Status: Ongoing
First registered on:
22/08/2022
Last updated on:
15/06/2023
1. Study identification
EU PAS Register NumberEUPAS48148
Official titleFINErenone druG Utilization Study and assessment of Temporal changes following availability of different treatment options in patients with chronic kidney disease and type 2 diabetes
Study title acronymFINEGUST
Study typeObservational study
Brief description of the studyThis is an observational study in people with chronic kidney disease (CKD) and type 2 diabetes (T2D) who have already started or will start one of the following treatments for T2D or CKD: Sodium-glucose cotransporter 2 inhibitors (SGLT2i), Glucagon-like peptide-1 receptor agonists (GLP-1 RA), Steroidal mineralocorticoid receptor antagonists (sMRA), Finerenone a non-steroidal mineralocorticoid receptor antagonist (nsMRA), Other nsMRA (only in Japan).
The main purpose of the study is to collect and describe characteristics of patients in each treatment group before and after finerenone became available.
To do this, the researchers will collect data on:
• Patient characteristics (e.g., age sex) of the participants
• Clinical characteristics (e.g., history of CKD and T2D, heart and liver health, other health problems) of the participants
• Treatments for T2D and CKD
• Other medications used
Data will be grouped by type of treatment that is initiated (e.g., SGLT2i, a GLP-1 RA, a sMRA, finerenone, or other nsMRA). Two time periods will be compared. Period I is the time until finerenone became available in the respective country, starting from 2012 (2014 for Japan). Period II will begin when finerenone becomes available in the respective country and will end at the end of the study (planned in September 2024).
Researchers will also collect data on treatment patterns and changes in baseline characteristics in both time periods.
Existing health care data will be collected from various sources in six countries (e.g., Denmark, Japan, the Netherlands, Spain, UK, and US). Besides this data collection, no further tests or examinations are planned in the study.
The patients will receive their treatment as prescribed by their doctors during routine practice.
Each patient will be in the study from first use of one of the listed drug classes until:
• End of study
• The data are somehow no longer available
• The patient leaves or has to leave the study
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
Not applicable
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsRTI-HS
Department/Research groupPharmacoepidemiology & Risk Management
Organisation/affiliationRTI Health Solutions
Details of (Primary) lead investigator
Title Dr
Last name Johannes
First name Catherine
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?6
FISABIO, Spain
The Japan Chronic Kidney Disease Database Extension, Japan
Optum Clinformatics® DataMart, US
Countries in which this study is being conducted
International study
Denmark
Japan
Netherlands
Spain
United Kingdom
United States
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed31/05/202206/05/2022
Start date of data collection01/10/202201/10/2022
Start date of data analysis
Date of interim report, if expected
Date of final study report31/12/2024
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesBayer AG100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name BAYER AG
First name Bayer Clinical Trials
Address line 1Muellerstrasse 178
Address line 2
Address line 3
CityBerlin
Postcode
CountryGermany
Phone number (incl. country code)49-30300139005
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name BAYER AG
First name Bayer Clinical Trials
Address line 1Muellerstrasse 178
Address line 2
Address line 3
CityBerlin
Postcode
CountryGermany
Phone number (incl. country code)49-30300139005
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)C03DA05 (finerenone)
7. Medical conditions to be studied
Medical condition(s)Yes
Chronic kidney disease
Type 2 diabetes mellitus
8. Population under study
Age
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
Other population
Renal impaired
9. Number of subjects
Estimated total number of subjects50000
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Data sources not registered with ENCePP
Danish National Health Registers, Denmark
Valencia Health System Integrated Database, Spain
Japan Chronic Kidney Disease Database Extension, Japan
Optum Clinformatics® DataMart, United States
Sources of data
Disease/case registry
Prescription event monitoring
Administrative database, e.g. claims database
Routine primary care electronic patient registry
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
The primary objective of this study is to describe baseline patient characteristics, comorbidities, and comedication of adult patients with CKD and T2D who initiate an SGLT2i, a GLP-1 RA, a MRA, or finerenone in each of 2 time periods corresponding to the finerenone pre-launch and post-launch dates.
Are there primary outcomes?Yes
• Descriptive summary of baseline patient characteristics
• Descriptive summary of patient comorbidities
• Descriptive summary of patient comedications
Are there secondary outcomes?Yes
• Descriptive summary of changes over time in treatments in the new-user cohorts
• Descriptive summary of temporal changes in the baseline characteristics of medication-specific cohorts
13. Study design
What is the design of the study?
Cohort study
Drug utilisation study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
In each of the 2 study periods, before and after finerenone approval, follow-up will start the day after the index date and will continue until the first occurrence of 1 of the censoring criteria.
15. Data analysis plan
Please provide a brief summary of the analysis method
Descriptive analyses of patient characteristics and treatment patterns.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
None
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
