Table 1.
Trial | Mean Follow-up | N | Participants’ characteristics | Characteristics of diabetes | Characteristics of comorbidities | Concurrent medication | Risk of events* | |||
---|---|---|---|---|---|---|---|---|---|---|
CANVAS program [25] (Canagliflozin) |
3.6 yr | 10,142 |
Age: 63.3 yr Men: 64.2% |
BMI: 32 kg/m2 SBP: 136.6 mmHg LDLc: 2.3 mmol/L |
HbA1c: 8.2% DM duration: 13.5 yr |
HTN: 90.0% CVD: 65.6% HF: 14.4% |
eGFR < 60: 20.1% ACR ≥ 30 mg/g: 29.8% |
Statin 74.9% Antithrombotics 73.6% RAAS blockers 80.0% |
3P-MACE 2.7/3.2 (100PY) |
|
CREDENCE [35] (Canagliflozin) |
2.6 yr | 4,401 |
Age: 63 yr Men: 66.1% |
BMI: 31.3 kg/m2 SBP: 140.0 mmHg LDLc: 2.5 mmol/L |
HbA1c: 8.3% DM duration: 15.8 yr |
HTN: 96.8% CVD: 50.4% HF: 14.8% |
eGFR < 60: 59.8% ACR ≥ 30 mg/g: 99.3% |
Statin 69.0% Antithrombotics 59.6% RAAS blockers 99.9% |
3P-MACE 3.9/4.9 (100PY) |
|
DECLARE-TIMI 58 [36] (Dapagliflozin) |
4.2 yr† | 17,160 |
Age: 63.9 yr Men: 62.6% |
BMI: 32.1 kg/m2 SBP: 135.8 mmHg LDLc: 2.3 mmol/L |
HbA1c: 8.3% DM duration: 11.8 yr |
HTN‡: 89.4% CVD: 40.6% HF: 10.0% |
eGFR < 60: 7.4% ACR ≥ 30 mg/g: 30.3% |
Statin 75.0% Antithrombotics 61.1% RAAS blockers 81.3% |
3P-MACE 2.3/2.4 (100PY) |
|
EMPA-REG OUTCOME [11] (Empagliflozin) |
3.0 yr | 7,020 |
Age: 63.1 yr Men: 71.5% |
BMI: 30.6 kg/m2 SBP: 135.5 mmHg LDLc: 2.2 mmol/L |
HbA1c: 8.1% DM duration > 10 year: 57.1% |
HTN‡: 94.6% CVD: 100% HF: 10.1% |
eGFR < 60: 25.9% ACR ≥ 30 mg/g: 39.6% |
Statin 77.0% Antithrombotics 89.1% RAAS blockers 80.7% |
3P-MACE 3.7/4.4 (100PY) |
|
VERTIS-CV [37] (Ertugliflozin) |
3.5 yr | 8,246 |
Age: 64.4 yr Men: 70.0% |
BMI: 29.5 kg/m2 SBP: 133.4 mmHg LDLc: 2.3 mmol/L |
HbA1c: 8.2% DM duration: 13.0 yr |
HTN‡: 95.2% CVD: 100% HF: 23.7% |
eGFR < 60: 21.9% ACR ≥ 30 mg/g: 39.3% |
Statin 82.3% Antithrombotics 88.9% RAAS blockers 81.1% |
3P-MACE 3.9/4.0 (100PY) |
|
SCORED [8] (Sotagliflozin) |
1.3 yr† | 10,584 |
Age: 69 yr Men: 55.1% |
BMI: 31.8 kg/m2 SBP: 138.5 mmHg |
HbA1c: 8.3% |
CVD: 48.6% HF: 31.0% |
eGFR < 60: 100% ACR ≥ 30 mg/g: 65.0% |
RAAS blockers 88.5% |
3P-MACE 4.1/4.7 (100PY) |
|
EXSCEL [28] (Exenatide) |
3.3 yr† | 14,752 |
Age: 62 yr Men: 62.0% |
BMI: 32.7 kg/m2 SBP: 135.5 mmHg LDLc: 2.3 mmol/L |
HbA1c: 8.1% DM duration: 13.1 yr |
HTN‡: 90.3% CVD: 73.1% HF: 16.2% |
eGFR < 60: 21.6% ACR ≥ 30 mg/g: 15.9% |
Statin 73.5% Antithrombotics 73.4% RAAS blockers 85.0% |
3P-MACE 3.7/4.0 (100PY) |
