Table 2.
Renal composite event rates in EMPA-REG OUTCOME [35], CANVAS program [51], DECLARE-TIMI 58 [36], VERTIS CV [32], CREDENCE [33], and DAPA-CKD [34]
Treatment arm | Cardiovascular outcomes trials | Renal outcomes trial | ||||||
---|---|---|---|---|---|---|---|---|
EMPA-REG OUTCOME | CANVAS program | DECLARE-TIMI 58 | Meta-analysis (fixed-effects model)a | VERTIS CV | CREDENCE | DAPA-CKDb | ||
Renal composite (Event rate per 1000 patient-years) | Placebo | 11.5 | 9.0 | 7.0 | Events (n/N): 766/34,322 | 12 | 40.4 | NR |
SGLT2i | 6.3 | 5.5 | 3.7 | 9 | 27.0 | NR | ||
Hazard ratio (95% CI) | 0.54 (0.40, 0.75) | 0.60 (0.47, 0.77) | 0.53 (0.43, 0.66) | 0.55 (0.48, 0.64) | 0.81 (0.63, 1.04) | 0.66 0.53, 0.81) | 0.64 (0.52, 0.79) | |
Renal composite (3-year NNT) | 66 | 97 | 103 | – | – | 28 | NR |
CI confidence interval, NNT number needed to treat, SGLT2i sodium–glucose cotransporter 2 inhibitor
aMeta-analysis does not include VERTIS CV [44]
bOutcomes for the T2D subgroup analysis. Renal composite was defined as worsening of renal function, end-stage renal disease, or renal death