WCN26-5829 EFFICACY AND SAFETY OF FINERENONE AND EMPAGLIFLOZIN IN PATIENTS WITH INITIAL DECLINE IN ESTIMATED GLOMERULAR FILTRATION RATE: A CONFIDENCE TRIAL PRESPECIFIED ANALYSIS
Serious adverse events were reported in 8.5%, 10.5%, and 3.8%, respectively.TEAEs leading to treatment discontinuation occurred in 0.9%, 3.8%, and 1.0%.The incidence of steroid-specific side effects (e.g., moon face, buffalo hump) was low and generally mild.No deaths were reported. Conclusion:Nine months of treatment with targeted-release HR19042 capsules produced a clinically meaningful reduction in proteinuria and slowed eGFR decline compared with placebo, indicating a potential disease-modifying effect in patients with IgA nephropathy.HR19042 was generally well tolerated, with a safety profile consistent with locally acting oral budesonide.I have potential conflict of interest to disclose.Rong Huang and Su Zhang report being employed by Jiangsu Hengrui Pharmaceuticals.
Authors
- Amy K. Mottl (ORCID: https://orcid.org/0000-0002-4258-1726)
- Mario Berger (ORCID: https://orcid.org/0000-0002-9048-3928)
- Julio Rosenstock (ORCID: https://orcid.org/0000-0001-8324-3275)
- Janet B. McGill (ORCID: https://orcid.org/0000-0002-6228-6521)
- J B Green
- Na Li (ORCID: https://orcid.org/0000-0001-6361-8463)
- Meike Brinker
- P Rossing
- Muthiah Vaduganathan
- Hiddo J.L. Heerspink
- Rajiv Agarwal
- Jose Luis Gorriz
- Masaomi Nangaku
- Johannes F.E. Mann
- Charlie Scott
Institutions
- University of North Carolina at Chapel Hill (US)
- Brigham and Women's Hospital (US)
- University Medical Center Groningen (NL)
- Steno Diabetes Centers (DK)
- Harvard University (US)
- Bayer (United States) (US)
- Duke University (US)
- Washington University in St. Louis (US)
- Clinical Research Institute (US)
- Hospital Clínico Universitario de Valencia (ES)
- Katholische Stiftungshochschule München (DE)
- Richard L. Roudebush VA Medical Center (US)
- Dallas Diabetes Research Center (US)
- INCLIVA Health Research Institute (ES)
- Indiana University – Purdue University Indianapolis (US)
- Bayer (Germany) (DE)
- The University of Tokyo (JP)
Publication Details
- Journal
- Kidney International Reports
- Published
- 2026-05-01
- DOI
- https://doi.org/10.1016/j.ekir.2026.106507
- Primary Topic
- Renal Diseases and Glomerulopathies
- Type
- article
- Field-Weighted Citation Impact
- 0.00