About this trial
FACILITATE-HF is a multicenter, randomized, double-blind, placebo-controlled trial designed to determine whether initiation of finerenone during the early phase of hospitalization has beneficial effects in patients with AHF who have left ventricular ejection fraction 40% or more.
Eligibility criteria
Qualifiers
Patients ≥18 years of age, male or female<br>
Current hospitalization with AHF requiring intravenous loop diuretics or vasodilators during the index admission<br>
Patients have to have at least one of new or worsening symptoms due to HF and one of new or worsening physical examination findings due to HF <br> (i) symptom<br> dyspnoea, decreased exercise tolerance, or fatigue<br> (ii) physical examination<br> peripheral edema, increasing abdominal distention or ascites, pulmonary rales/crackles/crepitations, increased jugular venous pressure and/or hepatojugular reflux, S3 gallop, clinically significant or rapid weight gain<br>
Patients who are not hemodynamically unstable as defined by meeting the following criteria<br>
Disqualifiers
Estimated glomerular filtration rate (eGFR) <25 mL/min/1.73m2 by CKD-EPI Creatinine Equation (2021) at screening<br>
Serum/plasma potassium >5.0 mmol/L at screening<br>
Patients who cannot receive oral treatment<br>
Use of eplerenone, spironolactone, esaxerenone or potassium-sparing diuretic within 30 days before randomization <br>
Trial design
Treatments tested in this trial
- Finerenone Oral Tablet
- Finerenone Placebo