Study to Evaluate the Efficacy (Effect on Disease) and Safety of Finerenone on Morbidity (Events Indicating Disease Worsening) & Mortality (Death Rate) in Participants With Heart Failure and Left Ventricular Ejection Fraction (Proportion of Blood Expelled Per Heart Stroke) Greater or Equal to 40%

Inclusion Criteria:

• Participant (male or female) must be aged 40 years and older.

• Diagnosis of heart failure with New York Heart Association(NYHA) class II-IV,ambulatory or hospitalized primarily for heart failure.

• On diuretic treatment for at least 30 days prior to randomization.

• Documented left ventricular ejection fraction (LVEF) of ≥40% measured by anymodality within the last 12 months.

• Structural heart abnormalities based on any local imaging measurement within thelast 12 months, defined by at least one of the following findings: left atrialdiameter (LAD) ≥3.8cm, left atrial area (LAA) ≥20cm2, left atrial volume index (LAVI) >30 mL/m2, left ventricular mass index (LVMI) ≥115 g/m2 (♂)/ 95 g/m2 (♀),septal thickness or posterior wall thickness ≥1.1 cm

• n-terminal prohormone B-type natriuretic peptide (NT-proBNP) ≥300 pg/mL (BNP ≥100pg/mL) in sinus rhythm and patient does not have an ongoing diagnosis of paroxysmalatrial fibrillation or NT-proBNP ≥900 pg/mL (BNP ≥300 pg/mL) in atrial fibrillation (or if atrial fibrillation status is unknown or if patient has an ongoing diagnosisof paroxysmal atrial fibrillation) for participants obtained at the following time:

• Within 90 days prior to randomization if patient had been hospitalized forheart failure (HF) requiring initiation or change in HF therapy or if patienthad an urgent visit for HF requiring intravenous (IV) diuretic therapy, bothwithin 90 days prior to randomization OR

• Within 30 days prior to randomization if patient has not been hospitalized forHF nor had an urgent HF visit within the past 90 days.

• Women of childbearing potential can only be included in the study if a pregnancytest is negative at screening and baseline and if they agree to use adequatecontraception which is consistent with local regulations regarding the methods forcontraception for those participating in clinical trials.

Exclusion Criteria:

• Estimated glomerular filtration rate (eGFR) <25 mL/min/1.73 m² at either screeningor randomization visit.

• Serum/plasma potassium >5.0 mmol/L at either screening or randomization visit.

• Acute inflammatory heart disease, e.g. acute myocarditis, within 90 days prior torandomization

• Myocardial infarction or any event which could have reduced the ejection fractionwithin 90 days prior to randomization

• Coronary artery bypass graft surgery in the 90 days prior to randomization

• Percutaneous coronary intervention in the 30 days prior to randomization

• Stroke or transient ischemic cerebral attack within 90 days prior to randomization

• Probable alternative cause of participants' HF symptoms that in the opinion of theinvestigator primarily accounts for patient's dyspnea such as significant pulmonarydisease, anemia or obesity. Specifically, patients with the below are excluded:Severe pulmonary disease requiring home oxygen, or chronic oral steroid therapy,History of primary pulmonary arterial hypertension, Hemoglobin <10 g/dl, Valvularheart disease considered by the investigator to be clinically significant, Body MassIndex (BMI) >50 kg/m2 at screening

• Systolic blood pressure(SBP) ≥160 mmHg if not on treatment with ≥3 blood pressurelowering medications or ≥180 mmHg irrespective of treatments, on 2 consecutivemeasurements at least 2-minute apart, at screening or at randomization.

• Concomitant systemic therapy with potent cytochrome P450 isoenzyme 3A4 (CYP3A4)inhibitors (e.g. itraconazole, ritonavir, indinavir, cobicistat, clarithromycin) ormoderate or potent CYP3A4 inducers, that cannot be discontinued 7 days prior torandomization and for the duration of the treatment period.