A Study to Observe the Effectiveness of Empagliflozin, Other SGLT-2 Inhibitors, or DPP-4 Inhibitors in Patients With Type 2 Diabetes
CompletedResults postedLast updated 23 September 2024
What this trial tests
trial testing Subjects treated with Empagliflozin or any Sodium-glucose cotransporter-2 (SGLT-2) inhibitor in Diabetes Mellitus, Type 2 in 327,624 participants. Completed in 10 December 2021.
18 and older, any sex, with Diabetes Mellitus, Type 2. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Number of Participants With Hospitalization for Heart Failure (HHF), Broad + Specific DefinitionPrimary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i
Number of participants with Hospitalization for Heart Failure (HHF), using broad + specific HHF definition.
HHF - broad defined as any diagnosis associated with healthcare encounters, including hospitalizations and specialist outpatient and primary care encounters, or dispensation or any other record of the high-ceiling diuretics (loop diuretics).
HHF - specific defined as a primary diagnosis associated with hospital admission.
For HHF - broad + specific, HHF-specific definition was used unless only broad definition were available. However, for Japan South Korea and Taiwan, both definitions
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
1395
DPP-4i (Matched to SGLT-2i)
2043
Empagliflozin (Matched to DPP-4i)
765
DPP-4i (Matched to Empagliflozin)
1083
Number of Participants With Hospitalization for Heart Failure (HHF), Broad DefinitionPrimary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i
Reported is the number of participants with hospitalization for heart failure (HHF), using broad definition of HHF.
HHF - broad is defined as any diagnosis associated with healthcare encounters, including hospitalizations and specialist outpatient and primary care encounters, or dispensation or any other record of the high-ceiling diuretics (loop diuretics).
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
964
DPP-4i (Matched to SGLT-2i)
1260
Empagliflozin (Matched to DPP-4i)
514
DPP-4i (Matched to Empagliflozin)
641
Number of Participants With Hospitalization for Heart Failure (HHF), Specific DefinitionPrimary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i
Reported is the number of participants with hospitalization for heart failure, using specific definition for HHF.
HHF - specific defined as a primary diagnosis associated with hospital admission.
Denmark
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
273
DPP-4i (Matched to SGLT-2i)
345
Empagliflozin (Matched to DPP-4i)
178
DPP-4i (Matched to Empagliflozin)
195
Finnland
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
80
DPP-4i (Matched to SGLT-2i)
190
Empagliflozin (Matched to DPP-4i)
53
DPP-4i (Matched to Empagliflozin)
128
Germany
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
33
DPP-4i (Matched to SGLT-2i)
76
Empagliflozin (Matched to DPP-4i)
18
DPP-4i (Matched to Empagliflozin)
35
Israel
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
27
DPP-4i (Matched to SGLT-2i)
28
Empagliflozin (Matched to DPP-4i)
25
DPP-4i (Matched to Empagliflozin)
27
Japan
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
105
DPP-4i (Matched to SGLT-2i)
114
Empagliflozin (Matched to DPP-4i)
59
DPP-4i (Matched to Empagliflozin)
65
South Korea
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
12
DPP-4i (Matched to SGLT-2i)
19
Norway
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
49
DPP-4i (Matched to SGLT-2i)
124
Empagliflozin (Matched to DPP-4i)
23
DPP-4i (Matched to Empagliflozin)
63
Sweden
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
106
DPP-4i (Matched to SGLT-2i)
200
Empagliflozin (Matched to DPP-4i)
59
DPP-4i (Matched to Empagliflozin)
127
Number of Participants With All-cause Mortality (ACM)Primary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i.
Number of participants with all-cause mortality (ACM).
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
1371
DPP-4i (Matched to SGLT-2i)
2524
Empagliflozin (Matched to DPP-4i)
572
DPP-4i (Matched to Empagliflozin)
1177
Number of Participants With Composite Outcome, Including Hospitalization for Heart Failure (HHF) and All Cause Mortality (ACM)Primary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i.
Number of participants with composite outcome, including hospitalization for heart failure (HHF) and all cause mortality (ACM).
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
2413
DPP-4i (Matched to SGLT-2i)
3749
Empagliflozin (Matched to DPP-4i)
1239
DPP-4i (Matched to Empagliflozin)
2063
Number of Participants With Composite Outcome, Including Myocardial Infraction (MI), Stroke and All Cause Mortality (ACM)Primary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i.
Number of participants with composite outcome, including myocardial infraction (MI), stroke and all cause mortality (ACM).
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
2548
DPP-4i (Matched to SGLT-2i)
3758
Empagliflozin (Matched to DPP-4i)
1236
DPP-4i (Matched to Empagliflozin)
1950
Number of Participants With Myocardial Infarction (MI)Primary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i.
Number of participants with myocardial infarction (MI).
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
701
DPP-4i (Matched to SGLT-2i)
863
Empagliflozin (Matched to DPP-4i)
364
DPP-4i (Matched to Empagliflozin)
414
Number of Participants With StrokePrimary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i.
Number of participants with stroke.
