Heart failure & cardiomyopathies

Effects of Empagliflozin on Collagen Biomarkers in Patients with Heart Failure: Findings from the EMPEROR Trials

Eur J Heart FailPublished Secondary analysis of the EMPEROR-Preserved and EMPEROR-Reduced randomised trials

Authors' conclusion

Our observations are consistent with experimental observations that empagliflozin down-regulates profibrotic signalling.

Study context

Population
Patients with heart failure (HF) enrolled in the EMPEROR-Preserved and EMPEROR-Reduced trials
Participants
1,084 patients
Comparison
Empagliflozin vs placebo
  • Empagliflozinn = 545
  • Placebon = 539reference

Primary result

As reported in the abstract

PICP
Empagliflozin vs PlaceboGeometric mean ratio (95% CI)P value
Week 12; 5% reduction
0.95(0.91–0.99)
P = 0.012
Week 52; 8% reduction
0.92(0.88–0.97)
P = 0.003

Further findings

OutcomeGeometric mean ratio (95% CI)P value
PRO-C3Empagliflozinvs PlaceboWeek 120.98 (0.95–1.02)P = 0.42
PRO-C3Empagliflozinvs PlaceboWeek 52; 7% reduction0.93 (0.89–0.98)P = 0.003

PINP, PRO-C6, C1M, C3M

No impact of empagliflozin on other collagen markers

Baseline biomarkers and outcomes

Higher PICP associated with primary endpoint (HF hospitalization or CV death)
PRO-C6 and PINP associated with sustained worsening of kidney function
PRO-C3, C1M, C3M not associated with HF severity or study outcomes

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Effects of Empagliflozin on Collagen Biomarkers in Patients with Heart Failure: Findings from the EMPEROR Trials. Eur J Heart Fail. Published 28 December 2023. doi:10.1002/ejhf.3101

Composed by AI from the published abstract and checked against it. How Briefs are made →

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