Evidence mapPaperPMID 41430429Full record

Trial reportScientific reports2025

Carbohydrate antigen 125 (CA125) following acute myocardial infarction: effects of empagliflozin and association with heart failure readouts in the EMMY trial.

Ahmed M Hassan, Faisal Aziz, Norbert J Tripolt, Markus Herrmann, Harald Sourij, Dirk von Lewinski

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Ahmed M HassanClinical Institute for Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Faisal AzizDepartment of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Graz, Austria.
Norbert J TripoltDepartment of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Graz, Austria.
Markus HerrmannClinical Institute for Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Harald SourijDepartment of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Graz, Austria. ha.sourij@medunigraz.at.
Dirk von LewinskiDepartment of Internal Medicine, Division of Cardiology, Medical University of Graz, Graz, Austria. dirk.von-lewinski@medunigraz.at.

Funding

Austrian Science Fund KLI-1076Austrian Science Fund KLIF-1155-BBoehringer Ingelheim unrestricted grant 1245.151Horizon Europe project PoCCardio 101095432
6 · The paper itself

Abstract

Carbohydrate antigen 125 (CA125) is increasingly recognized as a biomarker in heart failure (HF). However, its response to sodium-glucose co-transporter 2 inhibitors (SGLT2i) after acute myocardial infarction (AMI) remains insufficiently explored. In this study, CA125 levels were measured from plasma samples collected in the EMMY trial, and robust linear mixed-effects models (R-LMEMs) were applied to assess the effects of empagliflozin on CA125 levels, their changes over a 26-week period, and their associations with established HF biomarkers. Our analysis showed that empagliflozin had no statistically significant effect on log-transformed CA125 levels. CA125 exhibited minor fluctuations at 6 weeks before declining at 26 weeks to a level below baseline, which had been measured shortly after AMI. Log-transformed CA125 was significantly associated with log-transformed N-terminal pro-B-type natriuretic peptide (NT-proBNP) and multiple echocardiographic parameters, including left ventricular ejection fraction (LVEF), end-diastolic and end-systolic dimensions, and volumes (LVEDD, LVEDV, LVESD, LVESV), and the ratio of early diastolic transmitral inflow velocity to early diastolic mitral annular velocity (E/e'). Notably, CA125's associations with NT-proBNP and E/e' were modified by empagliflozin. In conclusion, although CA125 showed significant associations with established HF biomarkers, it did not exhibit a parallel response to empagliflozin after AMI.

Indexed as

Benzhydryl CompoundsCA-125 AntigenGlucosidesHeart FailureMyocardial InfarctionSodium-Glucose Transporter 2 InhibitorsAgedBiomarkersFemaleHumansMaleMembrane ProteinsMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsBenzhydryl CompoundsBiomarkersCA-125 AntigenempagliflozinGlucosidesMembrane ProteinsMUC16 protein, humanNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Sodium-Glucose Transporter 2 InhibitorsAcute myocardial infarction (AMI)Carbohydrate antigen 125 (CA125)Heart failure (HF)Randomized controlled trial (RCT)Sodium-glucose co-transporter 2 inhibitors (SGLT2i)

Identifiers

PMID41430429
PMCPMC12830734

What Socratic holds

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Registered trials

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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.