June 5, 2026 · Hypertension (Dallas, Tex. : 1979) · DOI: 10.1161/HYPERTENSIONAHA.126.27036

Safety and Synergy of Finerenone and Empagliflozin in Lowering Blood Pressure

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This study aimed to evaluate the effectiveness and safety of combining finerenone and empagliflozin in lowering systolic blood pressure (SBP) in patients with chronic kidney disease and type 2 diabetes, particularly examining the differences between combination therapy and monotherapy. The findings indicated that combination therapy significantly improved SBP reduction in participants with baseline SBP ≥130 mm Hg, while the reduction in urinary albumin-to-creatinine ratio was largely independent of early SBP changes. The authors suggest that further research with ambulatory blood pressure monitoring is needed to validate these results.

Rajiv Agarwal, Ricardo Correa-Rotter, Sankar D Navaneethan, Hiddo J L Heerspink, Matthew R Weir, Janet B McGill, Amy K Mottl, Masaomi Nangaku, Julio Rosenstock, Peter Rossing, Muthiah Vaduganathan, Charlie Scott, Li Li, Meike Brinker, Csaba P Kovesdy, Jennifer B Green, Johannes F E Mann

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