在FINEARTS-HF中使用的基于功能的芬瑞诺剂量策略的有效性和安全性
Misato Chimura1, Alasdair D Henderson2, Pardeep S Jhund2
1British Heart Foundation Cardiovascular Research Centre, University of Glasgow, Glasgow, Scotland, United Kingdom; Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
JACC. Heart failure
|February 5, 2026
概括
FINEARTS-HF试验表明,基于估计的膜过率 (eGFR) 的费内伦剂量策略对心力衰竭患者有效且安全,即使功能减弱. 这种方法通过允许适当的剂量定位来确保最佳的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 药理学 药理学是指药理学的学科.
背景情况:
- 矿物质皮质类受体抗剂可能会损害功能并增加水平.
- 密切监测估计的淋巴细胞过率 (eGFR) 和血清是安全管理这些药物的关键.
研究的目的:
- 在FINEARTS-HF试验中,评估基于功能的费内伦剂量策略的疗效和安全性.
- 评估eGFR对心力衰竭患者中芬瑞的有效性和安全性的影响.
主要方法:
- 患者被分为低剂量 (eGFR25-60毫升/分钟/1.73米2) 和高剂量 (eGFR>60毫升/分钟/1.73米2) 的两组.
- 根据基线eGFR启动和定位费内伦剂量,主要结果是心力衰竭事件和心血管死亡.
主要成果:
- 基于eGFR的剂量策略显示,在初级结局和全因死亡方面,在两种剂量层中,芬瑞的疗效一致.
- 安全性概况相似,尽管finerenone在较高的eGFR/高剂量组中显示出较大降低低血风险.
结论:
- 基于eGFR的剂量策略使得在心力衰竭患者的eGFR低至25mL/min/1.73m2时,可以安全有效地使用finerenone.
- 临床医生应实施这种经过验证的剂量策略,包括剂量定位,以获得最佳的患者结果.
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