Heart failure & cardiomyopathies

Indirect Comparison of SGLT2 Inhibitors in Patients with Established Heart Failure: Evidence Based on Bayesian Methods

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

Authors' conclusion

In patients with established heart failure, there was no significant difference of the major efficacy outcomes among SGLT2 inhibitor treatments; however, sotagliflozin may be associated with the lowest risk of the composite of cardiovascular death or hospitalization for heart failure, and dapagliflozin may be associated with the lowest risk of all-cause and cardiovascular mortality.

Study context

Population
Patients with established HF5 trials
Comparison
Dapagliflozin vs empagliflozin vs sotagliflozin
Outcome
Composite of:
  • CV death
  • Hospitalization for HF
Methodological detailsindirect comparison
  • Indirect comparison

Pooled result

As reported in the abstract

CV death or hospitalization for HF
Odds ratio (95% CI)
Dapagliflozinvs Empagliflozin
1.00(0.66–1.55)
Dapagliflozinvs Sotagliflozin
1.54(0.91–2.65)
Empagliflozinvs Sotagliflozin
1.53(0.90–2.69)

Further pooled results

OutcomeOR (95% CI)
All-cause mortalityDapagliflozinvs Empagliflozin0.92 (0.711–1.18)
All-cause mortalityDapagliflozinvs Sotagliflozin1.05 (0.68–1.59)
All-cause mortalityEmpagliflozinvs Sotagliflozin1.14 (0.74–1.73)
CV deathDapagliflozinvs Empagliflozin0.94 (0.71–1.23)
CV deathDapagliflozinvs Sotagliflozin0.96 (0.61–1.55)
CV deathEmpagliflozinvs Sotagliflozin1.03 (0.64–1.66)
Hospitalization for HFDapagliflozinvs Empagliflozin1.13 (0.64–1.97)
Hospitalization for HFDapagliflozinvs Sotagliflozin1.56 (0.74–3.15)
Hospitalization for HFEmpagliflozinvs Sotagliflozin1.39 (0.68–2.78)

All-cause mortality

No significant difference

CV death

No significant difference

Hospitalization for HF

No significant difference

Original publication

Indirect Comparison of SGLT2 Inhibitors in Patients with Established Heart Failure: Evidence Based on Bayesian Methods. ESC Heart Fail. Published 26 January 2023. doi:10.1002/ehf2.14297

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