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This is an observational study in which data already collected from people with chronic kidney disease (CKD) and Type 2 diabetes mellitus (T2D) are studied. T2D is a condition in which glucose levels rise in the blood. It is one of the common causes of CKD and can lead to kidney failure. CKD is a long-term condition in which the kidneys' ability to work properly gradually decreases over time. The study drug, finerenone, is already approved for doctors to prescribe to people with CKD and T2D. It blocks the activity of a protein involved in worsening kidney function. People with CKD and T2D are already receiving treatment with finerenone based on the results of previous studies. These studies, however, did not include Indian participants. To better understand the impact of finerenone on CKD and T2D, more knowledge is needed about how well it works in the Indian population. The main purpose of the study is to learn more about how well finerenone works and how safe it is in Indian people with CKD and T2D. To do this, researchers will check: * participants' characteristics including age, sex, height and weight, and signs and symptoms of the disease * other conditions the participants may have along with CKD and T2D, additional medicines they have taken with finerenone, and different treatment patterns in Indian participants. The different treatment pattern for finerenone includes: * specialty of the doctor who prescribed finerenone * the date of starting finerenone * whether participants were still taking finerenone at each follow-up visit * the date and reason for stopping finerenone early * the dose of finerenone the participants took and how often they took it * changes in the dosage either with a low dose or high dose compared with the previous firenone dose * after starting finerenone treatment: reseachers may ask to continue treatment with finerenone, or may suggest adding other treatments like SGLT2 inhibitors or potassium binders, or stop finerenone treatment * after stopping finerenone treatment: researchers may start other treatments, like SGLT2 inhibitors, RAAS inhibitors, or potassium binders or other therapy Researchers will only look at the medical records from participants in India. Data collected will be from August 2022 to April 2024. Researchers will track participants' data in India and will follow them until the end of the study period till Nov 2024, last visit date of the participant, the participant discontinues treatment with finerenone, death, kidney failure, or cancer of the kidney. In this study, only available data from routine care in India are collected. No visits or tests are required as part of this study.
Study Type
OBSERVATIONAL
Enrollment
1,200
Retrospective cohort analysis using the investigator or a delegate at the study site collects secondary/historic data of finerenone usage (patient demographic and clinical characteristics, diagnosis-related, treatment-related, and laboratory data) from clinic specific medical records.
Many locations
Multiple Locations, India
Descriptive summary of specialty of prescribing physician
Time frame: Retrospective data analysis from 2022 to 2024
Date of finerenone initiation
Time frame: Retrospective data analysis from 2022 to 2024
If patient was receiving finerenone at the time of each follow-up visit (Yes/No)
Time frame: Retrospective data analysis from 2022 to 2024
Date of discontinuation of finerenone
Time frame: Retrospective data analysis from 2022 to 2024
Reason for discontinuation of finerenone
Time frame: Retrospective data analysis from 2022 to 2024
Dose of finerenone treatment
Time frame: Retrospective data analysis from 2022 to 2024
Frequency of finerenone treatment
Time frame: Retrospective data analysis from 2022 to 2024
The number of patients who initiated finerenone with a 10-mg dose and 20-mg dose
Time frame: Retrospective data analysis from 2022 to 2024
The proportion of patients who initiated finerenone with a 10-mg dose and have up-titrated to a 20-mg dose
Time frame: Retrospective data analysis from 2022 to 2024
The proportion of patients who initiated finerenone with a 20-mg dose and have down-titrated to a 10-mg dose
Time frame: Retrospective data analysis from 2022 to 2024
Actions taken after finerenone introduction
Actions include continue treatment, addition of second therapy like SGLT2is, potassium binders, discontinue treatment
Time frame: Retrospective data analysis from 2022 to 2024
Actions taken after stop finerenone prescription
Actions include initiate alternate therapy like Sodium-glucose transport protein-2 inhibitor (SGLT2is), RAASis or potassium binders, other
Time frame: Retrospective data analysis from 2022 to 2024
UACR (mg/g) before and after initiating finerenone
UACR: Urine Albumin to Creatinine Ratio
Time frame: Retrospective data analysis from Aug 2022 to Apr 2024
eGFR before and after initiating finerenone
eGFR: Estimated glomerular filtration rate
Time frame: Retrospective data analysis from Aug 2022 to Apr 2024
Serum potassium (mmol/L) before and after initiating finerenone
Time frame: Retrospective data analysis from Aug 2022 to Apr 2024
Change in UACR after initiating finerenone vs month 1, month 4 and end of study
Time frame: Retrospective data analysis from 2022 to 2024
Change in serum potassium after initiating finerenone vs month 1, month 4 and end of study
Time frame: Retrospective data analysis from Aug 2022 to Apr 2024
Change in Serum creatinine/eGFR after initiating finerenone vs month 1, month 4 and end of study
Time frame: Retrospective data analysis from Aug 2022 to Apr 2024
Frequency of events like hospitalization and dialysis due to hyperkalemia
Time frame: Retrospective data analysis from Aug 2022 to Apr 2024
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