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. 2024 Apr 25;385:e078242. doi: 10.1136/bmj-2023-078242

Table 2.

Hazard ratios for primary and secondary outcomes comparing GLP-1 receptor agonist-SGLT-2 inhibitor combination with GLP-1 receptor agonist use alone

Exposure No of patients Events Person years Incidence rate (95% CI)* Hazard ratio (95% CI)
Primary outcomes
MACE:
 GLP-1 RAs 6696 113 10 971 10.3 (8.5 to 12.4) 1.00 (reference)
 GLP-1 RA-SGLT-2 inhibitor combination 6696 45 6417 7.0 (5.1 to 9.4) 0.70 (0.49 to 0.99)
Serious renal events:
 GLP-1 RAs 6696 51 10 992 4.6 (3.5 to 6.1) 1.00 (reference)
 GLP-1 RA-SGLT-2 inhibitor combination 6696 13 6453 2.0 (1.1 to 3.4) 0.43 (0.23 to 0.80)
Secondary outcomes
Myocardial infarction:
 GLP-1 RAs 6696 60 10 971 5.5 (4.2 to 7.0) 1.00 (reference)
 GLP-1 RA-SGLT-2 inhibitor combination 6696 24 6417 3.7 (2.4 to 5.6) 0.73 (0.45 to 1.17)
Ischaemic stroke:
 GLP-1 RAs 6696 30 10 971 2.7 (1.8 to 3.9) 1.00 (reference)
 GLP-1 RA-SGLT-2 inhibitor combination 6696 15 6417 2.3 (1.3 to 3.9) 0.90 (0.48 to 1.67)
Cardiovascular mortality:
 GLP-1 RAs 6696 32 10 971 2.9 (2.0 to 4.1) 1.00 (reference)
 GLP-1 RA-SGLT-2 inhibitor combination 6696 7 6417 1.1 (0.4 to 2.3) 0.35 (0.15 to 0.80)
Heart failure:
 GLP-1 RAs 6696 67 10 979 6.1 (4.7 to 7.8) 1.00 (reference)
 GLP-1 RA-SGLT-2 inhibitor combination 6696 23 6446 3.6 (2.3 to 5.4) 0.57 (0.35 to 0.91)
All cause mortality:
 GLP-1 RAs 6696 102 11 056 9.2 (7.5 to 11.2) 1.00 (reference)
 GLP-1 RA-SGLT-2 inhibitor combination 6696 41 6459 6.4 (4.6 to 8.6) 0.71 (0.49 to 1.02)

CI=confidence interval; GLP-1=glucagon-like peptide 1; MACE=major adverse cardiovascular events; RA=receptor agonist; SGLT-2=sodium-glucose cotransporter-2.

*

Per 1000 person years.

Patients were matched on duration of GLP-1 RA use, GLP-1 RA drug type, and propensity score.