A new species of Boehlkea (Characiformes: Characidae: Stevardiinae) from the rio Japurá, Amazon basin, Brazil

ABSTRACT A new species of Boehlkea is described from rio Japurá, Amazon basin. The new species differs from B. fredcochui by the presence of a vertically elongate humeral spot (vs. absence), complete lateral line (vs. incomplete), four rows of scales below lateral line (vs. three), and lower number of branched anal-fin rays (17-21 vs. 22-25), and from B. orcesi by the higher number of maxillary teeth (13-14 vs. 5-12), greater head length (27.9-29.9% vs. 24.3-27.5% of SL), and by the color pattern (basal half of dorsal-fin, distal portion of pelvic-fin, lower caudal-fin lobe and anal-fin with black chromatophores vs. absence of black chromatophores in the fins)

Design and baseline characteristics of the finerenone in reducing cardiovascular mortality and morbidity in diabetic kidney disease trial

Background: Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials. Patients and Methods: The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate >= 25 mL/min/1.73 m(2) and albuminuria (urinary albumin-to-creatinine ratio >= 30 to <= 5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level alpha = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure. Conclusions: FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen. Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049