The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
Dulaglutide and cardiovascular and heart failure outcomes in patients with and without heart failure: a post-hoc analysis from the REWIND randomized trial
Abstract
Aims: People with diabetes are at high risk for cardiovascular events including heart failure (HF). We examined the effect of the glucagon‐like peptide 1 agonist dulaglutide on incident HF events and other cardiovascular outcomes in those with or without prior HF in the randomized placebo‐controlled Researching Cardiovascular Events with a Weekly Incretin in Diabetes (REWIND) trial. Methods and results: The REWIND major adverse cardiovascular event (MACE) outcome was the first occurrence of a composite endpoint of non‐fatal myocardial infarction, non‐fatal stroke, or death from cardiovascular causes (including unknown causes). In this post‐hoc analysis, a HF event was defined as an adjudication‐confirmed hospitalization or urgent evaluation for HF. Of the 9901 participants studied over a median follow‐up of 5.4 years, 213/4949 (4.3%) randomly assigned to dulaglutide and 226/4952 (4.6%) participants assigned to placebo experienced a HF event (hazard ratio [HR] 0.93, 95% confidence interval [CI] 0.77–1.12; p = 0.456). In the 853 (8.6%) participants with HF at baseline, there was no change in either MACE or HF events with dulaglutide as compared to participants without HF ( p = 0.44 and 0.19 for interaction, respectively). Combined cardiovascular death and HF events were marginally reduced with dulaglutide compared to placebo (HR 0.88, 95% CI 0.78–1.00; p = 0.050) but unchanged in patients with and without HF at baseline ( p = 0.31). Conclusions: Dulaglutide was not associated with a reduction in HF events in patients with type 2 diabetes regardless of baseline HF status over 5.4 years of follow‐up.
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In the REWIND cardiovascular outcome study, compared with placebo, dulaglutide reduced the rate of MACE-3, and a modest reduction in the composite heart failure endpoint of cardiovascular death and urgent heart failure visits was also observed.
“In the REWIND CV outcome study (CVOT), when compared with placebo, dulaglutide reduced the rate of MACE-3, and a modest reduction in the composite HF endpoint of CV death and urgent HF visits was also observed.23”
From Outcomes in patients with diabetes, atherosclerotic cardiovascular disease, and heart failure treated with tirzepatide or dulaglutide: SURPASS-CVOT analysis (2026) · cites this paper as [23]
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Research works printed but not linked: 15
- 10.1001/jama.2010.1322 · DOI · Paper page
- 10.1161/JAHA.119.014402 · DOI
- 10.1056/NEJMoa2108269 · DOI · Paper page
- 10.1161/CIRCRESAHA.118.311371 · DOI
- 10.2337/dc17-0697 · DOI · Paper page
- 10.1016/S0140-6736(18)32261-X · DOI · Paper page
- 10.1002/ejhf.1673 · DOI
- 10.1016/S0140-6736(19)31149-3 · DOI · Paper page
- 10.1111/dom.13028 · DOI
- 10.2337/diacare.24.9.1614 · DOI · Paper page
- 10.1016/S1262-3636(17)30068-X · DOI
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- 10.1056/NEJMoa1901118 · DOI · Paper page
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- 10.1002/pds.1741 · DOI
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Ferreira, J. P., Saraiva, F., Sharma, A., Vasques‐Nóvoa, F., Angélico‐Gonçalves, A., Leite, A. R., Borges‐Canha, M., Carvalho, D., Packer, M., Zannad, F., et al. (2023) · Diabetes, Obesity and Metabolism · doi:10.1111/dom.14997 · Cited by 65
Nicholls, S. J., Pavo, I., Bhatt, D. L., Buse, J. B., Del Prato, S., Franco, D. R., Kahn, S. E., Lincoff, A. M., Martins, R. F., McGuire, D. K., et al. (2026) · European Journal of Preventive Cardiology · doi:10.1093/eurjpc/zwag452
Metadata
- Authors
- Branch, K. R. H., Dagenais, G. R., Avezum, A., Basile, J., Conget, I., Cushman, W. C., Jansky, P., Lakshmanan, M., Lanas, F., Leiter, L. A., Pais, P., Pogosova, N., Raubenheimer, P. J., Ryden, L., Shaw, J. E., Sheu, W. H. H., Temelkova‐Kurktschiev, T., Bethel, M. A., Gerstein, H. C., Chinthanie, R., & Probstfield, J. L.
- Affiliations
- University of Washington Heart Institute Seattle WA USA
- Institut Universitaire de Cardiologie et Pneumologie de Québec Université Laval Québec City Québec Canada
- International Research Center Hospital Alemão Oswaldo Cruz São Paulo Brazil
- Medical University of South Carolina Ralph H Johnson VA Medical Center Charleston SC USA
- Endocrinology and Nutrition Department Hospital Clínic i Universitari Barcelona Spain
- University of Tennessee Health Science Center Memphis TN USA
- University Hospital Motol Prague Czech Republic
- Eli Lilly & Co Indianapolis IN USA
- Universidad de La Fontera Temuco Chile
- Li Ka Shing Knowledge Institute, St. Michael's Hospital University of Toronto Toronto Ontario Canada
- St. John's Research Institute Bangalore India
- National Medical Research Center of Cardiology Moscow Russia
- Division of Endocrinology University of Cape Town Cape Town South Africa
- Department of Medicine K2 Karolinska Institute Stockholm Sweden
- Baker Heart and Diabetes Institute Melbourne Victoria Australia
- Division of Endocrinology and Metabolism Taipei Veterans General Hospital Taipei Taiwan
- Robert Koch Medical Center Sofia Bulgaria
- Population Health Research Institute Hamilton Health Sciences and McMaster University Hamilton Ontario Canada
- ORCID
- Branch, Kelley R.H.
- Dagenais, Gilles R.
- Avezum, Alvaro
- Basile, Jan
- Conget, Ignacio
- Cushman, William C.
- Lakshmanan, Mark
- Lanas, Fernando
- Leiter, Lawrence A.
- Pais, Prem
- Pogosova, Nana
- Raubenheimer, Peter J.
- Ryden, Lars
- Shaw, Jonathan E.
- Sheu, Wayne H.H.
- Temelkova‐Kurktschiev, Theodora
- Gerstein, Hertzel C.
- Probstfield, Jeffrey L.
- Venue
- European Journal of Heart Failure
- Publisher
- Oxford University Press (OUP)
- Published
- 2022-09-20
- Volume
- 24
- Issue
- 10
- Pages
- 1805-1812
- ISSN
- 1388-9842
- 1879-0844
- Cited by
- 41
- References
- 14
- Language
- en
- Funders
- Eli Lilly and Company
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