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In the FIGARO-DKD and FIDELIO-DKD exploratory analyses of adult patients with CKD associated with T2D

KERENDIA reduced UACR relative to placebo across a broad range of CKD severity13

Graphical image of placebo-corrected relative reduction in UACR at 4 months

*Remained stable for the duration of the trials.13

Learn more about key guidelines that recommend KERENDIA1,2,5,7,12

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See what the 2023 ADA Standards of Care recommends for UACR reductions
Read the full practice guidelines

In FIDELIO-DKD, SBP was measured as part of the laboratory parameter safety evaluation6

SBP changes from baseline at month 16,13

  • In adult patients with CKD associated with T2D who were treated with KERENDIA, the mean systolic blood pressure decreased by 3 mmHg and the mean diastolic blood pressure decreased by 1 to 2 mmHg at month 1, remaining stable thereafter13
  • From the pooled data of 2 placebo-controlled studies, hypotension was reported in 4.6% patients treated with KERENDIA vs. 3.9% patients treated with placebo13

Addition and modification of background antihypertensive treatment throughout the trial was permitted at the discretion of the investigators in line with local guideline recommendations if blood pressure was thought to be uncontrolled at any point during the trial.6

KERENDIA has not been studied for and is not indicated for the treatment of hypertension.13

*Mixed model exploratory analysis with covariate factors of treatment group, eGFR category, albuminuria type, treatment time and baseline value, and baseline value time.6

CKD=chronic kidney disease; CV=cardiovascular; eGFR=estimated glomerular filtration rate; LS=least-squares; SBP=systolic blood pressure; T2D=type 2 diabetes; UACR=urine albumin-to-creatinine ratio.

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KERENDIA is indicated to reduce the risk of sustained eGFR decline, end-stage kidney disease, cardiovascular death, non-fatal myocardial infarction, and hospitalization for heart failure in adult patients with chronic kidney disease (CKD) associated with type 2 diabetes (T2D)



  • Concomitant use with strong CYP3A4 inhibitors
  • Patients with adrenal insufficiency


  • Hyperkalemia: KERENDIA can cause hyperkalemia. The risk for developing hyperkalemia increases with decreasing kidney function and is greater in patients with higher baseline potassium levels or other risk factors for hyperkalemia. Measure serum potassium and eGFR in all patients before initiation of treatment with KERENDIA and dose accordingly. Do not initiate KERENDIA if serum potassium is >5.0 mEq/L


    Measure serum potassium periodically during treatment with KERENDIA and adjust dose accordingly. More frequent monitoring may be necessary for patients at risk for hyperkalemia, including those on concomitant medications that impair potassium excretion or increase serum potassium


  • From the pooled data of 2 placebo-controlled studies, the adverse reactions reported in ≥1% of patients on KERENDIA and more frequently than placebo were hyperkalemia (14% vs 6.9%), hypotension (4.6% vs 3.9%), and hyponatremia (1.3% vs 0.7%)


  • Strong CYP3A4 Inhibitors: Concomitant use of KERENDIA with strong CYP3A4 inhibitors is contraindicated. Avoid concomitant intake of grapefruit or grapefruit juice
  • Moderate and Weak CYP3A4 Inhibitors: Monitor serum potassium during drug initiation or dosage adjustment of either KERENDIA or the moderate or weak CYP3A4 inhibitor and adjust KERENDIA dosage as appropriate
  • Strong and Moderate CYP3A4 Inducers: Avoid concomitant use of KERENDIA with strong or moderate CYP3A4 inducers


  • Lactation: Avoid breastfeeding during treatment with KERENDIA and for 1 day after treatment
  • Hepatic Impairment: Avoid use of KERENDIA in patients with severe hepatic impairment (Child Pugh C) and consider additional serum potassium monitoring with moderate hepatic impairment (Child Pugh B)

Please read the Prescribing Information for KERENDIA.