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.