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. 2018 Jul 31;61(10):2155–2163. doi: 10.1007/s00125-018-4702-3

Table 1.

Differences in changes from baseline ALT and AST with empagliflozin relative to placebo or glimepiride

Trial ALT (U/l) AST (U/l)
EMPA-REG OUTCOME®
  Adjusted mean (95% CI) difference vs placebo in change from baseline at week 28
    All participants −2.22 (−2.83, −1.62) p < 0.0001 −1.01 (−1.48, −0.54) p < 0.0001
    Tertile 3 (highest tertile) by ALT/AST at baseline −4.36 (−5.51, −3.21) p < 0.0001 −1.53 (−2.35, −0.72) p = 0.0002
  Adjusted mean (95% CI) difference vs placebo in change from baseline at week 164
    All participants −1.26 (−2.12, −0.40) p = 0.0040 −0.66 (−1.45, 0.13) p = 0.1007
    Tertile 3 (highest tertile) by ALT/AST at baseline −2.22 (−3.78, −0.66) p = 0.0053 −0.99 (−2.34, 0.36) p = 0.1504
Pooled 24-week placebo-controlled trial data
  Adjusted mean (95% CI) difference vs placebo in change from baseline at week 24
    All participants −3.15 (−4.11, −2.18) p < 0.0001 −1.45 (−2.12, −0.78) p < 0.0001
    Tertile 3 (highest tertile) by ALT/AST at baseline −5.60 (−7.41, −3.79) p < 0.0001 −2.84 (−4.14, −1.54) p < 0.0001
EMPA-REG H2H-SU
  Adjusted mean (95% CI) difference vs glimepiride in change from baseline at week 28
    All participants −4.88 (−6.68, −3.09) p < 0.0001 −2.78 (−3.92, −1.64) p < 0.0001
    Tertile 3 (highest tertile) by ALT/AST at baseline −7.14 (−10.11, −4.18) p < 0.0001 −3.92 (−5.79, −2.04) p < 0.0001
  Adjusted mean (95% CI) difference vs glimepiride in change from baseline at week 104
    All participants −4.28 (−6.11, −2.45) p < 0.0001 −3.00 (−4.33, −1.67) p < 0.0001
    Tertile 3 (highest tertile) by ALT/AST at baseline −6.03 (−9.02, −3.04) p < 0.0001 −5.25 (−7.47, −3.03) p < 0.0001

MMRM analysis in participants treated with at least one dose of study drug based on observed cases, including values after initiation of rescue medication