ClinicalTrials.gg
RecruitingNCT06024746CONFIRMATIONUpdated Sep 10, 2026

A Study to Determine the Efficacy and Safety of Finerenone and SGLT2i in Combination in Hospitalized Patients With Heart Failure (CONFIRMATION-HF)

A Phase 3 interventional study of Finerenone and Empagliflozin in Heart Failure, sponsored by Colorado Prevention Center. Recruiting at 140 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-10.

Sponsored by Colorado Prevention Center · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2024; still recruiting 2 years 4 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
1,500
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Combination therapy of finerenone plus empagliflozin will be compared to usual care to determine the efficacy and safety of treatment in patients hospitalized with heart failure.

Read the detailed description

This is an international, randomized, controlled, open-label, trial of an early, intensive management strategy using the combination of finerenone plus sodium-glucose co-transporter 2 inhibitor (SGLT2i) compared with usual care in patients hospitalized with heart failure (HF).

02

Conditions studied

  • Heart Failure

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Keywords

  • Heart Failure
  • Hospitalized
03

In context

Heart Failure

6,331 studies on the registry are indexed under Heart Failure; 1,396 are open to participants now.

This study's planned enrollment of 1,500 is above the median of 76 across 4,049 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Colorado Prevention Center is the lead sponsor of 8 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Provide electronic or written , either personally or through a legally authorized representative, as permitted by local regulations
  • Age ≥18 years or legal age of majority if >18 years in the participant's country of residence
  • Current hospitalization or recently discharged with the primary diagnosis of heart failure
  • Heart failure signs and symptoms at the time of hospital admission
  • Elevated N-terminal pro B-type natriuretic peptide (NTproBNP) ≥500 pg/mL or B-type natriuretic peptide (BNP) ≥125 pg/mL according to the local lab for patients in sinus rhythm; or elevated NTproBNP ≥1500 pg/mL or BNP ≥375 pg/mL for patients with atrial fibrillation (AF), measured during the current hospitalization or in the 72 hours prior to hospital admission
  • Fulfillment of protocol defined stabilization criteria (if randomized during hospitalization)
  • Treatment during the index hospitalization with at least 1 intravenous dose of a loop diuretic (e.g., furosemide, torsemide, bumetanide).
  • Negative pregnancy test and agreement to use adequate during trial (female participants only)

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of type 1 diabetes or prior history of diabetic ketoacidosis
  • Documented prior history of severe hyperkalemia in the setting of MRA use
  • Treatment with non-steroidal mineralocorticoid receptor antagonist (MRA) or SGLT2i
  • Estimated (eGFR) \<30 mL/min/1.73m² and/or potassium >5.0 mmol/L
  • Acute myocardial infarction, coronary revascularization, valve replacement/repair, or implantation of a cardiac resynchronization therapy device within 30 days
  • Prior or planned heart transplant
  • Hemodynamically significant uncorrected primary cardiac valvular disease as primary cause of heart failure
  • Cardiomyopathy due to acute inflammatory heart disease, infiltrative diseases, accumulation diseases, muscular dystrophies, cardiomyopathy with reversible causes, known hypertrophic obstructive cardiomyopathy, complex congenital heart disease, or pericardial constriction
  • Probable alternative cause of participant's heart failure symptoms
  • Concomitant systemic therapy with potent cytochrome P450 isoenzyme 3A4 () inhibitors or moderate CYP3A4 inducers, or potent CYP3A4 inducers
  • Known to the IP (active substance or )
  • Any other condition or therapy which would make the patient unsuitable for this study
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,500 participants (estimated)

Study arms

  • Experimental
    Finerenone plus empagliflozin

    Drug: Finerenone · Drug: Empagliflozin

  • No intervention
    Usual care

    Usual care management

Interventions

06

What researchers measure

Primary outcomes

  1. Clinical benefit

    Hierarchical composite of the following: * Time to all-cause mortality * Number of total HF events * Time to first HF event * Difference of 5 points or greater on the Kansas City Cardiomyopathy Questionnaire - Total Symptom Score (KCCQ-TSS) assessed by the win-ratio method

    Time frame: 6 months

  2. Number of serious adverse events (AEs).

    \- Serious AEs (excluding efficacy endpoints).

    Time frame: 6 months

  3. Number of adverse events leading to discontinuation of study drug.

    \- AEs leading to discontinuation of finerenone or empagliflozin.

