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SGLT2 inhibitors, Now Part of the Cardiology Toolkit for Comprehensive CV Risk Management.

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Presentation on theme: "SGLT2 inhibitors, Now Part of the Cardiology Toolkit for Comprehensive CV Risk Management."— Presentation transcript:

1 SGLT2 inhibitors, Now Part of the Cardiology Toolkit for Comprehensive CV Risk Management

2

3 Introduction/Background

4 T2DM as a Risk Factor for CVD

5 Close Linkage Between T2DM and HF

6 Intensive Glycemic Control Increased All-Cause Mortality (ACCORD)[a]

7 December 2008 FDA Guidance on Evaluating CV Risk in New Antidiabetic Therapies for T2DM

8 Assessing CV Risk in Antihyperglycemic Agents: Too Broad-Brush?

9 SAVOR-TIMI 53 (Saxagliptin): Hospitalization for HF

10 EXAMINE (Alogliptin): Hospitalization for HF[a,b]

11 TECOS (Sitagliptin): Hospitalization for HF

12 CV Safety Trials for the Gliptins: What Was the Point?

13 ELIXA (Lixisenatide): Primary Outcome CV Death, Nonfatal MI, Nonfatal Stroke, or Hospitalization for UA

14 LEADER: Primary Outcome Liraglutide vs Placebo*

15 Semaglutide Results: Renal Protection

16 Empagliflozin Modulates Several Factors Related to CV Risk

17 EMPA-REG OUTCOME: Trial Design

18 EMPA-REG Primary Outcome (3-Point MACE): CV Death, Nonfatal MI, or Nonfatal Stroke

19 EMPA-REG: Results for CV Death

20 EMPA-REG: Hospitalization for HF

21 EMPA-REG Microvascular Outcomes: Renal Protection

22 Kidney Damage and SGLT2 Inhibitors

23 EMPA-REG OUTCOME: Baseline Characteristics—CV Complications

24 Don't Ignore HF in T2DM

25 Potential Mechanisms for CV Benefit Associated With Empagliflozin

26 Is There a Role for SGLT2 Inhibitors in Patients Without T2DM?

27 Are EMPA-REG Data Changing Practice Patterns?

28 EMPA-REG Outcomes: Class Effect or Agent-Specific?

29 What Explains the Macro- and Microvascular Improvements Observed in LEADER?

30 Summary and Conclusions

31 Abbreviations

32 Abbreviations (cont)


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