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Trial · NCT03817463

A Study to Observe the Effectiveness of Empagliflozin, Other SGLT-2 Inhibitors, or DPP-4 Inhibitors in Patients With Type 2 Diabetes

NCT03817463, Completed, Boehringer Ingelheim; results first posted 2024-09-23

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Observe the Effectiveness of Empagliflozin, Other SGLT-2 Inhibitors, or DPP-4 Inhibitors in Patients With Type 2 Diabetes. Trials, record NCT03817463. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03817463

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Observe the Effectiveness of Empagliflozin, Other SGLT-2 Inhibitors, or DPP-4 Inhibitors in Patients With Type 2 Diabetes
NCT number
NCT03817463
Status
Completed
Enrollment
327,624 participants, actual
Lead sponsor
Boehringer Ingelheim
Conditions
Diabetes Mellitus, Type 2
Interventions
Subjects treated with Empagliflozin or any Sodium-glucose cotransporter-2 (SGLT-2) inhibitor, Subjects treated with Dipeptidyl peptidase-4 (DPP-4) inhibitor
First posted
2019-01-25
Last updated
2024-09-23
Results first posted
2024-09-23

Source ClinicalTrials.gov

Registered outcomes27

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Hospitalization for Heart Failure (HHF), Broad + Specific DefinitionFrom 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 were available, but broad definition was used.
PrimaryNumber of Participants With Hospitalization for Heart Failure (HHF), Broad DefinitionFrom 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).
PrimaryNumber of Participants With Hospitalization for Heart Failure (HHF), Specific DefinitionFrom 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-4iReported 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.
PrimaryNumber of Participants With All-cause Mortality (ACM)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).
PrimaryNumber of Participants With Composite Outcome, Including Hospitalization for Heart Failure (HHF) and All Cause Mortality (ACM)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).
PrimaryNumber of Participants With Composite Outcome, Including Myocardial Infraction (MI), Stroke and All Cause Mortality (ACM)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).
PrimaryNumber of Participants With Myocardial Infarction (MI)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).
PrimaryNumber of Participants With StrokeFrom 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.
SecondaryNumber of Participants With Cardiovascular Mortality (CM)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).
SecondaryNumber of Participants With Composite Outcome Including Hospitalization for Heart Failure (HHF) and Cardiovascular (CV) MortalityFrom 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.

Outcomes27

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Hospitalization for Heart Failure (HHF), Broad + Specific DefinitionFrom 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
All patients included in the study, who were either new user of any SGLT-2i (incl. empagliflozin) or DPP-4i. Results are reported by 1:1 PS-matched cohorts of SGLT-2i/DPP-4i and empagliflozin/DPP-4i. Arms are not mutually exclusive.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Hospitalization for Heart Failure (HHF), Broad DefinitionFrom 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
All patients included in the study, who were either new user of any SGLT-2i (incl. empagliflozin) or DPP-4i. Results are reported by 1:1 PS-matched cohorts of SGLT-2i/DPP-4i and empagliflozin/DPP-4i. Arms are not mutually exclusive.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Hospitalization for Heart Failure (HHF), Specific DefinitionFrom 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
Patients, who were either new user of any SGLT-2i (incl. empagliflozin) or DPP-4i. Results are reported by 1:1 PS-matched cohorts of SGLT-2i/DPP-4i and empagliflozin/DPP-4i. Arms are not mutually exclusive. Country-level results are reported and only include countries with non-missing data or a sufficient number of events to satisfy local patient privacy regulations.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With All-cause Mortality (ACM)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.
All patients included in the study, who were either new user of any SGLT-2i (incl. empagliflozin) or DPP-4i. Results are reported by 1:1 PS-matched cohorts of SGLT-2i/DPP-4i and empagliflozin/DPP-4i. Arms are not mutually exclusive.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Composite Outcome, Including Hospitalization for Heart Failure (HHF) and All Cause Mortality (ACM)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.
All patients included in the study, who were either new user of any SGLT-2i (incl. empagliflozin) or DPP-4i. Results are reported by 1:1 PS-matched cohorts of SGLT-2i/DPP-4i and empagliflozin/DPP-4i. Arms are not mutually exclusive.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Composite Outcome, Including Myocardial Infraction (MI), Stroke and All Cause Mortality (ACM)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.
All patients included in the study, who were either new user of any SGLT-2i (incl. empagliflozin) or DPP-4i. Results are reported by 1:1 PS-matched cohorts of SGLT-2i/DPP-4i and empagliflozin/DPP-4i. Arms are not mutually exclusive.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Myocardial Infarction (MI)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.
All patients included in the study, who were either new user of any SGLT-2i (incl. empagliflozin) or DPP-4i. Results are reported by 1:1 PS-matched cohorts of SGLT-2i/DPP-4i and empagliflozin/DPP-4i. Arms are not mutually exclusive.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With StrokeFrom 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.
All patients included in the study, who were either new user of any SGLT-2i (incl. empagliflozin) or DPP-4i. Results are reported by 1:1 PS-matched cohorts of SGLT-2i/DPP-4i and empagliflozin/DPP-4i. Arms are not mutually exclusive. Country-level results are reported and only include countries with non-missing data or a sufficient number of events to satisfy local patient privacy regulations.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Cardiovascular Mortality (CM)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.
All patients included in the study, who were either new user of any SGLT-2i (incl. empagliflozin) or DPP-4i. Results are reported by 1:1 PS-matched cohorts of SGLT-2i/DPP-4i and empagliflozin/DPP-4i. Arms are not mutually exclusive. Country-level results are reported and only include countries with non-missing data or a sufficient number of events to satisfy local patient privacy regulations.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Composite Outcome Including Hospitalization for Heart Failure (HHF) and Cardiovascular (CV) MortalityFrom 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.
All patients included in the study, who were either new user of any SGLT-2i (incl. empagliflozin) or DPP-4i. Results are reported by 1:1 PS-matched cohorts of SGLT-2i/DPP-4i and empagliflozin/DPP-4i. Arms are not mutually exclusive.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group380

