Finerenone as adjunctive therapy for residual proteinuria in lupus nephritis: a case series of 10 patients - Takeaways - MDSpire

Finerenone as adjunctive therapy for residual proteinuria in lupus nephritis: a case series of 10 patients

  • By

  • Rui Gao

  • Jianan Wang

  • Qi Liu

  • Ming Li

  • July 3, 2026

  • 0 min

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  • 1

    Finerenone was added to the treatment of 10 lupus nephritis patients with residual proteinuria after standard therapy for at least 6 months.

  • 2

    The study observed a significant reduction in 24-hour urine protein quantification from 1.595 g at baseline to 0.315 g at 24 weeks.

  • 3

    Serum albumin levels increased from 3.68 g/dL at baseline to 4.075 g/dL at 24 weeks, indicating improved protein status.

  • 4

    Estimated glomerular filtration rate (eGFR) remained stable throughout the 24-week follow-up period.

  • 5

    All patients completed the study, and finerenone was associated with favorable safety outcomes in this cohort.

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