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Table 2 Ongoing clinical trials with spironolactone or finerenone in HFpEF.

From: The non-steroidal mineralocorticoid receptor antagonist finerenone and heart failure with preserved ejection fraction

Drug

Study Name

NCT#

Condition /

Disease

Estimated/

Actual Enrollment

Primary endpoint

Study start /

completion

Spironolactone

SPIRRIT-HFPEF

NCT02901184

HFmrEF (EF ≥ 40–49%) + HFpEF (EF ≥ 50%)

2.000

Time to death from any cause

November 2017/

December 2026

Spironolactone

SPIRIT-HF

NCT04727073

HFmrEF (EF ≥ 40–49%) + HFpEF (EF ≥ 50%)

1.300

Cumulative number of primary composite events of CV death and total HF hospitalization

November 2018/

December 2024

Finerenone

FINEARTS-HF

NCT04435626

HFmrEF (EF ≥ 40–49%) + HFpEF (EF ≥ 50%)

6.016

Number of cardiovascular death and heart failure events

September 2020/

August 2024

  1. Abbreviations: CV: Cardiovascular, EF: Ejection fraction, HF: Heart failure, HFmrEF: Heart failure with midrange ejection fraction, HFpEF: Heart failure with preserved ejection fraction