Type 2 & other diabetes

Biomarker Changes Associated With Both Dulaglutide and Cardiovascular Events in the REWIND Randomized Controlled Trial: A Nested Case-Control Post Hoc Analysis

Diabetes CarePublished Nested case-control post hoc analysis of the REWIND randomised controlled trial

Authors' conclusion

Dulaglutide was associated with a reduced 2-year rise from baseline of NT-proBNP and GDF-15. Higher rises of these biomarkers were also associated with MACE.

Study context

Population
REWIND participants with stored fasting baseline and 2-year plasma samples; 19 protein biomarkers (824 major adverse cardiovascular events (MACE), 845 matched non-MACE) and 135 metabolites (600 MACE, 601 matched non-MACE)matched case-control
Comparison
Dulaglutide vs placebo; MACE cases vs matched non-MACE controls
  • MACEn = 824
  • Non-MACEn = 845reference
Primary endpoint
Biomarkers associated with both dulaglutide treatment and MACE (2-year changes in 19 proteins and 135 metabolites)
Follow-up
2 years
Methodological detailsmatched
  • Matched

Primary result

As reported in the abstract

Estimate (95% CI)P value
MACEvs Non-MACE
OR (NT-proBNP increase) 1.267(1.119–1.435)
P < 0.001
MACEvs Non-MACE
OR (GDF-15 increase) 1.937(1.424–2.634)
P < 0.001

Further findings

OutcomeP value
Metabolites: dulaglutide vs placebo · 2 yearsP < 0.001
  • Metabolites: dulaglutide vs placebo: greater fall in 2-hydroxybutyric acid and greater rise in threonine with dulaglutide

Original publication

Biomarker Changes Associated With Both Dulaglutide and Cardiovascular Events in the REWIND Randomized Controlled Trial: A Nested Case-Control Post Hoc Analysis. Diabetes Care. Published 10 March 2023. doi:10.2337/dc22-2397

Composed by AI from the published abstract and checked against it. How Briefs are made →

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