Evidence map›Paper›PMID 36054231›Full record

ArticleEuropean journal of heart failure2022

Dapagliflozin and New York Heart Association functional class in heart failure with mildly reduced or preserved ejection fraction: the DELIVER trial.

John W Ostrominski, Muthiah Vaduganathan, Brian L Claggett, Rudolf A de Boer, Akshay S Desai, Dan Dobreanu, Adrian F Hernandez, Silvio E Inzucchi, Pardeep S Jhund, Mikhail Kosiborod and 10 more

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Article in European journal of heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 31 citations in OpenAlex.

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  5. 2024 update in heart failure.ESC heart failure · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 12 institutions in 8 countries.

John W OstrominskiCardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-2866-9414
Muthiah VaduganathanCardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-0885-1953
Brian L ClaggettCardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Rudolf A de BoerDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-4775-9140
Akshay S DesaiCardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-1443-0701
Dan DobreanuUniversity of Medicine, Pharmacy, Science and Technology "G.E. Palade", Târgu Mures, Romania.
Adrian F HernandezDepartment of Medicine, Duke University, Durham, NC, USA.
Silvio E InzucchiSection of Endocrinology, Yale University School of Medicine, New Haven, CT, USA.
Pardeep S JhundBritish Heart Foundation Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID 0000-0003-4306-5317
Mikhail KosiborodSt Luke's Mid America Heart Institute, University of Missouri-Kansas City, Kansas City, MI, USA.
Carolyn S P LamDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Anna M LangkildeLate Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, Gothenburg, Sweden.
Daniel LindholmLate Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, Gothenburg, Sweden.
Felipe A MartinezUniversidad Nacional de Córdoba, Córdoba, Argentina.
Eileen O'MearaInstitut de Cardiologie de Montréal, Université de Montréal, Montréal, Québec, Canada.
Magnus PeterssonLate Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, Gothenburg, Sweden.
Sanjiv J ShahFeinberg Cardiovascular Research Institute, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0002-5655-8201
Jorge ThiererJefe de Unidad de Insuficiencia Cardíaca, Centro de Educatión Médica e Investigaciones Clínicas Norberto Quirno (CEMIC), Buenos Aires, Argentina.
John J V McMurrayBritish Heart Foundation Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID 0000-0002-6317-3975
Scott D SolomonCardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Brigham and Women's Hospital · USAstraZeneca (Finland) · FIBritish Heart Foundation · GBUniversity Medical Center Groningen · NLCentro de Educación Médica e Investigaciones Clínicas Norberto Quirno · ARDuke University · USMontreal Heart Institute · CANorthwestern University · USSaint Luke's Health System · USUniversidad Nacional de Córdoba · ARUniversitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș · ROYale University · US

Funding

Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Richard A Flavell · 1993 to 2026
$44.0M
NIDDK NIH HHS P30 DK045735
6 · The paper itself

Abstract

aimsThis pre-specified analysis of the DELIVER trial examined whether clinical benefits of dapagliflozin in heart failure (HF) with left ventricular ejection fraction (LVEF) >40% varied by baseline New York Heart Association (NYHA) class and examined the treatment effects on NYHA class over time. METHODS AND

resultsTreatment effects of dapagliflozin by baseline NYHA class II (n = 4713) versus III/IV (n = 1549) were examined on the primary endpoint (cardiovascular death or worsening HF event) and key secondary endpoints. Effects of dapagliflozin on change in NYHA class at 4, 16, and 32 weeks were also evaluated. Higher baseline NYHA class was associated with older age, female sex, greater comorbidity burden, lower LVEF, and higher natriuretic peptide levels. Participants with baseline NYHA class III/IV, as compared with II, were independently more likely to experience the primary endpoint (adjusted hazard ratio [HR] 1.16 [95% confidence interval, 1.02-1.33]) and all-cause death (adjusted HR 1.22 [1.06-1.40]). Dapagliflozin consistently reduced the risk of the primary endpoint compared with placebo, irrespective of baseline NYHA class (HR 0.81 [0.70-0.94] for NYHA class II vs. HR 0.80 [0.65-0.98] for NYHA class III/IV; p

conclusionsAmong symptomatic patients with HF and LVEF >40%, treatment with dapagliflozin provided clinical benefit irrespective of baseline NYHA class and was associated with early and sustained improvements in NYHA class over time.

Indexed as

Heart FailureBenzhydryl CompoundsFemaleGlucosidesHumansNew YorkStroke VolumeVentricular Function, LeftBenzhydryl CompoundsdapagliflozinGlucosidesDapagliflozinFunctional statusHeart failure with preserved ejection fractionNew York Heart Association classification

Identifiers

PMID36054231
OpenAlexW4292791027

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.