Trial Outcomes & Findings for A Study Based on Data From German Registries That Looks at Characteristics of People Who Take the Medicine Empagliflozin for Type 2 Diabetes (NCT NCT04098575)

NCT ID: NCT04098575

Last Updated: 2021-03-29

Results Overview

Percentage of patients with previous occurence of cardiovascular (CV) comorbidities, including myocardial infarction, stroke, coronary artery disease, peripheral arterial disease, congestive heart failure.

Recruitment status

COMPLETED

Target enrollment

9571 participants

Primary outcome timeframe

At baseline.

Results posted on

2021-03-29

Participant Flow

A retrospective real-world evidence study based on existing data to describe the treatment and population characteristics of patients with type-2 diabetes mellitus (T2DM) receiving empagliflozin in thee time intervals.

All patients were screened for eligibility to participate in the trial. Only patients that met all the inclusion and none of the exclusion criteria were included in the trial.

Participant milestones

Participant milestones
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Overall Study
STARTED
505
2961
6105
Overall Study
COMPLETED
505
2961
6105
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Total
n=9571 Participants
Total of all reporting groups
Age, Continuous
59.2 Years
STANDARD_DEVIATION 11.3 • n=505 Participants
61.2 Years
STANDARD_DEVIATION 11.5 • n=2961 Participants
63.2 Years
STANDARD_DEVIATION 11.4 • n=6105 Participants
62.4 Years
STANDARD_DEVIATION 11.5 • n=9571 Participants
Sex: Female, Male
Female
248 Participants
n=505 Participants
1131 Participants
n=2961 Participants
2045 Participants
n=6105 Participants
3424 Participants
n=9571 Participants
Sex: Female, Male
Male
257 Participants
n=505 Participants
1830 Participants
n=2961 Participants
4060 Participants
n=6105 Participants
6147 Participants
n=9571 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Percentage of patients with previous occurence of cardiovascular (CV) comorbidities, including myocardial infarction, stroke, coronary artery disease, peripheral arterial disease, congestive heart failure.

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Percentage of Participants With Previous Occurence of Cardiovascular Comorbidities
20.4 Percentage of participants
21.6 Percentage of participants
26.4 Percentage of participants

PRIMARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Percentage of participants with previous occurence of other typical diabetes complications, including, Neuropathy, Nephropathy, Chronic Kidney Disease, Microalbuminuria, Macroalbuminuria, estimated glomerular filtration rate (eGFR), diabetic foot syndrome, retinopathy (background and proliferative).

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Percentage of Participants With Previous Occurence of Other Typical Diabetes Complications
59.6 Percentage of participants
57.6 Percentage of participants
59.8 Percentage of participants

PRIMARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Percentage of participants with antidiabetic and cardiovascular co-medication, including lipid-lowering agents, other antihypertensives, antiplatelets and anticoagulants.

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Percentage of Participants With Antidiabetic and Cardiovascular Co-medication
Antplatelet, anticoagulant drugs
11.7 Percentage of participants
17.4 Percentage of participants
25.3 Percentage of participants
Percentage of Participants With Antidiabetic and Cardiovascular Co-medication
Glucose-lowering therapies
80.2 Percentage of participants
83.1 Percentage of participants
90.6 Percentage of participants
Percentage of Participants With Antidiabetic and Cardiovascular Co-medication
Antihypertensive drugs
45.4 Percentage of participants
49.5 Percentage of participants
59.8 Percentage of participants
Percentage of Participants With Antidiabetic and Cardiovascular Co-medication
Lipid-lowering agents
28.3 Percentage of participants
36.4 Percentage of participants
46.0 Percentage of participants

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Percentage of participants by age category; younger than 65 (\< 65), from 65 to 74 (65 ≤ 75) , from 75 to 80 (75 - 80) , older than 80 (\> 80).

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Percentage of Participants by Age Category
< 65
71.1 Percentage of participants
60.8 Percentage of participants
54.4 Percentage of participants
Percentage of Participants by Age Category
65 ≤ 75
20.0 Percentage of participants
27.4 Percentage of participants
28.9 Percentage of participants
Percentage of Participants by Age Category
75 - 80
6.5 Percentage of participants
8.3 Percentage of participants
11.3 Percentage of participants
Percentage of Participants by Age Category
> 80
2.4 Percentage of participants
3.6 Percentage of participants
5.4 Percentage of participants

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

The percentage of male participants is reported.

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Percentage of Male Participants
50.9 Percentage of participants
61.8 Percentage of participants
66.5 Percentage of participants

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Weight of participants.

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Weight of Participants
103.2 Kilogram (kg)
Standard Deviation 21.4
100.3 Kilogram (kg)
Standard Deviation 23.1
97.3 Kilogram (kg)
Standard Deviation 21.7

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Height of participants.

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Height of Participants
170.5 Centimeter (cm)
Standard Deviation 9.5
171.8 Centimeter (cm)
Standard Deviation 9.9
172.3 Centimeter (cm)
Standard Deviation 9.6

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Glycated hemoglobin (HbA1c).

