Evidence mapPaperPMID 36471037Full record

Trial reportNature medicine2022

Efficacy of empagliflozin in heart failure with preserved versus mid-range ejection fraction: a pre-specified analysis of EMPEROR-Preserved.

Stefan D Anker, Javed Butler, Muhammad Shariq Usman, Gerasimos Filippatos, João Pedro Ferreira, Edimar Bocchi, Michael Böhm, Hans Pieter Brunner-La Rocca, Dong-Ju Choi, Vijay Chopra and 25 more

Abstract readClinical Trial
In one paragraph

Trial report in Nature medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
field-weighted citation impact
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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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

35 authors.

Stefan D AnkerDepartment of Cardiology (CVK) and Berlin Institute of Health Center for Regenerative Therapies (BCRT), German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin Berlin, Berlin, Germany. s.anker@cachexia.de.ORCID http://orcid.org/0000-0002-0805-8683
Javed ButlerBaylor Scott and White Research Institute, Dallas, TX, USA.
Muhammad Shariq UsmanUniversity of Mississippi Medical Center, Jackson, MS, USA.
Gerasimos FilippatosNational and Kapodistrian University of Athens School of Medicine, Athens, Greece.
João Pedro FerreiraUniversité de Lorraine, INSERM, Centre d'Investigations Cliniques Plurithématique 1433, and INSERM U1116, CHRU, F-CRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.
Edimar BocchiHeart Failure Clinics, Instituto do Coracao, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil.
Michael BöhmUniversitätsklinikum des Saarlandes, Homberg/Saar, Germany.
Hans Pieter Brunner-La RoccaMaastricht University Medical Center, Maastricht, the Netherlands.
Dong-Ju ChoiDepartment of Medicine, Seoul National University Bundang Hospital, Seoul, South Korea.
Vijay ChopraMax Superspeciality Hospital, Saket, New Delhi, India.
Eduardo ChuquiureNational Institute of Cardiology, Mexico City, Mexico.
Nadia GiannettiMcGill University Health Centre, Montreal, Quebec, Canada.
Juan Esteban Gomez-MesaCardiology Service, Fundación Valle del Lili, Universidad Icesi Cali, Cali, Colombia.
Stefan JanssensDepartment of Cardiovascular Diseases, University Hospitals Leuven, Leuven, Belgium.
James L JanuzziMassachusetts General Hospital and Baim Institute for Clinical Research, Boston, MA, USA.ORCID http://orcid.org/0000-0002-8338-1798
José R González-JuanateyCardiology Department, University Hospital, CIBERCV, Santiago de Compostela, Spain.
Bela MerkelyHeart and Vascular Center, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0001-6514-0723
Stephen J NichollsVictorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Sergio V PerroneArgentine Catholic University, Buenos Aires, Argentina.
Ileana L PiñaCentral Michigan University, Mount Pleasant, MI, USA.ORCID http://orcid.org/0000-0002-4986-7129
Piotr PonikowskiWrocław Medical University, Wrocław, Poland.
Michele SenniCardiovascular Department, Cardiology Division, Papa Giovanni XXIII Hospital, Bergamo, Italy.
David SimNational Heart Centre Singapore, Singapore, Singapore.
Jindrich SpinarInternal Cardiology Department, St Ann University Hospital and Masaryk University Brno, Brno, Czech Republic.
Iain SquireNIHR Biomedical Research Centre, University of Leicester, Glenfield Hospital, Leicester, UK.
Stefano TaddeiUniversità di Pisa, Pisa, Italy.
Hiroyuki TsutsuiDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Subodh VermaSt. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Dragos VinereanuUniversity of Medicine and Pharmacy Carol Davila, Bucharest, Romania.ORCID http://orcid.org/0000-0002-9054-8779
Jian ZhangHeart Failure Center, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
Tomoko IwataBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Janet M SchneeBoehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT, USA.
Martina BrueckmannBoehringer Ingelheim International, Ingelheim, Germany.ORCID http://orcid.org/0000-0003-1215-0746
Stuart J PocockLondon School of Hygiene and Tropical Medicine, London, UK.
Faiez ZannadUniversité de Lorraine, INSERM INI-CRCT, CHRU, Nancy, France.ORCID http://orcid.org/0000-0001-7456-1570

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The EMPEROR-Preserved trial showed that the sodium-glucose co-transporter 2 inhibitor empagliflozin significantly reduces the risk of cardiovascular death or hospitalization for heart failure (HHF) in heart failure patients with left ventricular ejection fraction (LVEF)  > 40%. Here, we report the results of a pre-specified analysis that separately evaluates these patients stratified by LVEF: preserved (≥ 50%) (n = 4,005; 66.9%) or mid-range (41-49%). In patients with LVEF  ≥ 50%, empagliflozin reduced the risk of cardiovascular death or HHF (the primary endpoint) by 17% versus placebo (hazard ratio (HR) 0.83; 95% confidence interval (CI): 0.71-0.98, P = 0.024). For the key secondary endpoint, the HR for total HHF was 0.83 (95%CI: 0.66-1.04, P = 0.11). For patients with an LVEF of 41-49%, the HR for empagliflozin versus placebo was 0.71 (95%CI: 0.57-0.88, P = 0.002) for the primary outcome (P

Indexed as

Heart FailureSodium-Glucose Transporter 2 InhibitorsBenzhydryl CompoundsGlucosidesHumansStroke VolumeVentricular Function, LeftBenzhydryl CompoundsempagliflozinGlucosidesSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID36471037
PMCPMC9800272

What Socratic holds

Textmetadata
LicenceCC BY
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.