External-Claim Freeze active. This page is a dossier-build status board, not a leaderboard. The only authorized external read is the finerenone lane. All other lanes are under active build. See Validation.

Finerenone (Kerendia)

Earlier-line cardiorenal risk reduction framing in albuminuric CKD.

Named state
Hardening within niche authority bounds
Signal
0.38
Promotion gate
Signal 0.38 vs. gate 0.65 (not yet met) — gate not yet cleared for comparative-lift claims
Observation
Revision edits weakening earlier-line framing fail or are reverted. Citations consolidate around KDIGO 2024 cluster wording. Decision window still open (Ohio Medicaid P&T, July 8 2026).
Artifact
2026-04-22-authoritative-finerenone-hardening-v1
Limits
This is not a prediction of FDA action, label change, or coverage outcome. Hardening measures institutional resistance to change, not truth.

Read the full sample dossier →

Additional lanes — not yet authorized.

Each lane below is in dossier build. None carry authorized comparative-lift or lead-time claims. Named states are provisional until Validation gates are cleared.

  • SGLT2 Class — HF + CKD Generalization probe Named state: Threshold transferability cleared Hardening signal at 0.73 on curate-v1. Gate at 0.65. Cross-lane transfer tested; authorized-exhibit gate not yet cleared for this lane family.
  • Bluebird bio / Vertex Pharmaceuticals Tier 1 dossier Named state: Under build Platform divergence in safety-claim stability under contestation. Pre-rejection stress detected on durability framing. Dossier build in progress — no authorized read.
  • Sarepta Therapeutics Tier 1 dossier Named state: Under build Pre-rejection stress on durability framing under active monitoring. Dossier build in progress — no authorized read.
  • Oxbryta (Pfizer / GBT) Tier 1 dossier Named state: Approved-claim decay Post-withdrawal claim decay trajectory under reconstruction. Dossier build in progress — no authorized read.
  • Applied Therapeutics Tier 1 dossier Named state: Re-hardening after CRL CRL-response claim re-hardening under reconstruction. Dossier build in progress — no authorized read.
  • Blenrep (GSK) Tier 1 dossier Named state: Under build Withdrawal-to-reintroduction claim trajectory. Dossier build in progress — no authorized read.
  • These cases are dossier builds in progress. They are not authorized comparative-lift claims.
  • Lead-time figures are not stated on this page. The active External-Claim Freeze is documented in Validation.
  • A hardened claim can still be wrong. Hardening measures institutional resistance to change, not truth.
  • The observation instrument is Wikipedia revision history. It is not public opinion, sentiment, or the external outcome stream.

Action

Request a private brief on one lane.

One lane, one decision window, one circulatable artifact. Bounded review, not open-ended monitoring.

Today's Read: finerenone-cardiorenal Hardening Signal 0.38 · Gate 0.65 Status & Gates Authorized exhibit only. Other lanes: dossier-build.