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CompletedNCT04184947Updated Mar 11, 2020

Cardiovascular Outcomes SGLT-2 Inhibitors Versus GLP-1 Receptor Agonists

An observational study in Type 2 Diabetes, sponsored by University of Padova. Completed at 1 site in Italy. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2020-03-11.

Sponsored by University of Padova · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
10,000
Ages
18 Years to 90 Years
Sex
All
01

Study summary

Patients with type 2 diabetes (T2D) suffer from an excess risk of adverse cardiovascular events. Recently, two classes of glucose lowering agents, namely SGLT-2 inhibitors (SGLT2i) and GLP-1 receptor agonists (GLP-1RA), have proved superior to placebo in protecting T2D patients from cardiovascular events in dedicated trials. Patient populations in such trials were mainly composed of T2D individuals with established cardiovascular disease (CVD) or at very high risk for CVD. In addition, no clinical trial has so far compared cardiovascular outcomes of T2D associated with SGLT2i versus GLP-1RA. In addition, whether different results would incur in patients at lower CVD risk is unclear. On this basis, we designed this retrospective real-world study to compare cardiovascular outcomes of patients newly treated with SGLT2i versus GLP-1RA in routine clinical practice

02

Conditions studied

  • Type 2 Diabetes
03

In context

Lead sponsor

University of Padova is the lead sponsor of 210 studies on the registry; 42 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Type 2 diabetes

Inclusion criteria

  • Italian citizens, residing in the Region
  • Registered as beneficiaries for at least one year between January 1st, 2012 and September 30th, 2018
  • Diagnosis of type 2 diabetes
  • Newly initiating SGLT-2 inhibitors or GLP-1 receptor agonists
  • Being treated with glucose lowering medications before (at least one prescription of an antidiabetic agent in ATC class A10B prior to the index date)
  • Time between the index date and the last SGLT2 inhibitors or GLP-1 receptor agonists prescription shorter than 8 months,
  • Follow-up time or time-to-endpoint of at least three months

Exclusion criteria

Exclusion Criteria:

  • Patients who started SGLT2i or GLP-1RA before 2014
  • Patients with an insufficient exposure time
  • Patients with an incident event within three months after the index date.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
10,000 participants (actual)
Patient registry
No

Groups and cohorts

  • SGLT2i

    Patients who received new prescription of a SGLT-2 inhibitor

    Drug: SGLT2 inhibitor

  • GLP-1RA

    Patients who received new prescription of a GLP-1 receptor agonist

    Drug: GLP-1 receptor agonist

Interventions

  • DrugSGLT2 inhibitor

    New prescription of a SGLT-2 inhibitor (dapagliflozin, empagliflozin or canagliflozin) at any dosage during routine clinical practice

  • DrugGLP-1 receptor agonist

    New prescription of a GLP-1 receptor agonisty (exenatide, liraglutide, lixisenatide, dulaglutide) at any dosage during routine clinical practice

06

What researchers measure

Primary outcomes

  1. 3 point major adverse cardiovascular events (4P-MACE)

    First occurrence of myocardial infarction, stroke, or death

    Time frame: 3-26 months after index date

Secondary outcomes

  1. Hospitalization for cardiovascular causes

    First hospitalization for any cardiovascular cause

    Time frame: 3-26 months after index date

  2. Death

    All-cause death

    Time frame: 3-26 months after index date

  3. Myocardial infarction

    Myocardial infarction

    Time frame: 3-26 months after index date

  4. Heart failure

    Hospitalization for heart failure

    Time frame: 3-26 months after index date

  5. Stroke

    Stroke or transient ischemic attack

    Time frame: 3-26 months after index date

  6. Revascularization

    Any arterial site revascularization (surgical or endovascular)

    Time frame: 3-26 months after index date

Other outcomes

  1. Occurrence of adverse events

    Occurrence of: amputation, Fournier's gangrene, bone fracture, diabetic ketoacidosis, infections, pancreatitis, pancreatic cancer, acute kidney injury

    Time frame: 3-26 months after index date

07

Study locations

1 site
  • Division of Metabolic Diseases, University Hospital of Padova
    Padova, 35128, Italy
08

References and documents

Publications

  • Longato E, Di Camillo B, Sparacino G, Gubian L, Avogaro A, Fadini GP. Cardiovascular outcomes of type 2 diabetic patients treated with SGLT-2 inhibitors versus GLP-1 receptor agonists in real-life. BMJ Open Diabetes Res Care. 2020 Jun;8(1):e001451. doi: 10.1136/bmjdrc-2020-001451. PubMed 32591373 ↗

Individual participant data

Plan to share: No — Data cannot be shared

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04184947
Lead sponsor
University of Padova
Responsible party
Sponsor
First posted
Dec 4, 2019
Start date
Mar 1, 2014
Primary completion
Dec 31, 2018
Completion
Feb 29, 2020
Last update
Mar 11, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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