion (Estimated)
December 16, 2024
Study Registration Dates
First Submitted
December 2, 2023
First Submitted That Met QC Criteria
December 2, 2023
First Posted (Estimated)
December 11, 2023
Study Record Updates
Last Update Posted (Estimated)
December 11, 2023
Last Update Submitted That Met QC Criteria
December 2, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Endocrine System Diseases
- Adrenocortical Hyperfunction
- Adrenal Gland Diseases
- Hyperaldosteronism
- Physiological Effects of Drugs
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Natriuretic Agents
- Diuretics
- Hormone Antagonists
- Mineralocorticoid Receptor Antagonists
- Diuretics, Potassium Sparing
- Spironolactone
Other Study ID Numbers
- FAVOR
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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