SGLT2 inhibitors × cardiovascular events

TrialThe New England journal of medicine2019

Canagliflozin and Renal Outcomes in Type 2 Diabetes and Nephropathy.

Vlado Perkovic et al.PubMed ↗Publisher ↗

  • Canagliflozinlooks good hereLower renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes, fewer cardiovascular death, myocardial infarction, or stroke, lower hospitalization for heart failure.Randomised, large.

What the trial testedrandomised · 4,401 people · 2019

Randomised vs placebo

Lowered renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes

−34%−47% to −19%

canagliflozin vs placebo

Bigger than 8 in 10 for cardiovascular events

As reported

HR 0.66, 95% CI 0.53–0.81

Randomised vs placebo

Reduced cardiovascular death, myocardial infarction, or stroke

−20%−33% to −5%

canagliflozin vs placebo

Bigger than 4 in 10 for cardiovascular events

As reported

HR 0.80, 95% CI 0.67–0.95

Randomised vs placebo

Lowered hospitalization for heart failure

−39%−53% to −20%

canagliflozin vs placebo

Bigger than 8 in 10 for cardiovascular events

As reported

HR 0.61, 95% CI 0.47–0.80

Not counted

Lowered end-stage kidney disease

−32%−46% to −14%

canagliflozin vs placebo

Bigger than 7 in 10 on the map

As reported

HR 0.68, 95% CI 0.54–0.86

Who was studied, and how

4,401people with cardiovascular disease, in this paper

The trial randomly assignedassigned by chance

canagliflozin
placebo

Lowered renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes−34%

Reduced cardiovascular death, myocardial infarction, or stroke−20%

Lowered hospitalization for heart failure−39%

randomised

the abstract, start to end

causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86;

infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P = 0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80;

← favours treatmentfavours comparator →
could be chance
Renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causescanagliflozin vs placebo
HR 0.660.53–0.81
End-stage kidney diseasecanagliflozin vs placebo
HR 0.680.54–0.86
Cardiovascular death, myocardial infarction, or strokecanagliflozin vs placebo
HR 0.800.67–0.95
Hospitalization for heart failurecanagliflozin vs placebo
HR 0.610.47–0.80
SGLT2 inhibitorsCardiovascular eventsKidney outcomes

SGLT2 inhibitors × cardiovascular eventshelps?mixed

unlikelylikely
0.500.50 without it
← favours treatmentfavours comparator →
this papermore certainless certain
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Full record →Abstract, authors, funding and every citing paper · PMID 30990260