parallel randomized trial
ENDIS
Impact of Additional Treatment With Empagliflozin or Semaglutide on Endothelial Function and Other Clinical Parameters and Biomarkers in T1DM Patients
Design
Conduct and analysis
Arms
| Arm | Treatment | Background | Randomized | Analyzed | Completed treatment |
|---|---|---|---|---|---|
| A1 | Empagliflozin Empagliflozin add on to insulin | insulin by MDI or CSII with CGM; lifestyle: not reported | 30 | ||
| A2 | Semaglutide 1.0 mg subcutaneous once weekly Semaglutide add on to insulin | insulin by MDI or CSII with CGM; lifestyle: not reported | 30 | ||
| A3 | Standard care or no added treatment Control, insulin only | insulin by MDI or CSII with CGM; lifestyle: not reported | 29 |
Baseline characteristics
As printed in the trial reports or registry, per arm or for the whole trial.
| Characteristic | Statistic | Empagliflozin A1 | Semaglutide 1.0 mg subcutaneous once weekly A2 | Standard care or no added treatment A3 |
|---|---|---|---|---|
| age | mean (years) | 48.2 | 48.5 | 47.0 |
| age | sd (years) | 10.7 | 9.6 | 12 |
| bmi | mean (kg/m2) | 27.7 | 28.2 | 26.9 |
| bmi | sd (kg/m2) | 4.3 | 4.8 | 3.0 |
| diabetes duration | mean (years) | 21.3 | 21.9 | 18.8 |
| diabetes duration | sd (years) | 10.2 | 11.2 | 11.9 |
| egfr | mean (mL/min/1.73 m2) | 86.1 | 85.8 | 86.5 |
| egfr | sd (mL/min/1.73 m2) | 9.2 | 8.3 | 7.8 |
| hba1c | mean (percent) | 7.88 | 7.42 | 7.04 |
| hba1c | sd (percent) | 0.72 | 0.80 | 0.90 |
| other male | n | 18 | 19 | 17 |
| other male | percent | 60 | 63.3 | 58.6 |
| sbp | mean (mmHg) | 132.5 | 134.7 | 130.5 |
| sbp | sd (mmHg) | 15.7 | 16.4 | 13.6 |
| waist | mean (cm) | 99.9 | 99.5 | 98.5 |
| waist | sd (cm) | 11.7 | 14.3 | 9.9 |
| weight | mean (kg) | 81.9 | 84.6 | 82.6 |
| weight | sd (kg) | 14.2 | 16.4 | 11.7 |
Analyses this trial contributes to
- HbA1c changeType 1 diabetes; weeks 12 to 40 (target week 26); network meta-analysis
- HbA1c changeType 1 diabetes; weeks 12 to 40 (target week 26); network meta-analysis
- Total daily insulin dose changeType 1 diabetes; weeks 12 to 40 (target week 26); network meta-analysis
- Total daily insulin dose changeType 1 diabetes; weeks 12 to 40 (target week 26); network meta-analysis
Results
12 adjudicated result lines, grouped by outcome. Open an outcome to see its values.
HbA1c change (3 lines; O01)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 12 | A1 | change | -0.24 percent | 0.59 | 30 | not stated; completers; R0021681:Table 2 | |
| 12 | A2 | change | -0.29 percent | 0.61 | 30 | not stated; completers; R0021681:Table 2 | |
| 12 | A3 | change | 0.12 percent | 0.44 | 29 | not stated; completers; R0021681:Table 2 |
Total daily insulin dose change (3 lines; O06)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 12 | A1 | change | -5.1 IU/day | 10.0 | 30 | not stated; completers; R0021681:Table 2 | |
| 12 | A2 | change | -8.5 IU/day | 9.3 | 30 | not stated; completers; R0021681:Table 2 | |
| 12 | A3 | change | -1.1 IU/day | 7.5 | 29 | not stated; completers; R0021681:Table 2 |
Discontinuation due to adverse events (3 lines; O26)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 30 | not stated; randomized; R0021681:Results | ||||
| A2 | events | 1 / | not stated; randomized; R0021681:Results | ||||
| A3 | events | 0 / | not stated; randomized; R0021681:Results |
Discontinuation due to gastrointestinal adverse events (3 lines; O27E)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 30 | not stated; randomized; R0021681:Results | ||||
| A2 | events | 1 / | not stated; randomized; R0021681:Results | ||||
| A3 | events | 0 / | not stated; randomized; R0021681:Results |