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BAY94-8862

Phase 2

Diabetic Nephropathies | Small molecule | Nephrology |Bayer AG|Last Updated: Feb 10, 2022

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment96

FDA Designations

No designations recorded

Clinical trial landscape

BAY94-8862 · 4 trials · 2 indications

Phase 2 3Phase 1 1
NCT01955694Phase IIb Safety and Efficacy Study of BAY94-8862 in Subjects With Worsening Chronic Heart Failure and Left Ventricular Systolic Dysfunction and Either Type 2 Diabetes Mellitus With or Without Chronic Kidney Disease or Moderate Chronic Kidney Disease AloneHeart Failure
COMPLETED72 Analytics
NCT01968668Safety and Efficacy of Different Oral Doses of BAY94-8862 in Japanese Subjects With Type 2 Diabetes Mellitus and the Clinical Diagnosis of Diabetic Nephropathy (ARTS-DN Japan)Diabetic Nephropathies
COMPLETED96 Analytics
NCT01345656BAY94-8862 Dose Finding Trial in Subjects With Chronic Heart Failure and Mild (Part A) or Moderate (Part B) Chronic Kidney DiseaseHeart Failure
COMPLETED457 Analytics
PHASE2COMPLETED
Phase IIb Safety and Efficacy Study of BAY94-8862 in Subjects With Worsening Chronic Heart Failure and Left Ventricular Systolic Dysfunction and Either Type 2 Diabetes Mellitus With or Without Chronic Kidney Disease or Moderate Chronic Kidney Disease Alone
Heart FailureUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy of Different Oral Doses of BAY94-8862 in Japanese Subjects With Type 2 Diabetes Mellitus and the Clinical Diagnosis of Diabetic Nephropathy (ARTS-DN Japan)
Diabetic NephropathiesUnlock trial analytics
PHASE2COMPLETED
BAY94-8862 Dose Finding Trial in Subjects With Chronic Heart Failure and Mild (Part A) or Moderate (Part B) Chronic Kidney Disease
Heart FailureUnlock trial analytics

Study Endpoints

Primary Endpoints

The percentage of subjects with a relative decrease in N-terminal prohormone B-type natriuretic peptide of more than 30% from baseline to Visit 10
From baseline to 90 days
Change of urinary albumin-to creatinine ratio
Baseline and 90 days
Change of serum potassium
4 weeks
Dose proportionality of BAY94-8862 exposure in plasma when given as 1.25, 2.5, 5.0, 7.5 and 10 mg IR tablets
0, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 15, 24, 28 & 48 h

Secondary Endpoints

Change in serum potassium
From baseline to 90 days
Change in serum potassium concentration
Baseline and 90 days
Change in serum magnesium
Day 8, Day 15, Day 22, Day 29
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BAY94-8862 (2.5 mg)EXPERIMENTAL2.5 mg BAY94-8862 tablet and placebo capsule once daily in the morning, with possible up-titration to 5 mg once daily at Visit 6 (Day 30), and sham up-titration at Visit 8 (Day 60), based on the value of blood potassium
BAY94-8862 (5 mg)EXPERIMENTAL5 mg BAY94-8862 tablet and placebo capsule once daily in the morning, with possible up-titration to 10 mg once daily at Visit 6 (Day 30), and sham up-titration at Visit 8 (Day 60), based on the value of blood potassium
EplerenoneACTIVE_COMPARATOR25 mg eplerenone every other day, i.e. one 25 mg eplerenone capsule on Day 1, Day 3, Day 5, etc. in the morning, 1 placebo capsule on Day 2, Day 4, Day 6, etc. in the morning, and 1 placebo tablet once daily in the morning, with possible up-titration to 25 mg eplerenone once daily at Visit 6 (Day 30), i.e. one 25 mg eplerenone capsule once daily in the morning and 1 placebo tablet once daily in the morning, and a possible up-titration to 25 mg once daily \[if not performed at Visit 6 (Day 30)\] or to 50 mg once daily \[if up-titrated to 25 mg once daily at Visit 6 (Day 30)\] at Visit 8 (Day 60), based on the value of blood potassium
BAY94-8862 (7.5 mg)EXPERIMENTAL7.5 mg BAY94-8862 tablet and placebo capsule once daily in the morning, with possible up-titration to 15 mg once daily at Visit 6 (Day 30), and sham up-titration at Visit 8 (Day 60), based on the value of blood potassium Note: This treatment group may be introduced into the study or not after safety and tolerability of these doses has been assessed by an independent Data Monitoring Committee (DMC) (1st dose recommendation DMC meeting).
BAY94-8862 (10 mg)EXPERIMENTAL10 mg BAY94-8862 tablet and placebo capsule once daily in the morning, with possible up-titration to 20 mg once daily at Visit 6 (Day 30), and sham up-titration at Visit 8 (Day 60), based on the value of blood potassium Note: Only in case the above mentioned additional treatment arm (BAY94-8862, 7.5 mg) has been added, a second dose decision meeting of the DMC will take place, Again safety and tolerability of all doses will be assessed by an independent DMC (2nd dose recommendation DMC meeting). Based on this data, none or up to two treatment groups (BAY94-8862, 10 mg and BAY94-8862,15 mg) may be introduced into the study.
BAY94-8862 (15 mg)EXPERIMENTAL15 mg BAY94-8862 tablet and placebo capsule once daily in the morning, with possible up-titration to 20 mg once daily at Visit 6 (Day 30), and sham up-titration at Visit 8 (Day 60), based on the value of blood potassium Note: Only in case the above mentioned additional treatment arm (BAY94-8862, 7.5 mg) has been added, a second dose decision meeting of the DMC will take place, Again safety and tolerability of all doses will be assessed by an independent DMC (2nd dose recommendation DMC meeting). Based on this data, none or up to two treatment groups (BAY94-8862, 10 mg and BAY94-8862,15 mg) may be introduced into the study.
BAY94-8862 (1.25 mg)EXPERIMENTAL -
BAY94-8862 (5 mg )EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
BAY 94-8862 (15 mg)EXPERIMENTAL -
BAY 94-8862 (20 mg)EXPERIMENTAL -
Arm 1EXPERIMENTAL -
Arm 2EXPERIMENTAL -
Arm 3EXPERIMENTAL -
Arm 4EXPERIMENTAL -
Arm 5PLACEBO_COMPARATOR -
Arm 6ACTIVE_COMPARATOR -
BAY94-8862 (1.25mg)EXPERIMENTALsingle dose BAY94-8862 IR tablet 1.25mg
BAY94-8862 (2.5mg)EXPERIMENTALsingle dose BAY94-8862 IR tablet 2.5mg
BAY94-8862 (5mg)EXPERIMENTALsingle dose BAY94-8862 IR tablet 5mg
BAY94-8862 (7.5mg)EXPERIMENTALsingle dose BAY94-8862 IR tablet 7.5mg
BAY94-8862 (10mg)EXPERIMENTALsingle dose BAY94-8862 IR tablet 10mg

