Heart failure & cardiomyopathies

Effect of Finerenone on the Kansas City Cardiomyopathy Questionnaire (KCCQ) in Patients With HFmrEF/HFpEF: A Prespecified Analysis of FINEARTS-HF

J Am Coll CardiolPublished Secondary analysis of the FINEARTS-HF randomised trial

Authors' conclusion

Finerenone significantly reduced HF events and improved health status in patients with HF and mildly reduced ejection fraction/preserved ejection fraction across the spectrum of KCCQ-TSS at baseline.

Study context

Population
Patients with heart failure (HF) with mildly reduced EF/preserved EF5,986 (99.8%) with baseline KCCQ-TSS
Participants
6,001 patients
Comparison
Finerenone vs placebo by baseline KCCQ-TSS
Primary endpoint
Composite of:
  • CV death
  • Total worsening HF events
by baseline KCCQ-TSS tertile
Methodological detailsprespecified analysis
  • Prespecified analysis

Primary result

As reported in the abstract

Primary endpoint by baseline KCCQ-TSS tertile
Finerenone vs PlaceboRelative risk (95% CI)
Tertile 1 (score 0-<57)
0.82(0.68–1.00)
Tertile 2 (57-<81)
0.88(0.70–1.11)
Tertile 3 (81-100)
0.88(0.69–1.14)

Secondary outcomes

OutcomeMean difference (points) (95% CI)P value
Change in KCCQ-TSS from baseline (key secondary endpoint) · 12 months1.62 (0.69–2.56)P < 0.001

Change in KCCQ-TSS from baseline (key secondary endpoint) · 12 months

Numerically fewer finerenone-treated patients had clinically meaningful deterioration, and more had improvements in KCCQ-TSS

Original publication

Effect of Finerenone on the KCCQ in Patients With HFmrEF/HFpEF: A Prespecified Analysis of FINEARTS-HF. J Am Coll Cardiol. Published 29 September 2024. doi:10.1016/j.jacc.2024.09.023

Composed by AI from the published abstract and checked against it. How Briefs are made →

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