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December 18, 2024Diabetes Obesity and MetabolismOpen Access

Long‐term weight loss and cardiorenal outcomes by baseline BMI in the VERTIS CV trial

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Why the study?

To assess weight loss and cardiorenal outcomes by baseline body mass index (BMI) in VERTIS CV.

Does ertugliflozin improve weight loss and cardiorenal outcomes across baseline BMI categories in patients with type 2 diabetes and atherosclerotic cardiovascular disease?

Population

8246 adults with type 2 diabetes and atherosclerotic CV disease

Comparison

Ertugliflozin vs placebo across baseline BMI categories

Design

Post hoc analysis of a randomized controlled trial

Follow-up

5 years

Key result

Ertugliflozin increased the proportion of patients achieving ≥5% body weight reduction at 5 years compared to placebo (34.9% vs 19.4%; OR 2.21, 95% CI 1.76-2.77).

Authors

FCFrancesco CosentinoSDSamuel Dagogo‐JackRFRobert Frederich

Discussion

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Member takes

Overview

Ertugliflozin delivers sustained weight loss over 5 years in T2D with ASCVD; extends efficacy data across baseline BMI categories.

Study Design

Type

RCT (n=8,246)

Structured PICO

Does ertugliflozin improve weight loss and cardiorenal outcomes across baseline BMI categories in patients with type 2 diabetes and atherosclerotic cardiovascular disease?

P
Population
8,246 adults with type 2 diabetes and atherosclerotic cardiovascular (CV) disease, mean age 64.4 years, mean BMI 32.0 kg/m2 (61% with BMI >30 kg/m2).
I
Intervention
Ertugliflozin
C
Comparator
Placebo
O
Outcome
Cardiometabolic and cardiorenal outcomes (composite of death from CV causes or hospitalization for heart failure [HHF], CV death, HHF and an exploratory composite kidney outcome including ≥40% estimated glomerular filtration rate [eGFR] decrease) by baseline BMIcomposite

Main Result

Effect estimate: OR 2.21 (95% CI 1.76-2.77)

Absolute Event Rate: 34.9% vs 19.4%

Ertugliflozin provides sustained weight loss and consistent cardiorenal benefits over 5 years in patients with type 2 diabetes and ASCVD, regardless of baseline BMI.

Limitations

  • post hoc analysis

Cite This Study

Cosentino et al. (2024) conducted an RCT in Type 2 diabetes and atherosclerotic cardiovascular disease (n=8,246). Ertugliflozin vs. Placebo was evaluated on Achieving ≥5% body weight reduction at 5 years (OR 2.21, 95% CI 1.76-2.77). Ertugliflozin increased the proportion of patients achieving ≥5% body weight reduction at 5 years compared to placebo (34.9% vs 19.4%; OR 2.21, 95% CI 1.76-2.77).

synapsesocial.com/papers/6a1b5ee4db618aee6aabceechttps://doi.org/10.1111/dom.16050
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiorenal outcomes by indices of liver steatosis and fibrosis in individuals with type 2 diabetes and atherosclerotic cardiovascular disease: Analyses from <scp>VERTIS CV</scp> , a randomized trial of the <scp>sodium‐glucose cotransporter‐2</scp> inhibitor ertugliflozin2022 · 13 citations
  2. 2Effects of Ertugliflozin on Kidney Outcomes in Patients With Heart Failure at Baseline in the Evaluation of Ertugliflozin Efficacy and Safety Cardiovascular Outcomes (VERTIS CV) Trial2023 · 1 citations
  3. 3Mediators of ertugliflozin effects on heart failure and kidney outcomes among patients with type 2 diabetes mellitus2022 · 45 citations
  4. 4Heart Failure Outcomes Captured by Adverse Event Reporting in Participants with Type 2 Diabetes and Atherosclerotic Cardiovascular Disease: Observations from the VERTIS CV Trial2025 · 1 citations
  5. 5Safety and efficacy of ertugliflozin on heart failure outcomes across cardiovascular diseases: a systematic review and meta-analysis2026