Table 1.
SGLT2 inhibitor | CVOTs | Licensed indications | Use in older adult | Cardio-renal benefits |
---|---|---|---|---|
Dapagliflozin | DECLARE TIMI-58 [44] DAPA-HF [45] DAPA-CKD [36] |
T2DM HF CKD |
≥65 years | Reduction in CV mortality Reduction in HHF Improvement in HF-related health status Reduction in renal adverse events |
Canagliflozin | CANVAS [46] CREDENCE [47] |
T2DM | ≥65 years Caution: Renal function and risk of volume depletion should be taken into account |
Prevention of MACE Reduction in HHF Reduction in systolic and diastolic blood pressure Reduction in renal adverse events |
Empagliflozin | EMPA-REG OUTCOMES [48] EMPEROR- REDUCED [49] EMPEROR-PRESERVED [50] |
T2DM HF |
≥75 years Caution: risk of volume depletion should be taken into account ≥ 85 years: not recommended |
Reduction in CV mortality Reduction in HHF Reduction in renal adverse events |
Ertugliflozin | VERTIS-CV [51] | T2DM | ≥65 years Caution: Renal function and risk of volume depletion should be taken into account |
Reduction in HHF |