    Time frame: 6 months

Secondary outcomes

  1. Time to first death from any cause or HF event.

    Time to first occurrence of all-cause mortality or HF event (hospitalization for HF or urgent visit due to HF)

    Time frame: 6 months

  2. Mean change from baseline to 6 months in the Total Symptom Score of the Kansas City Cardiomyopathy Questionnaire (KCCQ-TSS).

    Time frame: 6 months

  3. Number of HF events from baseline to Day 90.

    \- Total (first and recurrent) HF events.

    Time frame: 90 days

07

Study locations

140 of 140 sites recruiting
  • CON-10004 Fairhope, AL Investigational Site
    Fairhope, Alabama 36532, United States
    Recruiting
  • Phoenix, AZ Investigative Site CON-10115
    Phoenix, Arizona 85006, United States
    Recruiting
  • Chula Vista, CA Investigative Site CON-10111
    Chula Vista, California 91911, United States
    Recruiting
  • CON-10075 El Centro, CA Investigational Site
    El Centro, California 92243, United States
    Recruiting
  • CON-10024 Sacramento, CA Investigational Site
    Sacramento, California 95816, United States
    Recruiting
  • San Francisco, CA Investigative Site CON-10315
    San Francisco, California 94110, United States
    Recruiting
  • CON-10023, San Francisco, CA
    San Francisco, California 94118, United States
    Recruiting
  • CON-10109, Van Nuys, CA
    Van Nuys, California 91405, United States
    Recruiting
  • CON-10001, Aurora, CO
    Aurora, Colorado 80045, United States
    Recruiting
  • CON-10005, Denver, CO
    Denver, Colorado 80204, United States
    Recruiting
  • Bradenton, FL Investigative Site CON-10125
    Bradenton, Florida 34209, United States
    Recruiting
  • Fort Lauderdale, FL Investigative Site CON-10114
    Fort Lauderdale, Florida 33308, United States
    Recruiting
  • CON-10078, Hialeah, FL
    Hialeah, Florida 33012, United States
    Recruiting
  • CON-10105, Miami, FL
    Miami, Florida 33135, United States
    Recruiting
  • CON-10113, Miramar, FL
    Miramar, Florida 33027, United States
    Recruiting
  • CON-10022 Atlanta, GA Investigational Site
    Atlanta, Georgia 30303, United States
    Recruiting
  • CON-10021, Glenview, IL
    Glenview, Illinois 60026, United States
    Recruiting
  • CON-10041, Island Lake, IL
    Island Lake, Illinois 60042, United States
    Recruiting
  • CON-10025, Naperville, IL
    Naperville, Illinois 60540, United States
    Recruiting
  • CON-10019, Peoria, IL
    Peoria, Illinois 61603, United States
    Recruiting
  • CON-10064, Merrillville, IN
    Merrillville, Indiana 46410, United States
    Recruiting
  • CON-10080, Lexington, KY
    Lexington, Kentucky 40503, United States
    Recruiting
  • Lexington, KY Investigative Site CON-10118
    Lexington, Kentucky 40536, United States
    Recruiting
  • CON-10086, Louisville, Kentucky
    Louisville, Kentucky 40205, United States
    Recruiting
  • CON-10079, Paducah, KY
    Paducah, Kentucky 42003, United States
    Recruiting
  • CON-10030 Baton Rouge, LA Investigational Site
    Baton Rouge, Louisiana 70808, United States
    Recruiting
  • CON-10090, West Monroe, LA
    West Monroe, Louisiana 71291, United States
    Recruiting
  • Minneapolis, MN Investigative Site CON-10035
    Minneapolis, Minnesota 55417, United States
    Recruiting
  • CON-10002 Kansas City, MO Investigative Site
    Kansas City, Missouri 64111, United States
    Recruiting
    • Marc Bonaca · Contact
  • CON-10018, Omaha, NE
    Omaha, Nebraska 68105, United States
    Recruiting
  • CON-10318, Charlotte, NC
    Charlotte, North Carolina 28207, United States
    Recruiting
  • Greenville, NC Investigative Site CON-10122
    Greenville, North Carolina 27834, United States
    Recruiting
  • Morrisville, NC Investigative Site CON-10317
