Evidence map›Paper›PMID 33307785›Full record

Trial reportDiabetes & vascular disease research

Cardiovascular outcomes and LDL-cholesterol levels in EMPA-REG OUTCOME

Gisle Langslet, Bernard Zinman, Christoph Wanner, Stefan Hantel, Rosa-Maria Espadero, David Fitchett, Odd Erik Johansen

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes & vascular disease research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Treatment Response to SGLT2 Inhibitors: From Clinical Characteristics to Genetic Variations.International journal of molecular sciences · 2021 · on this map
    Review
  10. Review
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

7 authors at 7 institutions in 5 countries.

Gisle LangsletLipid Clinic, Oslo University Hospital, Oslo, Norway.ORCID 0000-0003-4034-2243
Bernard ZinmanLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada.
Christoph WannerDepartment of Medicine, Division of Nephrology, Würzburg University Clinic, Würzburg, Germany.
Stefan HantelBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Rosa-Maria EspaderoBoehringer Ingelheim España, S.A., Barcelona, Spain.
David FitchettSt Michael's Hospital, Division of Cardiology, University of Toronto, Toronto, ON, Canada.
Odd Erik JohansenBoehringer Ingelheim Norway, TA Cardiometabolism, Asker, Norway.ORCID 0000-0003-2470-0530
Boehringer Ingelheim (Germany) · DEBoehringer Ingelheim (Norway) · NOBoehringer Ingelheim (Spain) · ESMount Sinai Hospital · CAOslo University Hospital · NOSt. Michael's Hospital · CAUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIt is well established that higher low-density lipoprotein (LDL)-cholesterol levels are associated with increased cardiovascular risk. We analyzed whether effects of empagliflozin on cardiovascular outcomes varied by different LDL-cholesterol levels at baseline in EMPA-REG OUTCOME.

methodsParticipants with type 2 diabetes and high cardiovascular risk received empagliflozin (10/25 mg) or placebo in addition to standard of care. We investigated the time to first 3P-MACE, cardiovascular death, hospitalization for heart failure (HHF) and all-cause mortality for empagliflozin versus placebo between baseline LDL-cholesterol categories <1.8, 1.8-<2.2, 2.2- <2.6, 2.6-3.0, and > 3.0 mmol/L, by a Cox regression including the interaction of baseline LDL-cholesterol category and treatment.

resultsOf the 7020 participants randomized and treated, 81.0% received lipid lowering therapy (77.0% statins). Mean ± SD LDL-cholesterol was 2.2 ± 0.9 mmol/L, and 38%/18%, had LDL-cholesterol <1.8/>3.0 mmol/L. Age, BMI, and HbA1c levels were balanced between the LDL-cholesterol subgroups, but those in the lowest versus highest group, had more coronary artery disease (83.0% vs 59.9%) and statin treatment (88.2% vs 50.9%). Empagliflozin consistently reduced all outcomes across LDL-cholesterol categories (all interaction

conclusionThe beneficial cardiovascular effects of empagliflozin was consistent across higher and lower LDL-cholesterol levels at baseline.

Indexed as

Benzhydryl CompoundsBiomarkersCardiovascular DiseasesCholesterol, LDLDiabetes Mellitus, Type 2GlucosidesHeart Disease Risk FactorsHumansProspective StudiesRisk AssessmentSodium-Glucose Transporter 2 InhibitorsTime FactorsTreatment OutcomeBenzhydryl CompoundsBiomarkersCholesterol, LDLempagliflozinGlucosidesSodium-Glucose Transporter 2 Inhibitorscardiovascular riskempagliflozinLDL-cholesterolSGLT-2 inhibitorsType 2 diabetes mellitus

Identifiers

PMID33307785
PMCPMC7919220
OpenAlexW3111560048

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.