Evidence map›Paper›PMID 36098051›Full record

Trial reportCirculation2022

Effects of Empagliflozin in Women and Men With Heart Failure and Preserved Ejection Fraction.

Javed Butler, Gerasimos Filippatos, Tariq Jamal Siddiqi, João Pedro Ferreira, Martina Brueckmann, Edimar Bocchi, Michael Böhm, Vijay K Chopra, Nadia Giannetti, Tomoko Iwata and 14 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Circulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT03057951. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT03057951 phase3completed

A Phase III Randomised, Double-blind Trial to Evaluate Efficacy and Safety of Once Daily Empagliflozin 10 mg Compared to Placebo, in Patients With Chronic Heart Failure With Preserved Ejection Fraction (HFpEF)

Ran2017Enrolled5,988Registered outcomes10Posted comparisons10ConditionsHeart FailureArmsempagliflozin, Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Sexual dimorphism in animal models of heart failure with preserved ejection fraction.Journal of applied physiology (Bethesda, Md. : 1985) · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Drug Therapy for Acute and Chronic Heart Failure with Preserved Ejection Fraction with Hypertension: A State-of-the-Art Review.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Review
  16. Italian Association of Hospital Cardiologists Position Paper 'Gender discrepancy: time to implement gender-based clinical management'.European heart journal supplements : journal of the European Society of Cardiology · 2024
    Article
  17. Article
  18. Review
  19. Review
  20. 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

24 authors at 20 institutions in 13 countries.

Javed ButlerDepartment of Medicine, University of Mississippi School of Medicine, Jackson (J.B., T.J.S.).ORCID 0000-0001-7683-4720
Gerasimos FilippatosNational and Kapodistrian University of Athens School of Medicine, Athens University Hospital Attikon, Greece (G.F.).ORCID 0000-0002-5640-0332
Tariq Jamal SiddiqiDepartment of Medicine, University of Mississippi School of Medicine, Jackson (J.B., T.J.S.).
João Pedro FerreiraUniversité de Lorraine, Inserm, Centre d'Investigations Cliniques, Nancy, France (J.P.F., F.Z.).ORCID 0000-0002-2304-6138
Martina BrueckmannBoehringer Ingelheim International GmbH, Ingelheim, Germany, and First Department of Medicine, Faculty of Medicine Mannheim, University of Heidelberg, Mannheim, Germany (M. Brueckmann).ORCID 0000-0003-1215-0746
Edimar BocchiHeart Failure Department, Heart Institute (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil (E.B.).ORCID 0000-0001-9204-485X
Michael BöhmKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Saarland University, Homburg/Saar, Germany (M. Böhm).ORCID 0000-0002-2976-2514
Vijay K ChopraMax Superspeciality Hospital, Saket, New Delhi, India (V.K.C.).ORCID 0000-0001-9512-1718
Nadia GiannettiDivision of Cardiology, McGill University Health Centre, Montreal, QC, Canada (N.G.).ORCID 0000-0001-7173-8051
Tomoko IwataBoehringer Ingelheim Pharma GmbH & Co KG, Biberach, Germany (T.I.).
James L JanuzziMassachusetts General Hospital and Baim Institute for Clinical Research, Boston (J.L.J.).ORCID 0000-0002-8338-1798
Sanjay KaulCedars-Sinai Medical Center, Los Angeles, CA (S.K.).ORCID 0000-0001-9640-4146
Ileana L PiñaCentral Michigan University, Mount Pleasant (I.L.P.).ORCID 0000-0002-4986-7129
Piotr PonikowskiWroclaw Medical University, Poland (P.P.).ORCID 0000-0002-3391-7064
Ursula Rauch-KröhnertDepartment of Cardiology, Charité University Medicine Berlin, Campus Benjamin-Franklin, Germany (U.R.-K.).ORCID 0000-0002-1544-7644
Sanjiv J ShahNorthwestern University Feinberg School of Medicine, Chicago, IL (S.J.S.).ORCID 0000-0002-5655-8201
Michele SenniCardiovascular Department, Cardiology Division, Papa Giovanni XXIII Hospital, Bergamo, Italy (M. Senni).
Mikhail SuminBoehringer Ingelheim International GmbH, Ingelheim, Germany (M. Sumin).ORCID 0000-0002-3827-5793
Subodh VermaDivision of Cardiac Surgery, St. Michael's Hospital, University of Toronto, ON, Canada (S.V.).
Jian ZhangFuwai Hospital Chinese Academic of Medical Science, Beijing, China (J.Z.).ORCID 0000-0002-5093-4325
Stuart J PocockDepartment of Medical Statistics, London School of Hygiene and Tropical Medicine, UK (S.J.P.).
Faiez ZannadUniversité de Lorraine, Inserm, Centre d'Investigations Cliniques, Nancy, France (J.P.F., F.Z.).ORCID 0000-0001-7456-1570
Milton PackerBaylor Heart and Vascular Institute, Baylor University Medical Center, Dallas, TX (M.P.).ORCID 0000-0003-1828-2387
Stefan D AnkerDepartment of Cardiology and Berlin Institute of Health Center for Regenerative Therapies, Germany (S.D.A.).ORCID 0000-0002-0805-8683
Inserm · FRUniversity of Mississippi Medical Center · USBaylor University Medical Center · USBerlin-Brandenburger Centrum für Regenerative Therapien · DEBoehringer Ingelheim (Egypt) · EGBoehringer Ingelheim (Germany) · DECedars-Sinai Medical Center · USCentral Michigan University · USChinese Academy of Medical Sciences & Peking Union Medical College · CNGerman Centre for Cardiovascular Research · DEHeidelberg University · DEHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRMassachusetts General Hospital · USMax Super Speciality Hospital · INMcGill University Health Centre · CANational and Kapodistrian University of Athens · GRNorthwestern University · USOspedale Papa Giovanni XXIII · ITSt. Michael's Hospital · CAUniversitätsklinikum des Saarlandes · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen and men with heart failure (HF) and preserved ejection fraction may differ in their clinical characteristics and their response to therapy. The aim of this study was to evaluate the influence of sex on the effects of empagliflozin in patients with HF and preserved ejection fraction enrolled in the EMPEROR-Preserved trial (Empagliflozin Outcome Trial in Patients With Chronic Heart Failure With Preserved Ejection Fraction).

