Baseline characteristics and effectiveness results

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Presentation transcript:

Baseline characteristics and effectiveness results Christoph Wanner, MD Professor of Medicine, Division of Nephrology, Würzburg University Clinic, Würzburg, Germany

Disclosures Grants from European Foundation of Studies in Diabetes EFSD/Boehringer Ingelheim European Diabetes Research Programme

Baseline characteristics Placebo (n=2333) Empagliflozin 10 mg (n=2345) Empagliflozin 25 mg (n=2342) Age, years 63.2 (8.8) 63.0 (8.6) 63.2 (8.6) Male 1680 (72.0) 1653 (70.5) 1683 (71.9) Region Europe 959 (41.1) 966 (41.2) 960 (41.0) North America* 462 (19.8) 466 (19.9) Asia 450 (19.3) 447 (19.1) 450 (19.2) Latin America 360 (15.4) 359 (15.3) 362 (15.5) Africa 102 (4.4) 107 (4.6) 104 (4.4) tlr-1245_0025final—01-1501. Table 15.1.4.1: 1 Demographic data − treated set. Data are n (%) or mean (SD) in patients treated with ≥1 dose of study drug *Includes Australia and New Zealand

Baseline characteristics: type 2 diabetes Placebo (n=2333) Empagliflozin 10 mg (n=2345) 25 mg (n=2342) HbA1c, % 8.08 (0.84) 8.07 (0.86) 8.06 (0.84) Time since diagnosis of type 2 diabetes, years ≤5 423 (18.1) 406 (17.3) 434 (18.6) >5 to 10 571 (24.5) 585 (24.9) 590 (25.2) >10 1339 (57.4) 1354 (57.7) 1318 (56.3) Glucose-lowering medication* Metformin 1734 (74.3) 1729 (73.7) 1730 (73.9) Sulphonylurea 992 (42.5) 985 (42.0) 1029 (43.9) Thiazolidinedione 101 (4.3) 96 (4.1) 102 (4.4) Insulin 1135 (48.6) 1132 (48.3) 1120 (47.8) Mean daily dose, U** 65 (50.6) 65 (47.9) 66 (48.9) Table 15.1.4.1: 1 Table 15.2.4.3.8: 5 but updated by MM (awaiting final PDF). Data are n (%) or mean (SD) in patients treated with ≥1 dose of study drug *Medication taken alone or in combination **Placebo, n=1135; empagliflozin 10 mg, n=1132; empagliflozin 25 mg, n=1120

Baseline characteristics: CV risk factors LDL cholesterol, mg/dL 84.9 (35.3) 86.3 (36.7) 85.5 (35.2) HDL cholesterol, mg/dL 44.0 (11.3) 44.7 (12.0) 44.5 (11.8) eGFR, mL/min/1.73m2 (MDRD) 73.8 (21.1) 74.3 (21.8) 74.0 (21.4) ≥90 mL/min/1.73m2 488 (20.9%) 519 (22.1%) 531 (22.7%) 60 to <90 mL/min/1.73m2 1238 (53.1%) 1221 (52.1%) 1204 (51.4%) <60 mL/min/1.73m2 607 (26.0%) 605 (25.8%) 607 (25.9%) Systolic blood pressure, mmHg 135.8 (17.2) 134.9 (16.8) 135.6 (17.0) Diastolic blood pressure, mmHg 76.8 (10.1) 76.6 (9.8) 76.6 (9.7) Heart rate, bpm* 70.7 (0.2) 71.0 (0.2) 70.5 (0.2) Placebo (n=2333) Empagliflozin 10 mg (n=2345) Empagliflozin 25 mg (n=2342) Body mass index, kg/m2 30.7 (5.2) 30.6 (5.2) 30.6 (5.3) Weight, kg 86.6 (19.1) 85.9 (18.8) 86.5 (19.0) Waist circumference, cm 105.0 (14.0) 104.7 (13.7) 104.8 (13.7) tlr-1245_0025final—01-1501. Table 15.1.4.1: 1 Demographic data − treated set; Table 15.1.4.2: 4 Baseline efficacy and other variables − treated set. tlr-1245_0025final—01-1502. Table 15.2.4.3.5.1: 3 Descriptive statistics for SBP (mmHg) over time up to week 94 − treated set; Table 15.2.4.3.6.1: 3 Descriptive statistics for DBP (mmHg) over time up to week 94 − treated set. Data are n (%) or mean (SD) in patients treated with ≥1 dose of study drug *Mean (SE). LDL, low density lipoprotein; HDL, high density lipoprotein; eGFR, estimated glomerular filtration rate; MDRD, Modification of Diet in Renal Disease equation

