From: Class effects of SGLT2 inhibitors on cardiorenal outcomes
DECLARE-TIMI 58 | CANVAS | EMPA–REG OUTCOME | CREDENCE | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
DAPA n (%) | Placebo n (%) | Riska | HR (95% CI) | p-value | CANA event rate | Placebo event rate | Riska | p-value | Pooled EMPA n (%) | Placebo n (%) | Riska | p-value | CANA n (%) | Placebo n (%) | CANA event rate | Placebo event rate | Riska | HR (95% CI) | |
Male genital infectionb | 76 (0.9) | 9 (0.1) | +c | 8.36 (4.19–16.68)c | 0.001c | 34.9 | 10.8 | +c | < 0.001c | 166 (5.0) | 25 (1.5) | +c | < 0.001c | 28 (0.2) | 3 (0.0) | 8.4 | 0.9 | +c | 9.30 (2.83–30.60)c |
Female genital infectionb | 68.8 | 17.5 | +c | < 0.001c | 135 (10.0) | 17 (2.6) | +c | < 0.001c | 22 (0.3) | 10 (0.0) | 12.6 | 6.1 | + | 2.10 (1.00–4.45) | |||||
Any AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 4230 (90.2) | 2139 (91.7) | −c | < 0.001c | 1784 (8.1) | 1860 (0.8) | 351.4 | 379.3 | −c | 0.87 (0.82–0.93)c |
Serious AE | 2925 (34.1) | 3100 (36.2) | −c | 0.91 (0.87–0.96)c | < 0.001c | 104.3 | 120 | −c | 0.04c | 1789 (38.2) | 988 (42.3) | −c | < 0.001c | 737 (3.3) | 806 (0.4) | 145.2 | 164.4 | −c | 0.87 (0.79–0.97)c |
AE leading to discontinuation | 693 (8.1) | 592 (6.9) | +c | 1.15 (1.03–1.28)c | 0.01c | 35.5 | 32.8 | + | 0.07 | 813 (17.3) | 453 (19.4) | −c | < 0.001c | N/A | N/A | N/A | N/A | N/A | N/A |
Hypoglycemia | 58 (0.7) | 83 (1.0) | −c | 0.68 (0.49–0.95)c | 0.02c | 50 | 46.4 | + | 0.20 | 1303 (27.8) | 650 (27.9) | − | N/A | 225 (1.0) | 240 (0.1) | 44.3 | 48.9 | − | 0.92 (0.77–1.11) |
UTI | 127 (1.5) | 133 (1.6) | − | 0.93 (0.73–1.18) | 0.54 | 40 | 37 | + | 0.38 | 842 (18.0) | 423 (18.1) | − | N/A | 245 (1.1) | 221 (0.1) | 48.3 | 45.1 | + | 1.08 (0.90–1.29) |
Fracture | 457 (5.3) | 440 (5.1) | + | 1.04 (0.91–1.18) | 0.59 | 15.4 | 11.9 | +c | 0.02c | 179 (3.8) | 91 (3.9) | − | N/A | 67 (0.3) | 68 (0.0) | 11.8 | 12.1 | − | 0.98 (0.70–1.37) |
Hyperkalemia | N/A | N/A | N/A | N/A | N/A | 6.9 | 4.4 | + | 0.10 | N/A | N/A | N/A | N/A | 151 | 181 | 29.7 | 36.9 | − | 0.80 |
Amputation | 123 (1.4) | 113 (1.3) | + | 1.09 (0.84–1.40) | 0.53 | 6.3 | 3.4 | +c | < 0.001c | N/A | N/A | N/A | N/A | 70 (0.3) | 63 (0.0) | 12.3 | 11.2 | + | 1.11 (0.79–1.56) |
AKI | 125 (1.5) | 113 (1.3) | −c | 0.69 (0.55–0.87)c | 0.002c | 3 | 4.1 | − | 0.33 | 45 (1.0) | 37 (1.6) | −c | < 0.05c | 86 (0.4) | 98 (0.0) | 16.9 | 20 | − | 0.85 (0.64–1.13) |
Breast cancer | 36 (0.4) | 113 (1.3) | 0 | 1.02 (0.64–1.63) | 0.92 | 3.1 | 2.6 | + | 0.65 | N/A | N/A | N/A | N/A | 8 (0.1) | 3 (0.0) | 4.1 | 1.6 | + | 2.59 (0.69–9.76) |
Bladder cancer | 26 (0.3) | 45 (0.5) | −c | 0.57 (0.35–0.93)c | 0.02c | 1 | 1.1 | − | 0.74 | N/A | N/A | N/A | N/A | 10 (0.0) | 9 (0.0) | 1.7 | 1.6 | + | 1.10 (0.45–2.72) |
DKA | 27 (0.3) | 12 (0.1) | +c | 2.18 (1.10–4.30)c | 0.02c | 0.6 | 0.3 | + | 0.14 | 4 (0.1) | 1 (< 0.1) | + | N/A | 11 (0.0) | 1 (0.0) | 2.2 | 0.2 | +c | 10.80 (1.39–83.65)c |