Evidence mapPaperPMID 32227432Full record

Trial reportDiabetes, obesity & metabolism2020

Empagliflozin reduces the risk of mortality and hospitalization for heart failure across Thrombolysis In Myocardial Infarction Risk Score for Heart Failure in Diabetes categories: Post hoc analysis of the EMPA-REG OUTCOME trial.

Subodh Verma, Abhinav Sharma, Bernard Zinman, Anne Pernille Ofstad, David Fitchett, Martina Brueckmann, Christoph Wanner, Isabella Zwiener, Jyothis T George, Silvio E Inzucchi and 2 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT07465926. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07465926 completed

Associations of Early Add-On GLP-1 Receptor Agonist and SGLT2 Inhibitor Therapy With Mortality and Kidney Outcomes in Adults With Obesity and Type 2 Diabetes Across Cardiovascular-Kidney-Metabolic Stages 2-3: A Target-Trial Emulation

Ran2017Enrolled451,036Registered outcomes12Posted comparisons0ConditionsCardiovascular Disease Risk Factor, Cardiovascular-kidney-metabolic Syndrome, Kidney Disease, Obesity & OverweightArmsGLP-1 receptor agonist, SGLT2 inhibitor
Open the trial in the graph
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 4 countries.

Subodh VermaDivision of Cardiac Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-4018-8533
Abhinav SharmaMcGill University Health Centre, McGill University, Montreal, Quebec, Canada.ORCID 0000-0002-2346-8330
Bernard ZinmanLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-0041-1876
Anne Pernille OfstadBoehringer Ingelheim Norway KS, Asker, Norway.ORCID 0000-0003-2714-0102
David FitchettDivision of Cardiology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-1312-5983
Martina BrueckmannBoehringer Ingelheim International GmbH, Ingelheim, Germany.
Christoph WannerWürzburg University Clinic, Würzburg, Germany.
Isabella ZwienerBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany.
Jyothis T GeorgeBoehringer Ingelheim International GmbH, Ingelheim, Germany.
Silvio E InzucchiYale University School of Medicine, New Haven, Connecticut.
Javed ButlerDepartment of Medicine, University of Mississippi Medical Center, Jackson, Mississippi.ORCID 0000-0001-7683-4720
C David MazerDepartment of Anesthesia, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
St. Michael's Hospital · CABoehringer Ingelheim (Germany) · DEBoehringer Ingelheim (Norway) · NOMcGill University Health Centre · CAMount Sinai Hospital · CATechnische Hochschule Mannheim · DEUniversity of Mississippi Medical Center · USYale University · US

Funding

Yale Diabetes Research CenterP30DK045735 · YALE UNIVERSITY · 1993 to 2025
$10.2M
Tracking and Evaluation CoreU54GM115428 · UNIVERSITY OF MISSISSIPPI MED CTR · 2025 to 2025
$3.6M
NIDDK NIH HHS P30 DK045735NIGMS NIH HHS U54 GM115428
6 · The paper itself

Abstract

aimTo investigate the association of the Thrombolysis In Myocardial Infarction (TIMI) Risk Score for Heart Failure in Diabetes (TRS-HF MATERIALS AND

methodsIn EMPA-REG OUTCOME, patients with type 2 diabetes and atherosclerotic cardiovascular (CV) disease (N = 7020) received the sodium-glucose co-transporter-2 inhibitor, empagliflozin, 10 or 25 mg or placebo. Post hoc, patients were stratified into risk categories (low-intermediate, high, very-high risk scores) using baseline TRS-HF

resultsIn placebo patients, increasing risk category was associated with a higher risk of ACM, CV death, and HHF. Empagliflozin reduced the risk of ACM (low-intermediate HR 0.68 [95% CI 0.48, 0.97] and very-high 0.69 [0.52, 0.91]), CV death (0.75 [0.48, 1.18] and 0.56 [0.41, 0.78]), HHF (0.53 [0.28, 1.01] and 0.67 [0.48, 0.96]), and CV death or HHF (0.69 [0.46, 1.03]) and (0.64 [0.49, 0.82]) across all risk categories versus placebo. Higher absolute risk reductions (ARRs) were observed for CV death in the very-high versus low-intermediate category (P = 0.01).

conclusionsApplied to EMPA-REG OUTCOME, higher TRS-HF

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Heart FailureMyocardial InfarctionBenzhydryl CompoundsGlucosidesHospitalizationHumansRisk FactorsThrombolytic TherapyBenzhydryl CompoundsempagliflozinGlucosidescardiovascular disease, clinical trial, heart failure, randomized trial, sodium-glucose co-transporter-2 inhibitor, type 2 diabetes

Identifiers

PMID32227432
PMCPMC7318207
OpenAlexW3013330267

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.