Table 2.
Trial | Definition of new onset HF | Adjudicated results? | % new onset heart failure during trial follow-up | Specify inpatient vs. outpatient diagnosis of new HF? | Ejection fraction at HF diagnosis reported? | Natriuretic peptide at HF diagnosis reported? | Characterize HF treatment at time of new HF diagnosis? | Characterize clinical events subsequent to new HF diagnosis? |
---|---|---|---|---|---|---|---|---|
EMPA-REG OUTCOME (2015)(17,24) | Data provided on introduction of loop diuretics | Unclear if introduction of loop diuretics adjudicated | 10.2% | No | No | No | No* | No |
ELIXA (2015)(31) | Data provided on hospitalization for HF among patients without prior HF | HF hospitalization adjudicated | 2.4% | Inpatient | No | No | No | No |
EXAMINE (2013)(23,29) | Data provided on hospitalization for HF among patients without prior HF | HF hospitalization adjudicated | 1.7% | Inpatient | No | No† | No‡ | No |
SAVOR-TIMI 53 (2013)(16,28) | Data provided on hospitalization for HF among patients without prior HF | HF hospitalization adjudicated | 2.3% in saxagliptin arm; 1.7% in placebo arm§ | Inpatient | No | No | No|| | No |
ORIGIN (2012)(32) | Data provided on hospitalization for HF in setting of baseline HF listed as trial exclusion criterion | HF hospitalization adjudicated | 5.2% | Inpatient | No | No | No | No |
BARI 2D (2009)(27) | Not provided | Yes | 17.9% | No | No | No | No | No |
Abbreviations: HF = heart failure
Analyses compared adjudicated and investigator-reported HF events with new initiation of loop diuretics.
Longitudinal NT-proBNP data provided for trial patients with and without baseline HF, but not provided at time of new onset HF event.
Data regarding new initiation of loop diuretics by treatment arm in those with or without baseline HF were available.
Data represent 2-year study follow-up.
US Food and Drug Administration Advisory Committee records included information on symptoms and HF therapies at time of hospitalization for HF, but did not distinguish between event representing incident HF versus worsening of established HF.