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The Cardio-Kidney Metabolic (CKM) burden in heart failure

Diabetic kidney disease (DKD) and Heart Failure (HF) are interrelated, progressive conditions driven by a shared cardiorenal-metabolic dysfunction that can lead to multisystem dysfunction through shared inflammatory and fibrotic pathways.

CKM Continuum

Adapted from Vijay K et al, 2022

Kerendia is indicated
for the treatment of adults with:

  • Symptomatic chronic heart failure with left ventricular ejection fraction(LVEF) ≥40% in adults.
  • Chronic Kidney Disease (stages 3 and 4 with albuminuria) associated with Type 2 Diabetes in adult patients.

The scale of unmet needs in HF (LVEF ≥40%) and DKD

Almost 400,000 adults are thought to be living with HF LVEF ≥40%
in the UK

Symptomatic Outpatient HF events - Icon

21%

with symptomatic outpatient HF events escalate to HF hospitalisation or CV death*

Rehospitalisation Icon

1 in 5

are rehospitalised within 30 days of discharge

Chronic Kidney Disease (CKD) develops in ~40% of those with T2D

Kidney Replacement therapy - Icon

28%

of people receiving kidney replacement therapy have diabetic kidney disease (DKD)

CV Related Deaths - Icon

~3x higher risk

of CV-related deaths in patients with CKD and T2D vs T2D alone

* Based on patients with HF LVEF ≥40% in a pivotal SGLT2i trial whose first presentation manifested as an outpatients oral diuretic intensification (n=789).


Kerendia blocks mineralocorticoid receptor (MR) activation - a key driver of HF (LVEF ≥40%) and DKD


Blocking MR overactivation

Blocking MR Overactivation
Blocking MR Overactivation

Affecting key disease drivers

Affecting Key Disease Drivers
Affecting Key Disease Drivers

Slowing disease progression

Slowing disease progression
Slowing disease progression

Kerendia is a nonsteroidal mineralocorticoid receptor antagonist (nsMRA) that is clinically and pharmacologically distinct from steroidal MRAs (sMRAs)

Featuring:

  • Professor John McMurray
    (Professor of Cardiology (Cardiology & Metabolic Health), School of Cardiovascular and Metabolic Health)
  • Professor Richard Hobbs
    (Mercian Professor of Primary Care, University of Oxford)

Prescribing information for Kerendia®(finerenone)

.

Abbreviations

CV
, cardiovascular;
CKD,
chronic kidney disease;
DKD
, diabetic kidney disease;
DM
,
diabetes mellitus;
HFmrEF
,
heart failure with mildly reduced ejection fraction;
HFpEF
,
heart failure with preserved ejection fraction;
LVEF,
left ventricular ejection fraction;
MR
, mineralocorticoid receptor;
MRA
, mineralocorticoid receptor antagonist;
SGLT2i,
sodium-glucose co-transporter-2 inhibitor;
T2D
, type 2 diabetes.

 

PP-KER-GB-0917   |   April 2026


    • 1
      Vijay K, Neuen B L, Lerma E V. Heart failure in patients with diabetes and chronic kidney disease: challenges and opportunities. Cardiorenal Med 2022;12:1‑10
    • 2
      Piccirillo F, Liporace P et al. Effects of finerenone on cardiovascular and chronic kidney diseases: a new weapon against cardiorenal morbidity and mortality‑a comprehensive review. J Cardiovasc Dev Dis 2023;10:236
    • 3
      Usman M, Khan M, Butler J. ADA Clinical Compendia Series. The interplay between diabetes, cardiovascular disease, and kidney disease. Chronic kidney disease and type 2 diabetes, 2021:13‑18
    • 4
      Solomon S D, McMurray J J V et al. Finerenone in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med 2024;391:1475‑1485 (+suppl)
    • 5
      Bakris GL et al., N Engl J Med 2020; 383:2219-2229
    • 6
      Kerendia (Finenerone) Summary of Product Characteristics.
    • 7
      A randomised controlled trial of a facilitated home-based rehabilitation intervention in patients with heart failure with preserved ejection fraction and their caregivers: the REACH-HFpEF Pilot Study. BMJ Open 2019;9:e019649corr1. doi:10.1136/bmjopen-2017-019649corr1
    • 8
      National Institute for Health and Care Excellence (NICE). Resource impact summary report for NICE guideline NG106 on chronic heart failure in adults: diagnosis and management, 3 September 2025. Available at: nice.org.uk. Accessed April 2026
    • 9
      Huusko J, Tuominen S et al. Recurrent hospitalisations are associated with increased mortality across the ejection fraction range in heart failure. ESC Heart Fail 2020;7:2406‑2417
    • 10
      Cui X, Thunström E et al. Trends in cause‑specific readmissions in heart failure with preserved vs. reduced and mid‑range ejection fraction. ESC Heart Fail 2020;7:2894‑2903
    • 11
      KDIGO 2022. Clinical Practice Guideline for diabetes management in chronic kidney disease.
    • 12
      Kidney Int 2022; 102(5S):S1-S127
    • 13
      Diabetes UK and Kidney Research UK Joint statement
    • 14
      Afkarian M, Sachs M C et al. Kidney disease and increased mortality risk in type 2 diabetes. J Am Soc Nephrol 2013;24:302‑308
    • 15
      Chatur S, Vaduganathan M et al. Outpatient worsening among patients with mildly reduced and preserved ejection fraction heart failure in the DELIVER trial. Circulation 2023;148:1735‑1745
    • 16
      Kolkhof P, Jaisser F et al. Steroidal and novel non‑steroidal mineralocorticoid receptor antagonists in heart failure and cardiorenal diseases: comparison at bench and bedside. In Bauersachs J et al (eds): Heart failure. Springer International Publishing, Cham, Switzerland, 2017:271‑305
    • 17
      Spironolactone Summary of Product Characteristics. Available at: medicines.org.uk.
    • 18
      Eplerenone Summary of Product Characteristics. Available at: medicines.org.uk.
    • 19
      Agarwal R, Green J B et al. Finerenone with empagliflozin in chronic kidney disease and type 2 diabetes. N Engl J Med 2025;393:533‑543
    • 20
      Bakris G L, Agarwal R et al. Effect of finerenone on albuminuria in patients with diabetic nephropathy: a randomized clinical trial. JAMA 2015;314:884‑894
    • 21
      Filippatos G, Anker S D et al. A randomized controlled study of finerenone vs. eplerenone in patients with worsening chronic heart failure and diabetes mellitus and/or chronic kidney disease. Eur Heart J 2016;37:2105‑2114
    • 22
      Pitt B, Filippatos G et al. Cardiovascular events with finerenone in kidney disease and type 2 diabetes. N Engl J Med 2021;385:2252‑2263
    • 23
      Pitt B, Kober L et al. Safety and tolerability of the novel non‑steroidal mineralocorticoid receptor antagonist BAY 94‑8862 in patients with chronic heart failure and mild or moderate chronic kidney disease: a randomized, double‑blind trial. Eur Heart J 2013;34:2453‑2463