Research Summary
Analyzed using Evidence Intelligence™

Ertugliflozin improves cardiac function in type 2 diabetes

Last updated July 6, 2026

Key finding

LVGLS improved from -15.5 ± 3.1% to -16.6 ± 2.8%, P = 0.004.

The study evaluated the effects of ertugliflozin on cardiac function in individuals with type 2 diabetes and pre-heart failure, finding significant improvements in certain cardiac metrics.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

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

The study evaluated the effects of ertugliflozin on cardiac function in individuals with type 2 diabetes and pre-heart failure, finding significant improvements in certain cardiac metrics.

Clinical relevance

These findings are clinically significant as they suggest that ertugliflozin may help improve heart function and manage diabetes in patients at risk of heart failure, potentially leading to better health outcomes. Understanding the impact of diabetes medications on heart health is crucial for optimizing treatment strategies in this vulnerable population.

Keep in mind

Some outcomes showed no significant changes. Effectiveness of ertugliflozin remains unclear for certain metrics. Study population may limit generalizability.

Published in

Journal Reference

Publication details and source links for this paper.

Soo L, Jae HB, Heran O, In-Chang H, Yeonyee EY, Goo-Yeong C. Ertugliflozin Improves Cardiac Function in Individuals with Type 2 Diabetes and Pre-Heart Failure. Cardiovascular Diabetology. 2024;23:373. doi:10.1186/s12933-024-02463-0

Main Effects

LVGLS improved from -15.5% to -16.6%, P = 0.004.

Significant reduction in HbA1c was observed.

Systolic blood pressure showed significant reduction.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Ertugliflozin and Adverse events incidence, Global longitudinal strain, HbA1c, and 9 more.

Primary intervention

Ertugliflozin

Primary outcomes

  • Adverse events incidence
  • Global longitudinal strain
  • HbA1c

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

12
Evidence pairs
12
Relationships
2
Evidence topics
contributes_evidence

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.

Moderate contributionModerate confidenceNetwork score: 64

2

Related topics

12

Evidence pairs

661

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 12 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Blood Pressure

matched_outcome

Related evidence

Evidence topic

HbA1c Reduction

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Adverse events incidence

Ertugliflozin → Adverse events incidence

Ertugliflozin → Adverse events incidence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

angiotensin (1-7)

Ertugliflozin → angiotensin (1-7)

Ertugliflozin → angiotensin (1-7)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

angiotensin-converting enzyme 2 (ACE2)

Ertugliflozin → angiotensin-converting enzyme 2 (ACE2)

Ertugliflozin → angiotensin-converting enzyme 2 (ACE2)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Global longitudinal strain

Ertugliflozin → Global longitudinal strain

Ertugliflozin → Global longitudinal strain

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Ertugliflozin → HbA1c

Ertugliflozin → HbA1c

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Incidence of proteinuria

Ertugliflozin → Incidence of proteinuria

Ertugliflozin → Incidence of proteinuria

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Left ventricular ejection fraction (LVEF)

Ertugliflozin → Left ventricular ejection fraction (LVEF)

Ertugliflozin → Left ventricular ejection fraction (LVEF)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Left ventricular mass index

Ertugliflozin → Left ventricular mass index

Ertugliflozin → Left ventricular mass index

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

lipoprotein(a)

Ertugliflozin → lipoprotein(a)

Ertugliflozin → lipoprotein(a)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

NT-proBNP

Ertugliflozin → NT-proBNP

Ertugliflozin → NT-proBNP

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Systolic blood pressure

Ertugliflozin → Systolic blood pressure

Ertugliflozin → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Uric Acid

Ertugliflozin → Uric Acid

Ertugliflozin → Uric Acid

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
38
Slightly Negative
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • LVGLS improved by 1.1% with P = 0.004.
  • Significant reduction in HbA1c observed.
  • Systolic blood pressure significantly reduced.
who this applies

Who this applies to

  • Adults with type 2 diabetes.
  • Individuals at risk of pre-heart failure.
keep in mind

Keep in Mind

  • Not all cardiac function metrics improved significantly.
  • Study results may not apply to all populations with diabetes.
  • Further research is needed to confirm findings.
between the lines

Between the Lines

  • Some outcomes showed no significant changes.
  • Effectiveness of ertugliflozin remains unclear for certain metrics.
  • Study population may limit generalizability.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Ertugliflozin and HbA1c, Ertugliflozin and Uric Acid Levels.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Ertugliflozin lower HbA1c?

Moderate Evidence

Ertugliflozin may lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Ertugliflozin improve uric acid?

Moderate Evidence

Ertugliflozin may worsen uric acid or be associated with harm.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Uric Acid

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | weak negative | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Ertugliflozin reduce incidence of proteinuria?

Emerging Evidence

Ertugliflozin appears to reduce incidence of proteinuria.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Incidence of proteinuria

    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.
1 supporting study

Does Ertugliflozin improve angiotensin (1-7)?

Emerging Evidence

Ertugliflozin appears to improve angiotensin (1-7).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    angiotensin (1-7)

    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.
1 supporting study
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