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Table 2 CVOTs completed in 2016/17 and published in 2017: comparison of results vs. placebo

From: Report from the 3rd Cardiovascular Outcome Trial (CVOT) Summit of the Diabetes & Cardiovascular Disease (D&CVD) EASD Study Group

 

CANVAS program [13]

EXSCEL [14]

DEVOTE [15]

ACE [17]

FOURIER [18]

Cardiovascular endpoints

Class

HR (95% CI)

p value

Class

HR (95% CI)

p value

Class

HR (95% CI)

p value

Class

HR (95% CI)

p value

Class

HR (95% CI)

p value

Primary Composite MACE

CV death, MI

or stroke

0.86 (0.75–0.97)

0.02a

CV death, MI or stroke

0.91 (0.83–1.00)

0.06a

CV death, MI or stroke

0.91 (0.78–1.06)

<0.001

CV death, MI, stroke, UA

and HF

0.98 (0.86–1.11)

0.73

CV death, MI, stroke, UA and coronary re-vascularisation

0.85 (0.79–0.92)

<0.001

Cardiovascular death

Primary

endpoint

0.87 (0.72–1.06)

Secondary endpoint

0.88 (0.76–1.02)

Primary

endpoint

0.96 (0.76–1.21)

0.71

Secondary endpoint

0.89 (0.71–1.11)

0.29

Secondary endpoint

1.05 (0.88–1.25)

0.62

Myocardial infarction

Primary

endpoint

0.89 (0.73–1.09)

Secondary endpoint

0.97 (0.85–1.10)

Primary

endpoint

0.85 (0.68–1.06)

0.15

Secondary endpoint

1.12 (0.87–1.46)

0.38

Secondary endpoint

0.73 (0.65–0.82)

<0.001

Stroke

Primary endpoint

0.87 (0.69–1.09)

Secondary endpoint

0.85 (0.70–1.03)

Primary endpoint

0.90 (0.65–1.23)

0.50

Secondary endpoint

0.97 (0.70–1.33)

0.83

Secondary endpoint

0.79 (0.66–0.95)

0.01

Hospitalisation for unstable angina

Primary

endpoint

0.95 (0.68–1.31)

0.74

Secondary endpoint

1.02 (0.82–1.26)

0.87

Secondary endpoint

0.99 (0.82–1.18)

0.89

Hospitalisation for heart failure

Secondary endpoint

0.67 (0.52–0.87)

Secondary endpoint

0.94 (0.78–1.13)

Secondary endpoint

0.89 (0.63–1.24)

0.48

 

Event rate (%)

active group

Event rate (%)

active group

Event rate (%)

active group

Event rate (%)

active group

Event rate (%)

active group

Primary composite MACE

26.9b

11.4

8.5

14.4

9.8

 

No. (%)

p-value

No. (%)

p-value

No. (%)

p-value

No. (%)

p-value

No. (%)

p-value

Renal event

19.7b

0.32

55 (0.7)

3.8 (–)

– (–)

– (–)

Acute pancreatitis

0.5b

0.63

26 (0.4)

– (–)

– (–)

– (–)

Hypoglycaemia events

50.0b

0.20

247 (3.4)c

4.9 (–)c

<0.001a

54 (2)c

0.95

– (–)

  1. aSuperiority test
  2. bNumber of participants per 1000 patient-year
  3. cSevere hypoglycaemia events