Cardiometabolic & kidney

Meta-Analysis of Sotagliflozin, a Dual Sodium-Glucose-Cotransporter 1/2 Inhibitor, for Heart Failure in Type 2 Diabetes

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

Pooled result · HFResult — go to the resultRelative risk 0.66 95% CI 0.64–0.69

Authors' conclusion

Sotagliflozin reduced HF and cardiovascular events in type 2 diabetes participants.

Study context

Population
Participants with T2DM
Participants
15,320 participants · 9 studies
Comparison
Sotagliflozin vs control
  • Sotagliflozinn = 8,040
  • Controln = 7,280reference
Outcome
HF events
Follow-up
>52 weeks
Methodological detailsMedian follow-up 13.4 months (Q1 = 13, Q3 = 21), High risk of bias (RoB 2.0) noted as a limitation
  • Median follow-up 13.4 months (Q1 = 13, Q3 = 21)
  • High risk of bias (RoB 2.0) noted as a limitation

Pooled result

HF

Relative risk

0.66

95% CI 0.64–0.69

Sotagliflozin vs Control
RR 0.66 (95% CI 0.64–0.69)

As reported in the abstract

Further pooled results

OutcomeRR (95% CI)
Stroke · follow-up >52 weeksn = 6 studies0.75 (0.58–0.97)
MACE · follow-up >52 weeksn = 8 studies; NNT 260.73 (0.66–0.81)
OutcomeMD (mmHg) (95% CI)
SBPn = 7−2.38 (−2.79 to −1.97)

Heart failure (HF) by sotagliflozin dose

No dose-dependent effect for HF
P = 0.22
200 mg: RR
0.38 (0.16, 0.89)
400 mg: RR
0.57 (0.39, 0.85)

Original publication

Meta-Analysis of Sotagliflozin, a Dual Sodium-Glucose-Cotransporter 1/2 Inhibitor, for Heart Failure in Type 2 Diabetes. ESC Heart Fail. Published 10 September 2024. doi:10.1002/ehf2.15036

Summarised from the published abstract; every number is checked against it

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