Asset profile

Finerenone · Kerendia

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: Chronic Kidney Disease, Heart Failure (label: heart failure with LVEF 40% or more (HFpEF and HFmrEF))

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

Caveat: this result is taken from a company announcement or a news report of one, not from the trial registry or a peer-reviewed publication. Treat the figures as the sponsor's own statement, not as independently verified evidence.

track record: Reliable signal

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Competitive landscape

111 competitors in this universe: 1 direct rival (same mechanism and indication), 1 same-class, 109 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Finerenone (Kerendia): this drugApprovedSmall moleculeMineralocorticoid receptor
BalcinrenonePhase 3Small moleculeMineralocorticoid receptor
Esaxerenone (Minnebro)Phase 3Small moleculeMineralocorticoid receptor
Atrasentan (Vanrafia)ApprovedSmall moleculeEndothelin A receptor
Avacopan (Tavneos)ApprovedSmall moleculeComplement C5a receptor 1 (C5aR1/CD88)
Baxdrostat (Baxfendy)ApprovedSmall moleculeAldosterone synthase (CYP11B2)
Budesonide (targeted-Release) (TARPEYO / Nefecon)ApprovedSmall moleculeGlucocorticoid receptor
Canagliflozin (Invokana)ApprovedSmall moleculeSGLT2
Dapagliflozin (Farxiga / Forxiga)ApprovedSmall moleculeSGLT2
Daprodustat (Jesduvroq)ApprovedSmall moleculeHIF prolyl hydroxylase (HIF-PH1/2/3)
Difelikefalin (Korsuva)ApprovedPeptideKappa-opioid receptor (agonist, peripherally restricted)
Empagliflozin (Jardiance)ApprovedSmall moleculeSGLT2
Etelcalcetide (Parsabiv)ApprovedPeptideCalcium-sensing receptor (CaSR), allosteric agonist on parathyroid chief cells
Extended-Release Calcifediol (Rayaldee)ApprovedSmall moleculeVitamin D receptor (VDR), via conversion to calcitriol
Ferric Carboxymaltose (Injectafer / Ferinject)ApprovedIron Complex (iv)Iron repletion
Ferric Derisomaltose (Monoferric / Monofer)ApprovedIron Complex (iv)Iron repletion

…and 96 more. Research shows the complete landscape.

