Effect of Saxagliptin on Renal Outcomes in the SAVOR TIMI- 53 study- Appendixes:
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1 Effect of Saxagliptin on Renal Outcomes in the SAVOR TIMI- 53 study- Appendixes: Appendix Table 1: Number and % of patients at the saxagliptin and placebo arms, according to egfr and on treatment ACR groups at, 1 year, and EOT n (% from ACR by treatment arm) 1 year EOT ACR<30 Mg/G 30 ACR 300 Mg/G ACR>300 Mg/G saxagliptin placebo saxagliptin placebo saxagliptin placebo 4365 (65.3%) 3847 (68.7%) 3311 (65.8%) 4326 (65.2%) 3566 (65.3%) 3063 (62.9%) 1805 (27.0%) 1333 (23.8%) 1328 (26.4%) 1819 (27.4%) 1454 (26.6%) 1379 (28.3%) 513 (7.7%) 418 (7.5%) 390 (7.8%) 491 (7.4%) 442 (8.1%) 427 (8.8%) n (% from ACR by treatment arm) 1 year EOT 30 egfr 50 ml/min/bsa ACR<30 Mg/G 30 ACR 300 Mg/G ACR>300 Mg/G saxagliptin placebo saxagliptin placebo saxagliptin placebo 470 (44.0%) 357 (42.9%) 295 (41.7%) 474 (44.8%) 369 (46.2%) 279 (41.0%) 362 (33.9%) 313 (37.6%) 265 (37.5%) 346 (32.7%) 253 (31.7%) 230 (33.8%) 237 (22.2%) 162 (19.5%) 147 (20.8%) 239 (22.6%) 177 (22.2%) 172 (25.3%) n (% from ACR by treatment arm) ACR<30 Mg/G 30 ACR 300 Mg/G ACR>300 Mg/G saxagliptin placebo saxagliptin placebo saxagliptin placebo 32 (19.5%) 29 (19.5%) 50 (30.5%) year (19.2%) (23.2%) (39.2%) EOT (19.6%) (20.5%) (38.2%) (Abbreviations: BSA Body Surface area per 1.73 m 2 ) 44 (29.5%) 28 (25.0%) 27 (30.7%) 82 (50.0%) 50 (41.7%) 43 (42.2%) 76 (51.0%) 58 (51.8%) 43 (48.9%)
2 Appendix Table 2: Multivariable Analysis of the association between variables and ACR and egfr as continuous variable at Multivariable Modeling for log(acr) (mg/g) at Multivariable Modeling for egfr (ml/min/bsa) at Variable* Coefficient 95% CI P-value Coefficient 95% CI P-value Age (increase by a year) ( , ) ( , ) <.0001 Sex (Male vs. Female) NS (4.3397, ) <.0001 Race (Caucasian vs. all other) ( , ) < ( , ) Hispanic or Latino (vs. not) (0.2456, ) < (2.2090, ) <.0001 BMI (kg/m2) NS ( , ) <.0001 Duration of diabetes (for each extra year) (0.0151, ) < ( , ) <.0001 Current smoker NS (2.1880, ) <.0001 History of CVD (0.1411, ) < ( , ) HbA1C% (unit increase in HbA1c) (0.1618, ) < (0.1374, ) Fasting PG (mg/dl for each unit increase) (0.0005, ) (0.0109, ) <.0001 egfr (ml/min/bsa) ( , ) <.0001 ACR (analyzed on a log scale for each percentage point increase for the ACR, the GFR decreases by 2.7) NA ( , ) <.0001 ACE inhibitors (0.0157, ) NS ARBs (0.1764, ) < ( , ) <.0001 Β-Blockers NS ( , ) <.0001 Statin NS ( , ) Aspirin NS NS Sulfonylurea ( , ) ( , ) Metformin ( , ) (7.1487, ) <.0001 Insulin (0.2045, ) < ( , ) <.0001 Thiazolidinediones ( , 0.054) NS (Abbreviations: BSA Body Surface area per 1.73 m 2 )
3 ACR (Mg/G) at Appendix Table 3: Change in categorical ACR (<15mg/g, >=15 and<30 mg/g, 30-<100 mg/g, mg/g, >300 mg/g) from to EOT by ACR categories and treatment arms ACR (Mg/G) at EOT SAXAGLIPTIN PLACEBO < < < >300 < < < >300 <15 P*= % % % % % % % % % % 15-<30 P**= % % % % % % % % % % 30-<100 P**< P**=0.043 >300 P***= % % % % % % % % % % % % % % % % % 9 1.8% % % 6 1.2% % % % % % % % % % *P-value is based on a two tailed normal distribution approximation test for the proportion of patients who worsened ** P-value is based on a chi-squared test for independence ***P-value is based on a two tailed normal distribution approximation test for the proportion of patients who improved P-values were calculated for each level of ACR at separately. White: The number of patients (%) at each ACR category at, with no change in ACR category to EOT. Very Light Green: The number of patients (%) at each ACR category at, with improvement in one ACR category to EOT. Light Green: The number of patients (%) at each ACR category at, with improvement in two ACR categories to EOT. Moderate Green: The number of patients (%) at each ACR category at, with improvement in three ACR categories to EOT. Dark Green: The number of patients (%) at each ACR category at, with improvement in four ACR categories to EOT.
4 Very Light Red: The number of patients (%) at each ACR category at, with worsening in one ACR category to EOT. Light Red: The number of patients (%) at each ACR category at, with worsening in two ACR categories to EOT. Moderate Red: The number of patients (%) at each ACR category at, with worsening in three ACR categories to EOT. Dark Red: The number of patients (%) at each ACR category at, with worsening in four ACR categories to EOT.
5 Appendix Figure 1: Percentage of patients at the different on treatment ACR (at Baseline, 1year and EOT) categories out of the patients at egfr category 7.5% 27.2% 22.4% 33.3% 50.5% ACR<30 Mg/G 30 ACR 300 Mg/G ACR>300 Mg/G 65.3% 44.4% 30.0% 19.5% 30 egfr 50 ml/min/bsa egfr at 7.8% 25.2% 20.8% 34.7% 46.6% ACR<30 Mg/G 30 ACR 300 Mg/G ACR>300 Mg/G 67.0% 44.5% 32.3% 21.1% 30 egfr 50 ml/min/bsa egfr at 8.3% 27.3% 23.0% 35.7% 45.3% ACR<30 Mg/G 30 ACR 300 Mg/G ACR>300 Mg/G 64.4% 41.4% 34.7% 20.0% 30 egfr 50 ml/min/bsa egfr at
6 Cumulative Proportion Cumulative Proportion Appendix Figure 2: Density charts for change of ACR from to 1 year and EOT, by treatment arms* A- 1 year placebo saxagliptin change from to 1 year P< change in ACR mg/g B- EOT placebo saxagliptin change from to EOT P< change in ACR mg/g (For visualization purposes the graph was drawn with change in ACR values cut-off between -100 and 100)
egfr > 50 (n = 13,916)
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