Heart failure & cardiomyopathies

Anaemia in Patients With Heart Failure and Mildly Reduced or Preserved Ejection Fraction: A Prespecified Analysis of the FINEARTS-HF Trial

Eur J Heart FailPublished Prespecified secondary analysis of the FINEARTS-HF randomised trial

Authors' conclusion

Finerenone reduces the risk of clinical outcomes regardless of anaemia status.

Study context

Population
Patients with HFmrEF/HFpEF enrolled in FINEARTS-HFanalysed
Participants
5,665 patients
Comparison
Finerenone effect by anaemia status
  • Anaemian = 1,584
Primary endpoint
Composite of:
  • Total (first and recurrent) HF events
  • CV death

Primary result

As reported in the abstract

Effect of finerenone on primary endpoint by anaemia status
FinerenoneRelative risk (95% CI)
Anaemia
0.89(0.73–1.10)
No anaemia
0.76(0.64–0.91)

Further findings

Event rate, per 100 person-years

OutcomeAnaemiaNo anaemiaRR (95% CI)
Primary endpoint risk, anaemiavs no anaemia24.3 (95% CI 21.9–26.9)13.1 (95% CI 12.0–14.3)1.67 (1.45–1.92)

Primary endpoint risk, anaemia vs no anaemia

Persistent anaemia had worse outcomes than resolved anaemia; new-onset anaemia had worse outcomes than no new anaemia

Resolution and new onset of anaemia

Finerenone did not increase resolution of anaemia or prevent new-onset anaemia

Original publication

Anaemia in Patients With Heart Failure and Mildly Reduced or Preserved Ejection Fraction: A Prespecified Analysis of the FINEARTS-HF Trial. Eur J Heart Fail. Published 16 May 2025. doi:10.1002/ejhf.3682

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