    Morrisville, North Carolina 27560, United States
    Recruiting
  • CON-10119, Centerville, OH
    Centerville, Ohio 45459, United States
    Recruiting
  • Philadelphia, PA Investigative Site CON-10068
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
  • CON-10051, Chattanooga, TN
    Chattanooga, Tennessee 37403, United States
    Recruiting
  • CON-10045 Amarillo, TX Investigational Site
    Amarillo, Texas 79106, United States
    Recruiting
  • CON-10015 Austin, TX Investigational Site
    Austin, Texas 78705, United States
    Recruiting
  • CON-10304, Denison, TX
    Denison, Texas 75020, United States
    Recruiting
  • CON-10301, Fort Worth, TX
    Fort Worth, Texas 76104, United States
    Recruiting
  • CON-10085, Houston, TX
    Houston, Texas 77030, United States
    Recruiting
  • Houston, TX Investigative Site CON-10320
    Houston, Texas 77058, United States
    Recruiting
  • Texarkana, TX Investigative Site CON-10319
    Texarkana, Texas 75503, United States
    Recruiting
  • CON-10305, Layton, UT
    Layton, Utah 84041, United States
    Recruiting
  • CON-10009, Norfolk, VA
    Norfolk, Virginia 23507, United States
    Recruiting
  • Salem, VA Investigative Site CON-10048
    Salem, Virginia 24153, United States
    Recruiting
  • CON-21036, Rio Branco, Acre
    Rio Branco, Acre 69915-030, Brazil
    Recruiting
  • CON-21064, Arapiraca, Alagoas, Brazil
    Arapiraca, Alagoas 57315-745, Brazil
    Recruiting
  • Fortaleza, Ceará Investigative Site CON-21076
    Fortaleza, Ceará 60430275, Brazil
    Recruiting
  • Fortaleza, Ceará Investigative Site CON-21055
    Fortaleza, Ceará 60864-190, Brazil
    Recruiting
  • CON-21017, Linhares, Espirito Santo
    Linhares, Espírito Santo 29900-010, Brazil
    Recruiting
  • Vila Velha, Espírito Santo Investigative Site CON-21059
    Vila Velha, Espírito Santo 29118-060, Brazil
    Recruiting
  • CON-21032, Salvador, Bahia
    Salvador, Estado de Bahia 40050-410, Brazil
    Recruiting
  • CON-21028, Brasilia, Distrito Federal
    Brasília, Federal District 70390-700, Brazil
    Recruiting
  • CON-21053, Aparecida de Goiânia, Goias
    Aparecida de Goiânia, Goiás 74936-600, Brazil
    Recruiting
  • CON-21003 Goiania, Goias Investigational Site
    Goiânia, Goiás 74453-200, Brazil
    Recruiting
  • CON-21020, Belo Horizonte, Minas Gerais
    Belo Horizonte, Minas Gerais 30180-080, Brazil
    Recruiting
  • CON-21051, Belo Horizonte, Minas Gerais
    Belo Horizonte, Minas Gerais 30220-140, Brazil
    Recruiting
  • Belo Horizonte, Minas Gerais Investigative Site CON-21079
    Belo Horizonte, Minas Gerais 30220-330, Brazil
    Recruiting
  • CON-21013, Belo Horizonte, Minas Gerais
    Belo Horizonte, Minas Gerais 30441-070, Brazil
    Recruiting
  • CON-21009, Poços de Caldas, Minas Gerais
    Poços de Caldas, Minas Gerais 37706, Brazil
    Recruiting
  • Curitiba, Parana Investigative Site CON-21029
    Curitiba, Paraná 80010-030, Brazil
    Recruiting
  • CON-21056, Curitiba, Paraná
    Curitiba, Paraná 80060-900, Brazil
    Recruiting
  • CON-21038, Curitiba, Paraná
    Curitiba, Paraná 80230-130, Brazil
    Recruiting
  • CON-21047, Londrina, Paraná
    Londrina, Paraná 86038, Brazil
    Recruiting
  • Recife, Pernambuco Investigative Site CON-21021
    Recife, Pernambuco 50100-040, Brazil
    Recruiting
  • Recife, Pernambuco Investigative Site CON-21086
    Recife, Pernambuco 51.110-160, Brazil
    Recruiting
  • Recife, Pernambuco Investigative Site CON-21061
    Recife, Pernambuco 52010-075, Brazil
    Recruiting
  • Teresina, Piaui Investigative Site CON-21050
    Teresina, Piauí 64001-450, Brazil
    Recruiting
  • CON-21001, Recife, Recife
    Recife, Recife 50720-110, Brazil
    Recruiting
  • CON-21016, Rio De Janeiro, Rio De Janeiro