Denmark
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
183
DPP-4i (Matched to SGLT-2i)
230
Empagliflozin (Matched to DPP-4i)
110
DPP-4i (Matched to Empagliflozin)
112
Finland
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
38
DPP-4i (Matched to SGLT-2i)
54
Empagliflozin (Matched to DPP-4i)
24
DPP-4i (Matched to Empagliflozin)
40
Germany
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
6
DPP-4i (Matched to SGLT-2i)
24
Israel
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
20
DPP-4i (Matched to SGLT-2i)
21
Empagliflozin (Matched to DPP-4i)
15
DPP-4i (Matched to Empagliflozin)
17
Japan
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
26
DPP-4i (Matched to SGLT-2i)
50
Empagliflozin (Matched to DPP-4i)
12
DPP-4i (Matched to Empagliflozin)
13
South Korea
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
107
DPP-4i (Matched to SGLT-2i)
187
Empagliflozin (Matched to DPP-4i)
43
DPP-4i (Matched to Empagliflozin)
68
Norway
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
72
DPP-4i (Matched to SGLT-2i)
87
Empagliflozin (Matched to DPP-4i)
28
DPP-4i (Matched to Empagliflozin)
36
Spain
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
49
DPP-4i (Matched to SGLT-2i)
53
Empagliflozin (Matched to DPP-4i)
15
DPP-4i (Matched to Empagliflozin)
27
Number of Participants With Cardiovascular Mortality (CM)Secondary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i.
Number of participants with cardiovascular mortality (CM).
Finland
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
67
DPP-4i (Matched to SGLT-2i)
161
Empagliflozin (Matched to DPP-4i)
35
DPP-4i (Matched to Empagliflozin)
107
Norway
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
44
DPP-4i (Matched to SGLT-2i)
73
Empagliflozin (Matched to DPP-4i)
17
DPP-4i (Matched to Empagliflozin)
32
Sweden
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
56
DPP-4i (Matched to SGLT-2i)
109
Empagliflozin (Matched to DPP-4i)
24
DPP-4i (Matched to Empagliflozin)
80
Taiwan
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
53
DPP-4i (Matched to SGLT-2i)
76
Empagliflozin (Matched to DPP-4i)
28
DPP-4i (Matched to Empagliflozin)
29
Number of Participants With Composite Outcome Including Hospitalization for Heart Failure (HHF) and Cardiovascular (CV) MortalitySecondary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i.
Number of participants with composite outcome including hospitalization for heart failure (HHF) and cardiovascular (CV) mortality.
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
397
DPP-4i (Matched to SGLT-2i)
806
Empagliflozin (Matched to DPP-4i)
205
DPP-4i (Matched to Empagliflozin)
505
Number of Participants With 3-point Major Adverse Cardiovascular (CV) Events (MACE), Defined as a Composite Outcome Including Myocardial Infarction (MI), Stroke and Cardiovascular (CV) MortalitySecondary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i.
Number of participants with 3-point major adverse cardiovascular (CV) events (MACE), defined as a composite outcome including myocardial infarction (MI), stroke and cardiovascular (CV) mortality.
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
843
DPP-4i (Matched to SGLT-2i)
1009
Empagliflozin (Matched to DPP-4i)
393
DPP-4i (Matched to Empagliflozin)
516
Number of Participants With Coronary Revascularization ProcedureSecondary· From index date until end of follow-up, up to 67 months for matched cohort of empagliflozin/DPP-4i. Up to 86 months for matched cohort of SGLT-2i/DPP-4i.
Number of participants with coronary revascularization procedure.
Denmark
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
173
DPP-4i (Matched to SGLT-2i)
184
Empagliflozin (Matched to DPP-4i)
117
DPP-4i (Matched to Empagliflozin)
109
Finland
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
26
DPP-4i (Matched to SGLT-2i)
19
Empagliflozin (Matched to DPP-4i)
12
DPP-4i (Matched to Empagliflozin)
15
Germany
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
9
DPP-4i (Matched to SGLT-2i)
20
Israel
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
124
DPP-4i (Matched to SGLT-2i)
103
Empagliflozin (Matched to DPP-4i)
111
DPP-4i (Matched to Empagliflozin)
89
Japan
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
268
DPP-4i (Matched to SGLT-2i)
383
Empagliflozin (Matched to DPP-4i)
158
DPP-4i (Matched to Empagliflozin)
206
South Korea
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
66
DPP-4i (Matched to SGLT-2i)
97
Empagliflozin (Matched to DPP-4i)
23
DPP-4i (Matched to Empagliflozin)
33
Norway
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
58
DPP-4i (Matched to SGLT-2i)
64
Empagliflozin (Matched to DPP-4i)
10
DPP-4i (Matched to Empagliflozin)
11
Spain
Group
Value
95% CI
SGLT-2i (Incl. Empa) (Matched to DPP-4i)
0
DPP-4i (Matched to SGLT-2i)
7
Sponsor's own description
Non-interventional, multi-country cohort study using existing data and including adults (≥18 years) with a diagnosis of Type 2 diabetes mellitus.
Publications & conference data
4 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Boehringer Ingelheim
Last refreshed: 23 September 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03817463.