New drug may shield kidneys in liver cirrhosis patients
NCT ID NCT07585526
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests if the drug finerenone can prevent chronic kidney disease in adults with liver cirrhosis caused by fatty liver disease (MASLD) who also have fluid buildup in the belly (ascites). About 160 participants will receive either finerenone or spironolactone, along with standard care, for 6 months. The main goal is to see which drug better protects kidney function.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 160 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age \> 18 years \<80years 2. Patient of MASLD/ NAFLD cirrhosis with clinical ascites 3. Stable eGFR-(\>60 ml/min/1.73m2) calculated using MDRD-6 equation: eGFR (ml/min/1.73 m2) = 170 × (Scr)-0.999 × (Age)-0.176 × (0.762 if patient is female) × (1.180 if black) × (SUN)-0.170 × (Albumin)0.318 Exclusion Criteria: 1. Age \<18 years \>80 years 2. K/C/O systemic hypertension. 3. Coagulopathy- INR \>2.5 4. Post TIPS 5. CTP class C 6. Any intrinsic/structural kidney disease. 7. Refractory Ascites 8. Patient with HCC(outside MILAN criteria) or portal vein thrombosis 9. Pregnancy or Lactating mother 10. Receiving cytotoxic therapy, immunosuppressive therapy or other immunotherapy for primary or secondary renal disease within 6 months prior to enrolment 11. Patients with anuria, acute renal failure, or Addison's disease 12. Heart failure (NYHA II to IV) 13. History of hospitalization for hyperkalaemia or acute renal failure induced by previous aldosterone antagonist treatment 14. Ongoing drug or alcohol abuse 15. Uncontrolled type 2 DM ( HbA1C \> 9) 16. MI, unstable angina, stroke or transient ischemic attack (TIA) within 12 weeks prior to enrolment 17. Coronary revascularization (percutaneous coronary intervention \[PCI\] or coronary artery bypass grafting \[CABG\]) or valvular repair/replacement within 12 weeks prior to enrolment or is planned to undergo any of these procedures after randomisation 18. Diagnosed Mixed ascites (additional etiology of ascites apart from portal hypertension) 19. Patients who are on spirinolactone with stable ascites in the past 12 weeks 20. Refusal to give consent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Institute of Liver and Biliary Sciences
New Delhi, National Capital Territory of Delhi, 110070, India
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