Meet two patients who could benefit from KERENDIA1,2

Their CKD is progressing, despite their T2D being well managed1-3

Kevin, 62 years old

Diagnosed with CKD associated with T2D1,2

Kevin, a patient being treated with KERENDIA

Kevin, 62 years old

Diagnosed with CKD associated with T2D1,2

Currently receiving the maximum tolerated labeled dose of an ACEi, as well as T2D standard of care*

  • eGFR: 55 mL/min/1.73 m2
  • Serum potassium: 4.0 mEq/L

Currently receiving the maximum tolerated labeled dose of an ACEi, as well as T2D standard of care*

  • eGFR: 55 mL/min/1.73 m2
  • Serum potassium: 4.0 mEq/L

Blood glucose

  • Treated for individualized goal

Blood glucose

  • Treated for individualized goal

Blood pressure

  • Treated for individualized goal

Blood pressure

  • Treated for individualized goal

UACR

  • 360 mg/g

UACR

  • 360 mg/g
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Kevin's UACR is indicating presence of kidney damage.4
How will you address his worsening CKD?5

Kevin's UACR is indicating presence of kidney damage.4

How will you address his worsening CKD?5

Kathy, 65 years old

Diagnosed with CKD associated with T2D1,2

Kathy, a patient being treated with KERENDIA

Kathy, 65 years old

Diagnosed with CKD associated with T2D1,2

Currently receiving the maximum tolerated labeled dose of an ACEi, as well as T2D standard of care*

  • eGFR: 42 mL/min/1.73 m2
  • Serum potassium: 4.4 mEq/L

Currently receiving the maximum tolerated labeled dose of an ACEi, as well as T2D standard of care*

  • eGFR: 42 mL/min/1.73 m2
  • Serum potassium: 4.4 mEq/L

Blood glucose

  • Treated for individualized goal

Blood glucose

  • Treated for individualized goal

Blood pressure

  • Treated for individualized goal

Blood pressure

  • Treated for individualized goal

UACR

  • 780 mg/g

UACR

  • 780 mg/g

Kathy's UACR is rising. How will you address her worsening CKD?5

*Approximately 97% of patients in the FIDELIO-DKD trial were on an antidiabetic agent (insulin [64.1%], biguanides [44%], GLP-1 receptor agonist [7%], SGLT2 inhibitors [5%]).1

 

ACEi=angiotensin-converting enzyme inhibitor; CKD=chronic kidney disease; eGFR=estimated glomerular filtration rate; GLP-1=glucagon-like peptide-1; SGLT2=sodium-glucose cotransporter 2; T2D=type 2 diabetes; UACR=urine albumin-to-creatinine ratio.

IMPORTANT SAFETY INFORMATION AND INDICATION

INDICATION:

  • 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)

CONTRAINDICATIONS:

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

WARNINGS AND PRECAUTIONS:

  • 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

MOST COMMON ADVERSE REACTIONS:

  • Adverse reactions reported in ≥1% of patients on KERENDIA and more frequently than placebo: hyperkalemia (18.3% vs. 9%), hypotension (4.8% vs. 3.4%), and hyponatremia (1.4% vs. 0.7%)

DRUG INTERACTIONS:

  • 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

USE IN SPECIFIC POPULATIONS:

  • 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)

INDICATION:

  • 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)

Please read the Prescribing Information for KERENDIA.

References:

  • KERENDIA (finerenone) [prescribing information]. Whippany, NJ: Bayer HealthCare Pharmaceuticals, Inc.; July 2021. Return to content
  • Bakris GL, et al; FIDELIO-DKD Investigators. N Engl J Med. 2020;383(23):2219-2229. Return to content
  • Alicic RZ, et al. Clin J Am Soc Nephrol. 2017;12(12):2032-2045. Return to content
  • National Institutes of Health. Urine Albumin-to-Creatinine Ratio (UACR). 2010. Return to content
  • Campion CG, et al. Can J Kidney Health Dis. 2017;4. doi:10.1177/2054358117705371. Return to content