- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Dapagliflozin reduces IL-1B but does not improve cardiac fibrosis in T2D patients.
Last updated July 6, 2026
Key finding
Plasma IL-1B was reduced (−1.8 pg/mL, P = 0.003)
This study investigated the effects of dapagliflozin on cardiovascular outcomes in diabetic patients, revealing significant changes in plasma IL-1B and ketones.
Quick read
Study at a glance
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Risk of bias
Some Concerns
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Plain-language summary
What this paper says
A plain-language read of the study’s main message and where it applies.
Study focus
This study investigated the effects of dapagliflozin on cardiovascular outcomes in diabetic patients, revealing significant changes in plasma IL-1B and ketones.
Clinical relevance
These findings suggest that dapagliflozin may provide cardiovascular benefits for diabetic patients by reducing inflammation and altering metabolic markers. Understanding these mechanisms could lead to better management strategies for diabetes-related cardiovascular risks.
Keep in mind
Limited to a specific population of diabetic patients. Short follow-up period of 12 months may not capture long-term effects. No significant changes in several cardiovascular metrics.
Published in
Journal Reference
Publication details and source links for this paper.
Dennis DW, Anna VN, Daniel I, et al. Sodium glucose cotransporter 2 inhibitors significantly improve cardiovascular outcomes in diabetic patients; however, the mechanism is unclear. Cardiovascular Diabetology. 2024;23:197. doi:10.1186/s12933-024-02294-z
Main Effects
Plasma IL-1B was reduced by −1.8 pg/mL (P = 0.003).
Plasma ketones increased by 0.26 mM (P = 0.0001).
PBMC maximal oxygen consumption rate did not change in the dapagliflozin group.
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to Dapagliflozin and Extracellular volume, Global myocardial strain, Plasma IL-1B, and 2 more.
This study contributes evidence to
Primary intervention
Dapagliflozin
Primary outcomes
- Extracellular volume
- Global myocardial strain
- Plasma IL-1B
Evidence topics
Primary intervention
Primary outcomes
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
Why this study matters
See why this paper is useful beyond its individual results.
Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
1
Related topics
5
Evidence pairs
37
Related studies
Why it is useful
- Contributes to 5 evidence relationships
- Includes primary outcome data
- Linked to 1 direct semantic evidence topic
Topic contributions
Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
SGLT2 Inhibitors
matched_intervention
Core evidence
Study findings
The primary outcomes reported in this study.
Global myocardial strain
Dapagliflozin → Global myocardial strain
Dapagliflozin → Global myocardial strain
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
T2 relaxation time change
Dapagliflozin → T2 relaxation time change
Dapagliflozin → T2 relaxation time change
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Evidence Library
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Evidence Suggest
- Dapagliflozin significantly reduced plasma IL-1B levels.
- Plasma ketones increased significantly with dapagliflozin treatment.
- PBMC maximal oxygen consumption rate decreased in the placebo group.
Who this applies to
- Adults with type 2 diabetes.
- Patients at risk for cardiovascular disease.
Keep in Mind
- Results may not be generalizable to non-diabetic populations.
- Further studies are needed to explore long-term effects.
- The study did not measure all potential cardiovascular outcomes.
Between the Lines
- Limited to a specific population of diabetic patients.
- Short follow-up period of 12 months may not capture long-term effects.
- No significant changes in several cardiovascular metrics.
Evidence Library
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Connected Evidence
Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on SGLT2 Inhibitors and Extracellular volume, SGLT2 Inhibitors and Global myocardial strain.
Related evidence relationships
Explore in Evidence ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
SGLT2 Inhibitors → Extracellular volume
Medications
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
SGLT2 Inhibitors → Global myocardial strain
Medications
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Included in these evidence collections
Curated evidence collections and hubs this study is part of.
Extracellular volume Evidence Hub
All studies measuring Extracellular volume
Measures Extracellular volume as a key outcome.
Global myocardial strain Evidence Hub
All studies measuring Global myocardial strain
Measures Global myocardial strain as a key outcome.
SGLT2 Inhibitors Evidence Hub
All studies on SGLT2 Inhibitors
Contributes to SGLT2 Inhibitors evidence base.
Recent Diabetes Research
Latest published studies
Published within the last 2 years.
Explore more in Evidence Explorer
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All studies on Dapagliflozin and Extracellular volume
1 results
All studies on Dapagliflozin and Global myocardial strain
1 results
All studies on Dapagliflozin
1 results
All studies measuring Extracellular volume
1 results
All studies measuring Global myocardial strain
1 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Dapagliflozin improve plasma il-1b?
Dapagliflozin appears to improve plasma il-1b.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Plasma IL-1B
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
Does Dapagliflozin improve plasma ketones?
Dapagliflozin appears to improve plasma ketones.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Plasma ketones
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
Does Dapagliflozin improve extracellular volume?
Current evidence does not show a clear benefit of Dapagliflozin for extracellular volume.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Extracellular volume
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
Does Dapagliflozin improve global myocardial strain?
Current evidence does not show a clear benefit of Dapagliflozin for global myocardial strain.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Global myocardial strain
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
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