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Glycated Hemoglobin (HbA1c)
65.7 nanomol/mol
Standard Deviation 18.4
66.6 nanomol/mol
Standard Deviation 18.7
67.8 nanomol/mol
Standard Deviation 20.4

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Duration of diabetes (time since diagnosis).

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Duration of Diabetes
10.7 Years
Standard Deviation 7.8
10.8 Years
Standard Deviation 8.2
11.2 Years
Standard Deviation 8.5

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Percentage of participants with glucose-lowering treatment prior to empagliflozin initiation.

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Percentage of Participants With Previous Glucose-lowering Treatment
Acarbose
1.0 Percentage of participants
0.9 Percentage of participants
0.4 Percentage of participants
Percentage of Participants With Previous Glucose-lowering Treatment
Sulfonylurea
9.3 Percentage of participants
6.8 Percentage of participants
5.0 Percentage of participants
Percentage of Participants With Previous Glucose-lowering Treatment
Glucagon-like peptide-1 (GLP-1) agonists
12.1 Percentage of participants
12.2 Percentage of participants
13.9 Percentage of participants
Percentage of Participants With Previous Glucose-lowering Treatment
Sodium-glucose transport protein-2 (SGLT2) inhibitors other than empagliflozin
7.9 Percentage of participants
2.3 Percentage of participants
2.7 Percentage of participants
Percentage of Participants With Previous Glucose-lowering Treatment
Insulin
34.3 Percentage of participants
37.2 Percentage of participants
49.9 Percentage of participants
Percentage of Participants With Previous Glucose-lowering Treatment
Metformin
60.8 Percentage of participants
59.7 Percentage of participants
68.6 Percentage of participants
Percentage of Participants With Previous Glucose-lowering Treatment
Dipeptidyl peptidase-4 (DPP-4) inhibitors
25.2 Percentage of participants
31.1 Percentage of participants
31.8 Percentage of participants

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Percentage of patients participated in Disease Management Programme (DMP) Type 2 Diabetes.

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Percentage of Patients Participated in Disease Management Programme (DMP) Type 2 Diabetes
53.5 Percentage of participants
48.6 Percentage of participants
31.8 Percentage of participants

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Number of participants with hospitalizations.

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Number of Participants With Hospitalizations
NA Participants
Data on hospitalizations were not included on the registries, thus no data were available for analysis.
NA Participants
Data on hospitalizations were not included on the registries, thus no data were available for analysis.
NA Participants
Data on hospitalizations were not included on the registries, thus no data were available for analysis.

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Dosage of empagliflozin. Number of patients on 10 milligram versus patients on 25 milligram empagliflozin.

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Dosage of Empagliflozin
10 milligram of empagliflozin
NA Participants
Data on dosage of empagliflozin were not included on the registries, thus no data were available for analysis.
NA Participants
Data on dosage of empagliflozin were not included on the registries, thus no data were available for analysis.
NA Participants
Data on dosage of empagliflozin were not included on the registries, thus no data were available for analysis.
Dosage of Empagliflozin
25 milligram of empagliflozin
NA Participants
Data on dosage of empagliflozin were not included on the registries, thus no data were available for analysis.
NA Participants
Data on dosage of empagliflozin were not included on the registries, thus no data were available for analysis.
NA Participants
Data on dosage of empagliflozin were not included on the registries, thus no data were available for analysis.

SECONDARY outcome

Timeframe: At baseline.

Population: All patients from the two largest German registries (Diabetes-Patienten-Verlaufs-Dokumentation and Diabetes Versorgungs-Evaluation) with Type-2 Diabetes Mellitus and with empagliflozin treatment were included in the analysis.

Fasting plasma glucose (FPG).

Outcome measures

Outcome measures
Measure
Early Users: Patients Receiving Empagliflozin Until Mid-September 2015
n=505 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with type 2 diabetes mellitus (T2DM), registered between 2014 and 2019, receiving empagliflozin were used. Cohort 1 (early users) included only patients who received empagliflozin before the EMPA-REG OUTCOME study publication in mid-September 2015.
Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017
n=2961 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 2 (intermediate users) included only patients who started empagliflozin after the EMPA-REG OUTCOME study publication (mid-September 2015), but before the European Medicines Agency label change (mid-January 2017).
Late Users: Patients Receiving Empagliflozin After Mid-January 2017
n=6105 Participants
Data from two german patient registries (Diabetes-Patienten-Verlaufs-Dokumentations (DPV) and Diabetes Versorgungs-Evaluation (DIVE)) on patients with T2DM, registered between 2014 and 2019, receiving empagliflozin were used. Cohort 3 (late users) included only patients who started empagliflozin after mid-January 2017 until last available data cut in September 2019.
Fasting Plasma Glucose (FPG)
186.0 Milligram / deciliter
Standard Deviation 85.6
182.3 Milligram / deciliter
Standard Deviation 76.5
181.1 Milligram / deciliter
Standard Deviation 78.5

Adverse Events

Early Users: Patients Receiving Empagliflozin Until Mid-September 2015

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intermediate Users: Patients Receiving Empagliflozin From Mid-September 2015 to Mid-January 2017

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Late Users: Patients Receiving Empagliflozin After Mid-January 2017

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Boehringer Ingelheim, Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER