Cardiovascular outcome trials in type 2 diabetes | Renal outcome trials | Heart failure outcome trials | ||||||
---|---|---|---|---|---|---|---|---|
Trial drug | CANVAS canagliflozin | DECLARE TIMI-58 dapagliflozin | EMPA-REG OUTCOME empagliflozin | VERTIS-CV ertugliflozin | CREDENCE canagliflozin | DAPA-CKD dapagliflozin | DAPA-HF dapagliflozin | EMPEROR-REDUCED empagliflozin |
n | 10,142 | 17,160 | 7,020 | 8,246 | 4,401 | 4,304 | 4,744 | 3,730 |
Baseline participant characteristics | 65% established CVD; 35% risk factors for CVD | 40% established CVD; 60% risk factors for CVD | All established CVD | All established CVD | All T2D with established diabetic kidney disease | All chronic kidney disease with or without T2D | All HFrEF II–IV with or without T2D | All HFrEF II–IV with or without T2D |
Major adverse CV event (MACE) | ↓14%9 | ↔ | ↓14%12 | ↔ | ↓20%9 | n/a | n/a | n/a |
CV death and hospitalisation for heart failure | ↓22%10 | ↓17%11 | ↓34%13 | ↔ | ↓31%9 | ↓29%15 | ↓25%16 | ↓25%17 |
Major adverse renal events | ↓47%9 | ↓47%11 | ↓39%12 | ↔ | ↓30%9 | ↓39%15 | ↔ | ↓50%17 |
Hospitalisation for heart failure | ↓33%9 | ↓27%11 | ↓35%12 | ↓3014 | ↓39%9 | n/a | ↓30%16 | ↓31%17 |
CV death | ↔ | ↔ | ↓38%12 | ↔ | ↔ | ↔ | ↓28%16 | ↔ |
All-cause mortality | ↔ | ↔ | ↓32%12 | ↔ | ↔ | ↓31%15 | ↓17%16 | ↔ |
Trials differed in their design and population (included), therefore direct comparison should not be made. CV = cardiovascular; CVD = cardiovascular disease; HFrEF = heart failure with reduced ejection fraction; n/a = not applicable; T2D = type 2 diabetes. Box colours: blue = confirmed significant risk reduction in primary outcome; green = significant risk reduction as exploratory outcome; yellow = no significant/neutral effect; grey = outcome not reported.