methodsThe effects of empagliflozin on the primary outcome of cardiovascular death or hospitalization for HF and on secondary outcomes (including total HF hospitalization, cardiovascular and all-cause mortality, and Kansas City Cardiomyopathy Questionnaire scores) were compared in women and men in the overall cohort and in subgroups defined by left ventricular ejection fraction (41%-49%, 50%-59%, and ≥60%). The effects of empagliflozin on physiological measures, including changes in systolic blood pressure, uric acid, hemoglobin, body weight, and natriuretic peptide levels, were also assessed.

resultsOf the 5988 patients randomized, 2676 (44.7%) were women. In the placebo arm, women tended to have lower risk for adverse outcomes, including a lower risk of all-cause mortality (hazard ratio, 0.69 [95% CI, 0.56, 0.84]). Compared with placebo, empagliflozin reduced the risk of cardiovascular death or hospitalization for HF to a similar degree in both sexes (hazard ratio, 0.81 [95% CI, 0.69, 0.96] for men; and hazard ratio, 0.75 [95% CI, 0.61, 0.92] for women;

conclusionsEmpagliflozin produced similar benefits on outcomes and health status in women and men with HF and preserved ejection fraction. REGISTRATION: URL: https://www. CLINICALTRIALS: gov; Unique identifier: NCT03057951.

Indexed as

CardiomyopathiesHeart FailureBenzhydryl CompoundsFemaleGlucosidesHumansMaleStroke VolumeUric AcidVentricular Function, LeftBenzhydryl CompoundsempagliflozinGlucosidesUric Acidempagliflozinhealth statusheart failurehospitalizationmenwomen

Identifiers

PMID36098051
PMCPMC9528945
OpenAlexW4295487285

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.