Prevention & lipids

Effects of Sodium–Glucose Co-Transporter Inhibitors on Individual Clinical Endpoints and Quality of Life

ESC Heart FailPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

In patients with a broad spectrum of cardiovascular risk factors, SGLTis substantially improve individual hard clinical outcomes and QoL.

Study context

Population
Patients with CV risk factors13 randomized controlled trials (RCTs) (Subset A)
Participants
90,413 patients
Comparison
SGLTis vs placebo
Outcome
Individual hard clinical endpoints (Subset A) and QoL (Subset B)
Methodological detailsSearched PubMed, Embase, Cochrane Library and clinicaltrials.gov up to February 2024
  • Searched PubMed, Embase, Cochrane Library and clinicaltrials.gov up to February 2024

Pooled result

As reported in the abstract

Individual hard clinical endpoints (Subset A) · follow-up 2.4 ± 0.3 years
SGLTis vs PlaceboRelative risk (95% CI)P value
All-cause mortality
0.90(0.86–0.94)
P < 0.01
CV mortality
0.87(0.82–0.92)
P < 0.01
Hospitalization for HF
0.72(0.68–0.76)
P < 0.01
HF events
0.72(0.68–0.75)
P < 0.01
Hospitalization for any cause
0.91(0.88–0.93)
P < 0.01
MI
0.92(0.85–0.99)
P = 0.03

Further pooled results

OutcomeRR (95% CI)
All-cause mortality, by subgroupSGLTisvs PlaceboYounger (<65 years) patients0.86 (0.81–0.92)
All-cause mortality, by subgroupSGLTisvs PlaceboStudies with less female0.84 (0.79–0.90)
MI, sotagliflozin (subgroup)Favourable effect on MI only with sotagliflozin0.47 (0.31–0.73)

Original publication

Effects of Sodium–Glucose Co-Transporter Inhibitors on Individual Clinical Endpoints and Quality of Life. ESC Heart Fail. Published 20 November 2024. doi:10.1002/ehf2.15136

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

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