    Rio de Janeiro, Rio de Janeiro 20551-030, Brazil
    Recruiting
  • CON-21014, Rio de Janeiro, Rio de Janeiro
    Rio de Janeiro, Rio de Janeiro 22240-006, Brazil
    Recruiting
  • CON-21024, Natal, Rio Grande do Norte
    Natal, Rio Grande do Norte 59020-500, Brazil
    Recruiting
  • CON-21008, Caxias do Sul, Rio Grande do Sul
    Caxias do Sul, Rio Grande do Sul 95070560, Brazil
    Recruiting
  • CON-21042, Passo Fundo, Rio Grande do Sul
    Passo Fundo, Rio Grande do Sul 99010, Brazil
    Recruiting
  • Porto Alegre, RS Investigative Site CON-21025
    Porto Alegre, Rio Grande do Sul 90630-165, Brazil
    Recruiting
  • Porto Velho, Rondonia Investigative Site CON-21087
    Porto Velho, Rondônia 76801-098, Brazil
    Recruiting
  • CON-21007 Joinville, Santa Catarina Investigational Site
    Joinville, Santa Catarina 89200-000, Brazil
    Recruiting
  • CON-21058, Aracaju, Sergipe
    Aracaju, Sergipe 49055-210, Brazil
    Recruiting
  • CON-21057, Atibaia, São Paulo
    Atibaia, São Paulo 12944-060, Brazil
    Recruiting
  • CON-21004 Braganca Paulista, Sao Paulo Investigational Site
    Bragança Paulista, São Paulo 12916542, Brazil
    Recruiting
  • Campinas, São Paulo Investigative Site CON-21083
    Campinas, São Paulo 13083-190, Brazil
    Recruiting
  • CON-21005, Itaquera, São Paulo
    Itaquera, São Paulo 08270-120, Brazil
    Recruiting
  • CON-21010, Osasco, São Paulo
    Osasco, São Paulo 06013-070, Brazil
    Recruiting
  • CON-21011, Presidente Prudente, São Paulo
    Presidente Prudente, São Paulo 19050-680, Brazil
    Recruiting
  • CON021043, Santo André, São Paulo
    Santo André, São Paulo 09090-790, Brazil
    Recruiting
  • São Carlos, São Paulo Investigative Site CON-21075
    São Carlos, São Paulo 13566-448, Brazil
    Recruiting
  • São José dos Campos, São Paulo Investigative Site CON-21081
    São José dos Campos, São Paulo 12243000, Brazil
    Recruiting
  • CON-21074, São Paulo, São Paulo
    São Paulo, São Paulo 01229-010, Brazil
    Recruiting
  • CON-21062, São Paulo, São Paulo
    São Paulo, São Paulo 01317-002, Brazil
    Recruiting
  • CON-21037, São Paulo, São Paulo
    São Paulo, São Paulo 01323-001, Brazil
    Recruiting
  • CON-21048, São Paulo, São Paulo
    São Paulo, São Paulo 04004-30, Brazil
    Recruiting
  • CON-21049 Sao Paulo, Sao Paulo Investigational Site
    São Paulo, São Paulo 05652-900, Brazil
    Recruiting
  • CON-21031, Votuporanga, São Paulo
    Votuporanga, São Paulo 15505-189, Brazil
    Recruiting
  • Porto Alegre, RS Investigative Site CON-21019
    Porto Alegre, 90840-440, Brazil
    Recruiting
  • São Paulo Investigative Site CON-21066
    São Paulo, 05403-000, Brazil
    Recruiting
  • CON-11011, Edmonton, AB
    Edmonton, Alberta T6G 2B7, Canada
    Recruiting
  • CON-11012 Surry, BC Investigational Site
    Surrey, British Columbia V3V OC6, Canada
    Recruiting
  • CON-11016, Sudbury, ON
    Greater Sudbury, Ontario P3E 5J1, Canada
    Recruiting
  • CON-11010, London, ON
    London, Ontario N6A 5A5, Canada
    Recruiting

Showing the first 100 of 140 sites across 8 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: No — No current plan to share individual patient data with other researchers.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06024746
Lead sponsor
Colorado Prevention Center
Collaborators
Saint Luke's Mid America Heart Institute, Bayer Healthcare Pharmaceuticals, Inc./Bayer Schering Pharma
Responsible party
Sponsor
First posted
Sep 6, 2023
Start date
Jul 9, 2024
Primary completion
Nov 2027 (estimated)
Completion
Nov 2027 (estimated)
Last update
Sep 10, 2026

Study contacts

Marc Bonaca
Contact
info@cpcmed.org
(303) 860-9900

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Finerenone

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