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. Author manuscript; available in PMC: 2024 Sep 20.
Published in final edited form as: Nephrol Dial Transplant. 2024 Sep 14:gfae203. doi: 10.1093/ndt/gfae203

Table 2. Effects of empagliflozin versus placebo on gout.

Empagliflozin Placebo Hazard Ratio (95% CI)
n/N Rate
per 1000
patient-years
n/N Rate
per 1000
patient-years
First occurrence of gout* 278/3304 45.7 317/3305 52.3 0.87 (0.74-1.02)
All occurrences of gout 404/3304 62.2 465/3305 71.7 0.86 (0.72-1.03)

All analyses use a time-to-first-event approach. Cox proportional hazards models include adjustment for the covariates used in the minimisation algorithm (categories of age, sex, diabetes, estimated glomerular filtration rate, urinary albumin-to-creatinine ratio and region).

*

Self-reported episode of gout recorded as adverse event (serious or non-serious); previously reported (The EMPA-KIDNEY Collaborative Group. 2023. NEJM).

First and recurrent events analysed using the Andersen-Gill extension of Cox regression. In a post-hoc analysis, excluding participants not already taking uric acid lowering therapy or colchicine at randomisation, empagliflozin resulted in a 19% reduction in the hazards of the composite of a first gout event or initiation of uric acid lowering or colchicine therapy (HR 0.81, 95%CI 0.69-0.96; 261 events in the empagliflozin group versus 314 in the placebo group).