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Hospitalization for Heart Failure (HHF), Broad + Specific DefinitionSGLT-2i (Incl. Empa) (Matched to DPP-4i)1395Participants
Number of Participants With Hospitalization for Heart Failure (HHF), Broad + Specific DefinitionDPP-4i (Matched to SGLT-2i)2043Participants
Number of Participants With Hospitalization for Heart Failure (HHF), Broad + Specific DefinitionEmpagliflozin (Matched to DPP-4i)765Participants
Number of Participants With Hospitalization for Heart Failure (HHF), Broad + Specific DefinitionDPP-4i (Matched to Empagliflozin)1083Participants
Number of Participants With Hospitalization for Heart Failure (HHF), Broad DefinitionSGLT-2i (Incl. Empa) (Matched to DPP-4i)964Participants
Number of Participants With Hospitalization for Heart Failure (HHF), Broad DefinitionDPP-4i (Matched to SGLT-2i)1260Participants
Number of Participants With Hospitalization for Heart Failure (HHF), Broad DefinitionEmpagliflozin (Matched to DPP-4i)514Participants
Number of Participants With Hospitalization for Heart Failure (HHF), Broad DefinitionDPP-4i (Matched to Empagliflozin)641Participants
Number of Participants With Hospitalization for Heart Failure (HHF), Specific DefinitionSGLT-2i (Incl. Empa) (Matched to DPP-4i)Denmark273Participants
Number of Participants With Hospitalization for Heart Failure (HHF), Specific DefinitionDPP-4i (Matched to SGLT-2i)Denmark345Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSGLT-2i (Incl. Empa) (Matched to DPP-4i)163,812
Overall StudySTARTEDDPP-4i (Matched to SGLT-2i)163,812
Overall StudyCOMPLETEDSGLT-2i (Incl. Empa) (Matched to DPP-4i)163,812
Overall StudyCOMPLETEDDPP-4i (Matched to SGLT-2i)163,812
Overall StudyNOT COMPLETEDSGLT-2i (Incl. Empa) (Matched to DPP-4i)0
Overall StudyNOT COMPLETEDDPP-4i (Matched to SGLT-2i)0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySGLT-2i (Incl. Empa) (Matched to DPP-4i)1,371163,812
Total, all-cause mortalityDPP-4i (Matched to SGLT-2i)2,524163,812
Total, other adverse eventsSGLT-2i (Incl. Empa) (Matched to DPP-4i)00
Total, other adverse eventsDPP-4i (Matched to SGLT-2i)00
Total, serious adverse eventsSGLT-2i (Incl. Empa) (Matched to DPP-4i)00
Total, serious adverse eventsDPP-4i (Matched to SGLT-2i)00

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
36097728DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
SGLT-2i (Incl. Empa) (Matched to DPP-4i) vs DPP-4i (Matched to SGLT-2i): deaths from any cause

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03817463

GET https://conductscience.org/api/trials/v1/NCT03817463/registered?page=2