Research Summary
Analyzed using Evidence Intelligence™

Finerenone improves heart failure outcomes in patients with diabetes.

Last updated July 8, 2026

Key finding

Hazard ratio (95% CI) 0.84 (0.74–0.95)

The Finerenone Trial investigated the efficacy and safety of finerenone compared to placebo in patients with heart failure, demonstrating significant benefits.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

High Risk

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

The Finerenone Trial investigated the efficacy and safety of finerenone compared to placebo in patients with heart failure, demonstrating significant benefits.

Clinical relevance

These findings are clinically significant as they suggest that finerenone may provide an effective treatment option for patients with heart failure, potentially improving their quality of life and reducing hospitalizations, which are critical concerns in managing this condition.

Keep in mind

Effectiveness of finerenone remains unclear due to unspecified evidence data. The study's population characteristics may limit generalizability. The trial did not include long-term follow-up data.

Published in

Journal Reference

Publication details and source links for this paper.

Panagiotis IG, Christodoula K, Ioannis K, et al. Finerenone Trial to Investigate Efficacy and Safety Superior to Placebo in Patients with Heart Failure. American Journal of Cardiovascular Drugs. 2025;25(4):427-432. doi:10.1007/s40256-025-00723-2

Main Effects

Finerenone was superior to placebo in improving the primary composite outcome of worsening heart failure events.

Finerenone showed a significant reduction in hospitalization for heart failure compared to placebo.

Finerenone improved outcomes related to death from cardiovascular causes compared to placebo.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Finerenone (nonsteroidal mineralocorticoid receptor antagonist) and Cardiovascular death, Hospitalization for heart failure, Total worsening heart failure events and death from cardiovascular causes.

Primary intervention

Finerenone (nonsteroidal mineralocorticoid receptor antagonist)

Primary outcomes

  • Cardiovascular death
  • Hospitalization for heart failure
  • Total worsening heart failure events and death from cardiovascular causes

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

3
Evidence pairs
3
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 63

1

Related topics

3

Evidence pairs

45

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Cardiovascular Risk

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Cardiovascular death

Finerenone (nonsteroidal mineralocorticoid receptor antagonist) → Cardiovascular death

Finerenone (nonsteroidal mineralocorticoid receptor antagonist) → Cardiovascular death

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Hospitalization for heart failure

Finerenone (nonsteroidal mineralocorticoid receptor antagonist) → Hospitalization for heart failure

Finerenone (nonsteroidal mineralocorticoid receptor antagonist) → Hospitalization for heart failure

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Total worsening heart failure events and death from cardiovascular causes

Finerenone (nonsteroidal mineralocorticoid receptor antagonist) → Total worsening heart failure events and death from cardiovascular causes

Finerenone (nonsteroidal mineralocorticoid receptor antagonist) → Total worsening heart failure events and death from cardiovascular causes

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Finerenone reduced the risk of hospitalization for heart failure.
  • Finerenone improved outcomes related to cardiovascular death.
  • Finerenone showed superiority over placebo in heart failure events.
who this applies

Who this applies to

  • Patients diagnosed with heart failure.
  • Individuals at risk of cardiovascular events.
keep in mind

Keep in Mind

  • Results may not apply to all heart failure populations.
  • Long-term effects of finerenone were not assessed in this study.
  • Further research is needed to confirm these findings.
between the lines

Between the Lines

  • Effectiveness of finerenone remains unclear due to unspecified evidence data.
  • The study's population characteristics may limit generalizability.
  • The trial did not include long-term follow-up data.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Finerenone (nonsteroidal mineralocorticoid receptor antagonist) and Cardiovascular Outcomes, Finerenone (nonsteroidal mineralocorticoid receptor antagonist) and Cardiovascular Outcomes.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Finerenone (nonsteroidal mineralocorticoid receptor antagonist) improve hospitalization for heart failure?

Moderate Evidence

Finerenone (nonsteroidal mineralocorticoid receptor antagonist) appears to improve Hospitalization for heart failure.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Hospitalization for heart failure

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Finerenone (nonsteroidal mineralocorticoid receptor antagonist) improve cardiovascular death?

Emerging Evidence

Finerenone (nonsteroidal mineralocorticoid receptor antagonist) appears to improve Cardiovascular death.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Cardiovascular death

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Finerenone (nonsteroidal mineralocorticoid receptor antagonist) improve total worsening heart failure events and death from cardiovascular causes?

Emerging Evidence

Finerenone (nonsteroidal mineralocorticoid receptor antagonist) appears to improve Total worsening heart failure events and death from cardiovascular causes.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Total worsening heart failure events and death from cardiovascular causes

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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