Type 2 & other diabetes

Empagliflozin Versus Dapagliflozin and Urogenital Adverse Events in Type 2 Diabetes: A Target Trial Emulation

Diabetes Obes MetabPublished Population-based cohort study emulating a target trial

Main finding · UTIResult — go to the resultRelative risk 0.98 95% CI 0.95–1.01

Authors' conclusion

Initiation of empagliflozin versus dapagliflozin was associated with comparable absolute risks of urogenital adverse events, and slightly higher relative risks of GTI and phimosis among empagliflozin initiators, supporting broadly similar safety profiles.

Study context

Population
Adult metformin users with T2D initiating empagliflozin or dapagliflozin, 2015–2022median follow-up 2.6 to 3.8 years
Participants
53,083 vs 33,349
Exposure
Empagliflozin vs dapagliflozin initiation
  • Empagliflozinn = 53,083
  • Dapagliflozinn = 33,349reference
Outcome
Risks of urinary tract infection (UTI), genital tract infection (GTI) and phimosis
Follow-up
1-year
Methodological detailsactive-comparator, new-user, inverse probability of treatment weighting
  • Active-comparator
  • New-user
  • Inverse probability of treatment weighting

Main finding

UTI

Relative risk

0.98

95% CI 0.95–1.01

By group

Empagliflozinvs Dapagliflozin
RR 0.98 (95% CI 0.95–1.01)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeEmpagliflozinDapagliflozinRR (95% CI)
GTI2.2%2.0%1.14 (1.04–1.25)
Phimosis1.0%0.8%1.23 (1.04–1.52)

Safety

Safety profiles over 5-year follow-up

Safety profiles were consistent throughout 5-year follow-up

Original publication

Empagliflozin Versus Dapagliflozin and Urogenital Adverse Events in Type 2 Diabetes: A Target Trial Emulation. Diabetes Obes Metab. Published 3 June 2026. doi:10.1111/dom.70937

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

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