Research

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(36 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (4)
October 2026 (1)
Phase 4Primary Membranous NephropathyRecruiting
Est. primary completion 2026-10-30 · NCT06573411 · CT.gov ↗
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November 2026 (1)
Phase 4Chronic Kidney DiseaseEnrolling by invitation
Est. primary completion 2026-11-30 · NCT06954090 · CT.gov ↗
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December 2026 (2)
Phase 4Chronic Kidney DiseaseNot yet recruiting
Est. primary completion 2026-12-20 · NCT07235891 · CT.gov ↗
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Phase 4Chronic Kidney DiseaseRecruiting
Est. primary completion 2026-12-31 · NCT07026539 · CT.gov ↗
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2027 (17)
February 2027 (1)
Early phase / not applicableChronic Kidney DiseaseNot yet recruiting
Est. primary completion 2027-02 · NCT07849348 · CT.gov ↗
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March 2027 (2)
Early phase / not applicablePrimary Aldosteronism, Endocrine HypertensionRecruiting
Est. primary completion 2027-03 · NCT07688928 · CT.gov ↗
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Phase 2Kidney Transplant; ComplicationsRecruiting
Est. primary completion 2027-03-31 · NCT06059664 · CT.gov ↗
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April 2027 (3)
Phase 4Chronic Kidney DiseaseNot yet recruiting
Est. primary completion 2027-04 · NCT07537088 · CT.gov ↗
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Phase 3Chronic Kidney DiseaseActive not recruiting
Est. primary completion 2027-04-10 · NCT05196035 · CT.gov ↗
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Early phase / not applicableHypertension (HTN)Not yet recruiting
Est. primary completion 2027-04-30 · NCT07678151 · CT.gov ↗
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May 2027 (1)
Phase 3Chronic Kidney DiseaseNot yet recruiting
Est. primary completion 2027-05-01 · NCT07598864 · CT.gov ↗
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July 2027 (1)
Phase 4Chronic Kidney DiseaseNot yet recruiting
Est. primary completion 2027-07 · NCT07155694 · CT.gov ↗
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September 2027 (1)
Phase 4Heart FailureNot yet recruiting
Est. primary completion 2027-09-25 · NCT07830940 · CT.gov ↗
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October 2027 (4)
Phase 3Kidney Transplantation Recipients, Proteinuria PatientsActive not recruiting
Est. primary completion 2027-10-01 · NCT07356388 · CT.gov ↗
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Phase 4Heart FailureNot yet recruiting
Est. primary completion 2027-10-31 · NCT07583173 · CT.gov ↗
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Phase 4Chronic Kidney DiseaseNot yet recruiting
Est. primary completion 2027-10-31 · NCT07667517 · CT.gov ↗
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Phase 4Henoch Schönlein Purpura NephritisRecruiting
Est. primary completion 2027-10-31 · NCT07315191 · CT.gov ↗
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November 2027 (2)
Phase 3Heart FailureRecruiting
Est. primary completion 2027-11 · NCT06024746 · CT.gov ↗
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Phase 3Heart FailureRecruiting
Est. primary completion 2027-11 · NCT06008197 · CT.gov ↗
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December 2027 (2)
Phase 4Heart FailureRecruiting
Est. primary completion 2027-12 · NCT07397650 · CT.gov ↗
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Phase 3Chronic Kidney DiseaseEnrolling by invitation
Est. primary completion 2027-12-31 · NCT07181135 · CT.gov ↗
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2028 (6)
January 2028 (1)
Phase 2Cardiovascular Autonomic Neuropathy, Type 2 Diabetes, Diabetic NeuropathiesRecruiting
Est. primary completion 2028-01 · NCT06906081 · CT.gov ↗
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March 2028 (1)
Early phase / not applicableChronic Kidney DiseaseNot yet recruiting
Est. primary completion 2028-03-31 · NCT07585526 · CT.gov ↗
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June 2028 (1)
Phase 4Chronic Kidney DiseaseRecruiting
Est. primary completion 2028-06 · NCT07239570 · CT.gov ↗
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August 2028 (2)
Phase 3Chronic Kidney DiseaseRecruiting
Est. primary completion 2028-08-07 · NCT05457283 · CT.gov ↗
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Phase 3Chronic Kidney DiseaseRecruiting
Est. primary completion 2028-08-30 · NCT06058585 · CT.gov ↗
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December 2028 (1)
Phase 4Heart FailureEnrolling by invitation
Est. primary completion 2028-12 · NCT07442448 · CT.gov ↗
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2029 (7)
January 2029 (1)
Early phase / not applicableAcute Kidney Injury, Renal Insufficiency,Chronic, Kidney DiseasesNot yet recruiting
Est. primary completion 2029-01 · NCT07775482 · CT.gov ↗
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February 2029 (1)
Phase 4Chronic Kidney DiseaseNot yet recruiting
Est. primary completion 2029-02-28 · NCT07775846 · CT.gov ↗
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March 2029 (1)
Phase 4Chronic Kidney DiseaseNot yet recruiting
Est. primary completion 2029-03-31 · NCT07547878 · CT.gov ↗
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July 2029 (1)
Phase 3Heart FailureRecruiting
Est. primary completion 2029-07-01 · NCT06082063 · CT.gov ↗
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November 2029 (1)
Phase 3Heart FailureRecruiting
Est. primary completion 2029-11-30 · NCT07188805 · CT.gov ↗
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December 2029 (2)
Phase 2Chronic Kidney DiseaseNot yet recruiting
Est. primary completion 2029-12-31 · NCT07594145 · CT.gov ↗
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Phase 3Heart FailureNot yet recruiting
Est. primary completion 2029-12-31 · NCT07575672 · CT.gov ↗
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2030 (2)
December 2030 (2)
Phase 3Heart FailureNot yet recruiting
Est. primary completion 2030-12 · NCT07270367 · CT.gov ↗
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Phase 3Heart FailureRecruiting
Est. primary completion 2030-12-30 · NCT07192952 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (22)
Phase 2 (14)
Phase 1 (7)
Phase 4 (26)
Early phase / not applicable (8)