Original Investigation

Finerenone in Patients With Chronic Kidney Disease Due to Glomerular Diseases

JAMA 10.1001/jama.2026.9923

June 05, 2026 at 6:35 AM EDT

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What is the effect of finerenone in patients with chronic kidney disease due to glomerular diseases?In this prespecified exploratory analysis of a randomized clinical trial that enrolled 903 participants with glomerular diseases, finerenone, compared with placebo, slowed kidney function decline (difference in eGFR slope decline, 073 mL/min/1.73 m per year), reduced albuminuria, and lowered the risk of kidney failure or sustained loss of kidney function, with consistent effects across glomerular disease subtypes.Finerenone may have an important role in preserving kidney function in patients with glomerular diseases.

Corresponding Author: Brendon L. Neuen, MBBS, MSc, PhD, The George Institute for Global Health, Health Translation Hub, Level 8, 55 Botany Rd, Randwick NSW 2031, Australia (bneuen@georgeinstitute.org.au).

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