Interventions

NameTypeDescription
BAY94-8862DRUG2.5 mg, 5 mg, 7.5 mg, 10 mg, 15 mg, and 20 mg of BAY94-8862 tablets
EplerenoneDRUGINSPRA 25 and 50 mg tablets (MAH: Pfizer) will be used for eplerenone 25 and 50 mg tablets
PlaceboDRUGmatching placebo
BAY 94-8862DRUG15 mg BAY 94-8862 tablet once daily in the morning
SpironolactoneDRUGPart B only: 25 mg spironolactone once daily with up-titration to 50 mg once daily starting at day 15, if serum potassium is less or equal to 4.8 mmol/L, for duration of 4 weeks
BAY94-8862 (1.25mg)DRUG -
BAY94-8862 (2.5mg)DRUG -
BAY94-8862 (5mg)DRUG -
BAY94-8862 (7.5mg)DRUG -
BAY94-8862 (10mg)DRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites29

Inclusion Criteria: * Subjects with worsening chronic heart failure requiring emergency presentation to hospital and treatment with intravenous (IV) diuretics at hospital * Subjects with either type 2 DM or moderate CKD Exclusion Criteria: * Acute de-novo heart failure or acute inflammatory heart...

Countries:JapanAustriaBelgiumCzechiaDenmarkFinlandGermanyIsraelNorwayPolandSweden
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Frequently asked questions about BAY94-8862

What is BAY94-8862 used for?

BAY94-8862 is an investigational small molecule being developed for heart failure and diabetic nephropathies. It is in Phase 2 clinical development and has been studied in patients with chronic heart failure, including those with chronic kidney disease, and in patients with type 2 diabetes mellitus and diabetic nephropathy.

Who makes BAY94-8862?

BAY94-8862 is being developed by Bayer AG, a German pharmaceutical company. Bayer AG is publicly traded under the ticker symbol BAYRY on the OTC market. The drug is currently in Phase 2 clinical development for heart failure and diabetic nephropathies.

What phase is BAY94-8862 in?

BAY94-8862 is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The drug has completed three clinical trials, including two Phase 2 studies and one Phase 1 study, with a total enrollment of 554 participants.

What clinical trials is BAY94-8862 in?

BAY94-8862 has completed three clinical trials. NCT01345656 was a Phase 2 dose-finding trial in chronic heart failure with chronic kidney disease. NCT01687920 was a Phase 1 dose proportionality study. NCT01955694 was a Phase 2b study in worsening chronic heart failure. NCT01968668 was a Phase 2 study in diabetic nephropathy.

Is BAY94-8862 the same as finerenone?

BAY94-8862 is also known as finerenone. It is a nonsteroidal mineralocorticoid receptor antagonist being developed by Bayer AG. The drug is in Phase 2 clinical development for heart failure and diabetic nephropathies, and has completed trials in these indications.