Baseline characteristics: CV complications Placebo (n=2333) Empagliflozin 10 mg (n=2345) Empagliflozin 25 mg (n=2342) Any CV risk factor 2307 (98.9%) 2333 (99.5%) 2324 (99.2%) Coronary artery disease 1763 (75.6%) 1782 (76.0%) 1763 (75.3%) Multi-vessel coronary artery disease 1100 (47.1%) 1078 (46.0%) 1101 (47.0%) History of MI 1083 (46.4%) 1107 (47.2%) 1083 (46.2%) Coronary artery bypass graft 563 (24.1%) 594 (25.3%) 581 (24.8%) History of stroke 553 (23.7%) 535 (22.8%) 549 (23.4%) Peripheral artery disease 479 (20.5%) 465 (19.8%) 517 (22.1%) Single vessel coronary artery disease 238 (10.2%) 258 (11.0%) 240 (10.2%) Cardiac failure* 244 (10.5%) 222 (9.5%) tlr-1245_0025final—01-1501. Table 15.1.4.2: 1 Baseline cardiovascular high risk factors − treated set 1245_0025final—01-1501. Table 15.1.4.2: 3 Cardiac failure (narrow SMQ 20000004) diagnosis at baseline − treated set CAD defined as any of the components of history of MI, CABG, multivessel CAD, or single vessel CAD. Information on single vessel coronary artery disease was not available for one patient in the placebo group. Cardiac failure: based on narrow standardised MedDRA query ‘cardiac failure’. Data are n (%) in patients treated with ≥1 dose of study drug *Based on narrow standardised MedDRA query “cardiac failure”

Baseline characteristics: CV medication (1) Placebo (n=2333) Empagliflozin 10 mg (n=2345) Empagliflozin 25 mg (n=2342) Anti-hypertensive therapy 2221 (95.2%) 2227 (95.0%) 2219 (94.7%) ACE inhibitors/ARBs 1868 (80.1%) 1896 (80.9%) 1902 (81.2%) Beta-blockers 1498 (64.2%) 1530 (65.2%) 1526 (65.2%) Diuretics 988 (42.3%) 1036 (44.2%) 1011 (43.2%) Calcium channel blockers 788 (33.8%) 781 (33.3%) 748 (31.9%) Mineralocorticoid receptor antagonists 136 (5.8%) 157 (6.7%) 148 (6.3%) Renin inhibitors 19 (0.8%) 16 (0.7%) 11 (0.5%) Other 191 (8.2%) 193 (8.2%) 190 (8.1%) 1245_0025final—01-1501. Table 15.1.4.3: 1 Anti−coagulants, lipid−lowering, antihypertensive and heart failure drugs at baseline − treated set Data are n (%) in patients treated with ≥1 dose of study drug ACE, angiotensin-converting enzyme; ARB, angiotensin receptor blockers

Baseline characteristics: CV medication (2) Placebo (n=2333) Empagliflozin 10 mg (n=2345) Empagliflozin 25 mg (n=2342) Lipid-lowering drugs 1864 (79.9%) 1926 (82.1%) 1894 (80.9%) Statins 1773 (76.0%) 1827 (77.9%) 1803 (77.0%) Fibrates 199 (8.5%) 214 (9.1%) 217 (9.3%) Ezetimibe 81 (3.5%) 95 (4.1%) 94 (4.0%) Niacin 35 (1.5%) 56 (2.4%) Other 175 (7.5%) 172 (7.3%) 193 (8.2%) Anti-coagulants and anti-platelets 2090 (89.6%) 2098 (89.5%) 2064 (88.1%) Acetylsalicylic acid 1927 (82.6%) 1939 (82.7%) 1937 (82.7%) Clopidogrel 249 (10.7%) 253 (10.8%) 241 (10.3%) Vitamin K antagonists 156 (6.7%) 141 (6.0%) 125 (5.3%) 1245_0025final—01-1501. Table 15.1.4.3: 1 Anti−coagulants, lipid−lowering, antihypertensive and heart failure drugs at baseline − treated set Data are n (%) in patients treated with ≥1 dose of study drug

Exposure Placebo (n=2333) Empagliflozin 10 mg (n=2345) Treatment duration, years 2.6 (1.8-3.4) 2.6 (1.9-3.4) 2.6 (2.0-3.4) Observation time, years 3.1 (2.2-3.5) 3.2 (2.2-3.6) Data are median (interquartile range) in patients treated with ≥1 dose of study drug 1245_0025final—01-1501. Table 15.1.5: 1 Exposure to study drug − treated set; Table 15.1.5: 2 Overall observational period − treated set