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Cardiovascular Outcomes Studies
Study n Design MACE Outcome CV Death HF Hospitalization
EMPA-REG
OUTCOME
2015
7020 RDBPCT Empagliflozin: 490 (10.5%)
Placebo: 282 (12.1%)
HR: 0.86 (95% CI 0.74-0.99);
p<0.001 NI and 0.04 SP
Empagliflozin: 172 (3.7%)
Placebo: 137 (5.9%)
HR: 0.62 (95% CI 0.49-0.77);
p<0.001
Empagliflozin: 126 (2.7%)
Placebo: 95 (4.1%)
HR: 0.65 (95% CI 0.50-0.85);
p=0.002
CANVAS
Program
2017
10142 RDBPCT Canagliflozin: 29.6/1000 PY
Placebo: 31.5/1000 PY
HR: 0.86 (95% CI 0.75-0.97);
p<0.001 NI and 0.02 SP
Canagliflozin: 11.6/1000 PY
Placebo: 12.8/1000 PY
HR: 0.87 (95% CI 0.72-1.06)^
Canagliflozin: 5.5/1000 PY
Placebo: 8.7/1000 PY
HR: 0.67 (95% CI 0.52-0.87)^
DECLARE-
TIMI 58 2018
17160 RDBPCT Dapagliflozin: 756 (8.8%)
Placebo: 803 (9.4%)
HR: 0.93 (95% CI 0.84-1.03);
p<0.001 NI and p=0.17 SP
Dapagliflozin: 245 (2.9%)
Placebo: 249 (2.9%)
HR: 0.98 (95% CI 0.82-1.17)
Dapagliflozin: 212 (2.5%)
Placebo: 286 (3.3%)
HR: 0.73 (95% CI 0.61-0.88)
VERTIS CV
2020
8246 RDBPCT Ertugliflozin: 653 (11.9%)
Placebo: 327 (11.9%)
HR: 0.97 (95% CI 0.85-1.11);
p<0.001 NI
Ertugliflozin: 341 (6.2%)
Placebo: 184 (6.7%)
HR: 0.92 (95% CI 0.77-1.11)^
Ertugliflozin: 139 (2.5%)
Placebo: 99 (3.6%)
HR: 0.70 (95% CI 0.54-0.90)^
CV = cardiovascular; HF = heart failure; HR = hazard ratio; MACE = Major adverse cardiovascular event; NI = non-inferiority; PY = patient years; RDBPCT = Randomized,
double-blind, placebo-controlled trial; SP = superiority
^ Exploratory
N Engl J Med 373;22. N Engl J Med 377;7. N Engl J Med 380;4. N Engl J Med 383;15.
N Engl J Med 2021; 385:1451-1461
DOI: 10.1056/NEJMoa2107038
N Engl J Med 2022; 387:1089-1098
DOI: 10.1056/NEJMoa2206286
P2.pptx
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P2.pptx

  • 1.
  • 2. 15 Cardiovascular Outcomes Studies Study n Design MACE Outcome CV Death HF Hospitalization EMPA-REG OUTCOME 2015 7020 RDBPCT Empagliflozin: 490 (10.5%) Placebo: 282 (12.1%) HR: 0.86 (95% CI 0.74-0.99); p<0.001 NI and 0.04 SP Empagliflozin: 172 (3.7%) Placebo: 137 (5.9%) HR: 0.62 (95% CI 0.49-0.77); p<0.001 Empagliflozin: 126 (2.7%) Placebo: 95 (4.1%) HR: 0.65 (95% CI 0.50-0.85); p=0.002 CANVAS Program 2017 10142 RDBPCT Canagliflozin: 29.6/1000 PY Placebo: 31.5/1000 PY HR: 0.86 (95% CI 0.75-0.97); p<0.001 NI and 0.02 SP Canagliflozin: 11.6/1000 PY Placebo: 12.8/1000 PY HR: 0.87 (95% CI 0.72-1.06)^ Canagliflozin: 5.5/1000 PY Placebo: 8.7/1000 PY HR: 0.67 (95% CI 0.52-0.87)^ DECLARE- TIMI 58 2018 17160 RDBPCT Dapagliflozin: 756 (8.8%) Placebo: 803 (9.4%) HR: 0.93 (95% CI 0.84-1.03); p<0.001 NI and p=0.17 SP Dapagliflozin: 245 (2.9%) Placebo: 249 (2.9%) HR: 0.98 (95% CI 0.82-1.17) Dapagliflozin: 212 (2.5%) Placebo: 286 (3.3%) HR: 0.73 (95% CI 0.61-0.88) VERTIS CV 2020 8246 RDBPCT Ertugliflozin: 653 (11.9%) Placebo: 327 (11.9%) HR: 0.97 (95% CI 0.85-1.11); p<0.001 NI Ertugliflozin: 341 (6.2%) Placebo: 184 (6.7%) HR: 0.92 (95% CI 0.77-1.11)^ Ertugliflozin: 139 (2.5%) Placebo: 99 (3.6%) HR: 0.70 (95% CI 0.54-0.90)^ CV = cardiovascular; HF = heart failure; HR = hazard ratio; MACE = Major adverse cardiovascular event; NI = non-inferiority; PY = patient years; RDBPCT = Randomized, double-blind, placebo-controlled trial; SP = superiority ^ Exploratory N Engl J Med 373;22. N Engl J Med 377;7. N Engl J Med 380;4. N Engl J Med 383;15.
  • 3.
  • 4. N Engl J Med 2021; 385:1451-1461 DOI: 10.1056/NEJMoa2107038
  • 5. N Engl J Med 2022; 387:1089-1098 DOI: 10.1056/NEJMoa2206286