ACS=acute coronary syndrome; ASCVD=atherosclerotic cardiovascular
disease including myocardial infarction or ischemic stroke; CV
risk=increase risk for cardiovascular disease based on risk factors, but
not ischemic ASCVD; HR=hazard ratio; MACE=major adverse
cardiovascular event: cardiovascular mortality, myocardial infarction, stroke;
RRR=relative risk reduction; SFU=sulfonylurea.
T2DM=type 2 diabetes mellitus; MACE=cardiovascular
mortality, myocardial infarction, stroke.
Studies: ACCORD, Action to Control Cardiovascular Risk in Diabetes;333 ACCORDION, ACCORD Follow-on
study;391 ADDITION,
Intensive Treatment in People With Screen Detected Diabetes in Primary
Care;392 ADVANCE,
Action in Diabetes and Vascular Disease Preterax and Diamicron MR Controlled
Evaluation;334 BARI
2D, Bypass Angioplasty Revascularization Investigation in Type 2
Diabetes;104
DIGAMI2, Diabetes Mellitus Insulin Glucose Infusion in Acute
Myocardial Infarction;393
ELIXA, Evaluation of Cardiovascular Outcomes in Patients With Type 2 Diabetes
After Acute Coronary Syndrome During Treatment With Lixisenatide;382 EMPA-REG OUTCOME,
(Empagliflozin) Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus
Patients; 373 EXAMINE trial,
EXamination of cArdiovascular outcoMes with alogliptIN versus standard of
care;383 HEART2D,
Hyperglycemia and its Effect After Acute Myocardial Infarction on Cardiovascular
Outcomes in patients with Type 2 Diabetes;394 Look AHEAD, Action for Health in Diabetes;284 ORIGIN, Outcome Reduction
With Initial Glargine Intervention;347 PROactive, PROspective pioglitAzone Clinical Trial In
macroVascular Events;102
RECORD, Rosiglitazone evaluated for cardiovascular outcomes in oral agent
combination therapy for type 2 diabetes;370 SAVOR-TIMI53, Saxagliptin Assessment of Vascular
Outcomes Recorded in Patients with Diabetes Mellitus-Thrombolysis in Myocardial
Infarction 53;395 Steno-2,
Multifactorial Intervention in Type 2 Diabetes at the Steno Diabetes
Center;176,366 TECOS, Trial Evaluating Cardiovascular
Outcomes With Sitagliptin; 386 UKPDS, United Kingdom Prospective Diabetes
Study;41,103,199 VADT, Veterans Affairs Diabetes Trial.335,345
Reference: Data taken from Holman RR, Sourij H, Califf RM. Cardiovascular outcome
trials of glucose-lowering drugs or strategies in type 2 diabetes.
Lancet. 2014;383:2008–2011.396