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CV Risk Management in T2DM: What Did We Learn From EASD 2016?

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Presentation on theme: "CV Risk Management in T2DM: What Did We Learn From EASD 2016?"— Presentation transcript:

1 CV Risk Management in T2DM: What Did We Learn From EASD 2016?

2 Program Overview

3 EMPA-REG OUTCOME: Trial Design

4 EMPA-REG OUTCOME: Primary Endpoint: 3-Point MACE*

5 EMPA-REG OUTCOME: CV Death

6 EMPA-REG OUTCOME: CV Death, Nonfatal MI, and Nonfatal Stroke

7 EMPA-REG OUTCOME: All-Cause Mortality

8 EMPA-REG OUCTOME: Effect of Empagliflozin on CV Death in Subgroups by Age

9 Effect of Empagliflozin on HF Outcomes: Time to First Hospitalization for HF or CV Death

10 Effect of Empagliflozin on HF Outcomes: Outcomes in Patients With and Without HF At Baseline

11 EMPA-REG OUTCOME: Incident or Worsening Nephropathy

12 EMPA-REG OUTCOME: Risk Comparison for Renal Outcomes

13 Mechanistic Possibilities for the Beneficial CV Effects Observed in EMPA-REG OUTCOME Trial

14 Possible Mechanisms for the Effect of Empagliflozin on Reduced CV Risk

15 CV Protection in the EMPA-REG OUTCOME Trial: A "Thrifty Substrate" Hypothesis

16 Mechanistic Possibilities for the Beneficial CV Effects Observed in EMPA-REG OUTCOME Trial (cont)

17 LEADER: Study Design

18 LEADER: Primary Outcome*

19 LEADER: CV Death

20 LEADER: All-cause Death

21 SUSTAIN 6: Study Design

22 SUSTAIN-6: Primary Efficacy Outcome*

23 SUSTAIN-6: CV Endpoints

24 SUSTAIN-6: CV Endpoints (cont)

25 SUSTAIN-6, LEADER, and EMPA-REG OUTCOME: Similarities and Differences*

26 Duration of Action of GLP-1 RAs

27 Potential Mechanisms of Beneficial CV Effect of GLP-1 RAs: Many Possibilities Beyond Glucose Control

28 SUSTAIN-6 and LEADER: Is Diabetic Retinopathy a Potential Concern?

29 Conclusions

30 Conclusions (cont)

31 Abbreviations

32 Abbreviations (cont)


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