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. Author manuscript; available in PMC: 2021 Apr 28.
Published in final edited form as: J Am Coll Cardiol. 2020 Apr 28;75(16):1956–1974. doi: 10.1016/j.jacc.2020.02.056

TABLE 2.

DPP4i Cardiovascular Outcome Trials

SAVOR TIMI 53 Saxaglipitin (n = 16,492) EXAMINE Alogliptin (n = 5,380) TECOS Sitagliptin (n = 14,523) CARMELINA Linagliptin (n = 6,979) CAROLINA Linagliptin vs. Glimepiride (n = 6,033)
Median follow-up, yrs 2.1 1.5 3.0 2.2 5.9
Mean age, yrs 65 61 65 66 64
Female, % 33 32 29 37 40
BMI, kg/m2 31.2 28.7 30.2 31.4 30.1
HbA1c, % 8.0 8.0 7.2 8.0 7.2
Baseline metformin, % 69 NA 81 54 83
Baseline eGFR* 73 71 75 55 77
eGFR* <60 ml/min, % < 50 ml/min: 16 29 NR 62 19
Prior CVD, % 78 100 100 57 42
Prior HF, % 13 28 18 27 4
3P-MACE 1.00 (0.89–1.12) 0.96 (≤1.16) 0.98 (0.89–1.08) 1.02 (0.89–1.17) 0.98 (0.84–1.13)
 CV death 1.03 (0.87–1.22) 0.85 (0.66–1.10) 1.03 (0.89–1.19) 0.96 (0.81–1.14) 1.00 (0.81–1.24)
 Non-fatal MI 0.95 (0.80–1.12) 1.08 (0.88–1.33) 0.95 (0.81–1.11) 1.12 (0.90–1.40) 1.01 (0.80–1.28)
 Non-fatal stroke 1.11 (0.88–1.39) 0.95 (≤ 1.14) 0.97 (0.79–1.19) 0.91 (0.67–1.23) 0.86 (0.66–1.12)
CV death or HHF NR 1.00 (0.82–1.20) 1.02 (0.90–1.15) NR 1.00 (0.84–1.20)
All-cause mortality 1.11 (0.96–1.27) 0.88 (0.71–1.09) 1.01 (0.90–1.14) 0.98 (0.84–1.13) 0.91 (0.78–1.06)
HHF 1.27 (1.07–1.51) 1.07 (0.79–1.46) 1.00 (0.83–1.20) 0.90 (0.74–1.08) 1.21 (0.92–1.59)
Renal events 1.08 (0.88–1.3) NR NR 1.04 (0.89–1.22) NR

Values are hazard ratio (confidence interval) unless otherwise indicated.

*

eGFR units ml/min/1.73 m2.

Definition varied across trials.

3P-MACE = 3-point major adverse cardiac events; BMI = body mass index; CARMALINA = ■■■; CAROLINA = ■■■; CV = cardiovascular; CVD = cardiovascular disease; DPP4i = dipeptidyl peptidase 4 inhibitor; eGFR = estimated glomerular filtration rate; EXAMINE = ■■■; Hb1Ac = glycolated hemoglobin; HF = heart failure; HHF = ■■■; NR = not reached; SAVOR TIMI 53 = ■■■; TECOS = ■■■.