Table 2.
A. HbA1c [%] change from baseline at Week 26 – mITT set | |||||||||
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Treatment | N analysed | Baseline | Change from baseline | Comparison versus placebo | |||||
Mean | SD | Adjusted mean | 95% CI | Adjusted mean | 95% CI | ||||
Primary hypotheses (empagliflozin pooled vs. placebo and linagliptin vs. placebo) | |||||||||
| |||||||||
Placebo | 53 | 8·05 | 1·23 | 0·68 | 0·23 | 1·13 | |||
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Empagliflozin pooled | 52 | 8·00 | 1·29 | −0·17 | −0·64 | 0·31 | −0·84 | −1·50 | −0·19* |
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Linagliptin 5 mg | 52 | 8·05 | 1·11 | 0·33 | −0·13 | 0·79 | −0·34 | −0·99 | 0·30† |
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Secondary hypothesis (empagliflozin responders on 10 mg plus empagliflozin non-responders titrated to 25 mg vs. placebo) | |||||||||
| |||||||||
Placebo | 53 | 8·05 | 1·23 | 0·66 | 0·12 | 1·21 | |||
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Empagliflozin 10 mg +titr 25 mg | 41 | 7·80 | 1·26 | 0·14 | −0·42 | 0·71 | −0·52 | −1·31 | 0·27‡ |
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Secondary hypothesis (empagliflozin responders on 10 mg plus empagliflozin non-responders on 10 mg vs. placebo) | |||||||||
| |||||||||
Placebo | 53 | 8·05 | 1·23 | 0·68 | 0·19 | 1·17 | |||
| |||||||||
Empagliflozin 10 mg +titr 10 mg | 39 | 7·92 | 1·36 | −0·49 | −1·03 | 0·04 | −1·18 | −1·90 | −0·45§ |
B. Secondary endpoints based on FPG, body weight, SBP and DBP: change from baseline at Week 26 – mITT set | |||||||||
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Treatment | N analysed | Baseline | Change from baseline | Comparison versus placebo | |||||
Mean | SD | Adjusted mean | 95% CI | Adjusted mean | 95% CI | ||||
| |||||||||
Fasting plasma glucose (mg/dL) | |||||||||
| |||||||||
Placebo | 52 | 158·62 | 53·80 | 15·70 | −0·53 | 31·93 | |||
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Empagliflozin pooled | 48 | 154·43 | 57·78 | −19·48 | −36·39 | −2·57 | −35·18 | −58·61 | −11·74 |
| |||||||||
Linagliptin 5 mg | 51 | 162·81 | 56·01 | 10·29 | −6·12 | 26·69 | −5·41 | −28·49 | 17·67 |
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Body weight (kg) | |||||||||
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Placebo | 52 | 98·87 | 29·62 | −0·04 | −1·40 | 1·32 | |||
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Empagliflozin pooled | 52 | 98·66 | 24·35 | −0·79 | −2·17 | 0·59 | −0·75 | −2·68 | 1·19 |
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Linagliptin 5 mg | 50 | 102·73 | 26·81 | 1·42 | 0·04 | 2·81 | 1·46 | −0·48 | 3·41 |
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Systolic blood pressure (mmHg) | |||||||||
| |||||||||
Placebo | 52 | 118·34 | 11·87 | 1·30 | −1·01 | 3·61 | |||
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Empagliflozin pooled | 52 | 120·23 | 9·97 | −0·12 | −2·47 | 2·24 | −1·42 | −4·72 | 1·88 |
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Linagliptin 5 mg | 50 | 122·39 | 11·13 | 2·21 | −0·14 | 4·56 | 0·91 | −2·40 | 4·22 |
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Diastolic blood pressure (mmHg) | |||||||||
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Placebo | 52 | 72·60 | 8·94 | 0·76 | −1·01 | 2·53 | |||
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Empagliflozin pooled | 52 | 72·03 | 8·38 | 0·78 | −1·04 | 2·60 | 0·02 | −2·52 | 2·56 |
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Linagliptin 5 mg | 50 | 74·01 | 8·13 | 2·26 | 0·46 | 4·05 | 1·50 | −1·03 | 4·02 |
Analyses including all available HbA1c data on treatment, after start of rescue medication and after premature treatment discontinuation
Missing data multiply imputed with ‘wash-out’ approach, using ANCOVA with baseline HbA1c as linear, treatment and age as categorical covariates and applying Rubin’s rules to combine multiple imputations
Mean change from baseline was adjusted for baseline HbA1c and age category for all hypotheses and additionally weighted for secondary hypotheses
Baseline means were not weighted
p-value=0·012,
p-value=0·29,
p-value=0·19,
p-value=0·0015.
To convert the values for % HbA1c to millimoles per mol, subtract 2·15 and multiply the result by 10·929. HbA1c, glycated haemoglobin; mITT, modified intention-to-treat; SD, standard deviation; titr, empagliflozin non-responders titrated to.
Analyses including all available data on treatment, after start of rescue medication and after premature treatment discontinuation
Mean change from baseline was adjusted for baseline value and age category
FPG analysed by ANCOVA with baseline value as linear, treatment and age as categorical covariates, baseline carried forward for missing FPG at week 26
All other endpoints analysed by MMRM including additionally visit as fixed, categorical covariate, interactions of treatment and baseline with visit and patient as random effect with unstructured covariance structure
DBP, diastolic blood pressure; FPG, fasting plasma glucose, mITT, modified intention-to-treat; SBP, systolic blood pressure; SD, standard deviation.