|
LEADER [21] (Liraglutide) |
3.8 yr† | 9,340 |
Age: 64.3 yr Men: 64.3% |
BMI: 32.5 kg/m2 SBP: 135.9 mmHg LDLc: 2.3 mmol/L |
HbA1c: 8.7% DM duration: 12.7 yr |
HTN: 90.0% CVD: 81.3% HF: 17.8% |
eGFR < 60: 23.1% ACR ≥ 30 mg/g: 36.6% |
Statin 72.2% Aspirin 69.8% RAAS blockers 77.2% |
3P-MACE 3.4/3.9 (100PY) |
|
REWIND [13] (Dulaglutide) |
5.5 yr† | 9,901 |
Age: 66.2 yr Men: 53.7% |
BMI: 32.3 kg/m2 SBP: 137.2 mmHg LDLc: 2.6 mmol/L |
HbA1c: 7.3% DM duration: 10.5 yr |
HTN: 93.2% CVD: 31.5% HF: 8.6% |
eGFR < 60: 22.2% ACR ≥ 30 mg/g: 35.0% |
Statin 66.1% Antithrombotics 54.0% RAAS blockers 81.5% |
3P-MACE 2.4/2.7 (100PY) |
|
Harmony [19] (Albiglutide) |
1.6 yr† | 9,463 |
Age: 64.2 yr Men: 69.4% |
BMI: 32.3 kg/m2 SBP: 134.7 mmHg LDLc: 2.1 mmol/L |
HbA1c: 8.7% DM duration: 14.2 yr |
HTN: 86.5% CVD: 100% HF: 20.3% |
eGFR < 60: 23.5% |
Statin 84.0% Antithrombotics 84.1% RAAS blockers 81.6% |
3P-MACE 4.6/5.9 (100PY) |
|
SUSTAIN-6 [29] (Semaglutide) |
2.1 yr | 3,297 |
Age: 64.6 yr Men: 60.7% |
BMI: 32.8 kg/m2 SBP: 135.6 mmHg LDLc: 2.1 mmol/L |
HbA1c: 8.7% DM duration: 13.9 yr |
HTN: 92.8% CVD: 83.0% HF: 23.6% |
eGFR < 60: 28.5% ACR ≥ 30 mg/g: 42.0% |
Statin 72.8% Antithrombotics 76.3% RAAS blockers 83.5% |
3P-MACE 3.2/4.4 (100PY) |
|
PIONEER 6 [20] (Oral semaglutide) |
1.0 yr† | 3,183 |
Age: 66 yr Men: 68.4% |
BMI: 32.3 kg/m2 SBP: 135.6 mmHg LDLc: 2.2 mmol/L |
HbA1c: 8.2% DM duration: 14.9 yr |
HTN‡: 95.3% CVD: 84.7% HF: 12.2% |
eGFR < 60: 26.9% |
Lipid-lowering agents 85.2% Antithrombotics 79.4% |
3P-MACE 2.6/3.7 (100PY) |
|
AMPLITUDE-O [18] (Efpeglenatide) |
1.8 yr† | 4,076 |
Age: 64.5 yr Men: 67.0% |
BMI: 32.7 kg/m2 SBP: 134.9 mmHg LDLc: 2.1 mmol/L |
HbA1c: 8.9% DM duration: 15.4 yr |
HTN: 91.3% CVD: 89.5% HF: 18.1% |
eGFR < 60: 31.6% ACR ≥ 30 mg/g: 48.5% |
Statin 80.8% Aspirin 67.9% Other antiplatelets 25.7% RAAS blockers 80.0% |
3P-MACE 5.4/6.8 (100PY) |
BMI, body mass index; SBP, systolic blood pressure; LDLc, low-density lipoprotein cholesterol; HTN, hypertension; CVD, cardiovascular disease; HF, heart failure; eGFR, estimated glomerular filtration rate; ACR, albumin–creatinine ratio; RAAS, renin–angiotensin–aldosterone system; 3P-MACE, 3-point major adverse cardiovascular events; 100PY, 100 patient-year. * 3P-MACE event rate (100 patients-year) of active/placebo group. † Median and interquartile range converted to the mean value. ‡ Medically treated hypertension