Evidence mapPaperPMID 33082245Full record

Trial reportDiabetes care2020

Effect of Dapagliflozin in DAPA-HF According to Background Glucose-Lowering Therapy.

Kieran F Docherty, Pardeep S Jhund, Olof Bengtsson, David L DeMets, Silvio E Inzucchi, Lars Køber, Mikhail N Kosiborod, Anna Maria Langkilde, Felipe A Martinez, Marc S Sabatine and 4 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Dapagliflozin: A Review in Symptomatic Heart Failure with Reduced Ejection Fraction.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2021
    Review
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

14 authors at 8 institutions in 6 countries.

Kieran F DochertyBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, U.K.
Pardeep S JhundBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, U.K.
Olof BengtssonAstraZeneca R&D, Gothenburg, Sweden.
David L DeMetsDepartment of Biostatistics and Medical Informatics, University of Wisconsin, Madison, WI.
Silvio E InzucchiSection of Endocrinology, Yale University School of Medicine, New Haven, CT.ORCID 0000-0003-1254-6636
Lars KøberRigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.
Mikhail N KosiborodSaint Luke's Mid America Heart Institute and University of Missouri-Kansas City, Kansas City, MO.ORCID 0000-0002-3750-9789
Anna Maria LangkildeAstraZeneca R&D, Gothenburg, Sweden.
Felipe A MartinezNational University of Cordoba, Cordoba, Argentina.
Marc S SabatineThrombolysis in Myocardial Infarction Clinical Trials Study Group, Cardiovascular Division, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Mikaela SjöstrandAstraZeneca R&D, Gothenburg, Sweden.
Scott D SolomonCardiovascular Division, Brigham and Women's Hospital, Boston, MA.
John J V McMurrayORCID 0000-0002-6317-3975
DAPA-HF Investigators and Committees
AstraZeneca (Sweden) · SEUniversity of Glasgow · GBUniversidad Nacional de Córdoba · ARBrigham and Women's Hospital · USUniversity of Wisconsin–Madison · USCopenhagen University Hospital · DKUNSW Sydney · AUYale University · US

Funding

Yale Diabetes Research CenterP30DK045735 · YALE UNIVERSITY · 1993 to 2025
$10.2M
British Heart Foundation RE/18/6/34217NIDDK NIH HHS P30 DK045735
6 · The paper itself

Abstract

objectiveTo determine whether the benefits of dapagliflozin in patients with heart failure and reduced ejection fraction (HFrEF) and type 2 diabetes in the Dapagliflozin And Prevention of Adverse-Outcomes in Heart Failure trial (DAPA-HF) varied by background glucose-lowering therapy (GLT). RESEARCH DESIGN AND

methodsWe examined the effect of study treatment by the use or not of GLT and by GLT classes and combinations. The primary outcome was a composite of worsening heart failure (hospitalization or urgent visit requiring intravenous therapy) or cardiovascular death.

resultsIn the 2,139 type 2 diabetes patients, the effect of dapagliflozin on the primary outcome was consistent by GLT use or no use (hazard ratio 0.72 [95% CI 0.58-0.88] vs. 0.86 [0.60-1.23]; interaction

conclusionsIn DAPA-HF, dapagliflozin improved outcomes irrespective of use or no use of GLT or by GLT type used in patients with type 2 diabetes and HFrEF.

Indexed as

AgedBenzhydryl CompoundsBlood GlucoseDiabetes Mellitus, Type 2Double-Blind MethodDrug Therapy, CombinationFemaleGlucosidesHeart FailureHospitalizationHumansKaplan-Meier EstimateMaleMetforminMiddle AgedProportional Hazards ModelsBenzhydryl CompoundsBlood GlucosedapagliflozinGlucosidesMetforminSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID33082245
PMCPMC7809714
OpenAlexW3083297478

What Socratic holds

Texttitle and abstract
Read underepoch 390

Registered trials

None linked

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.