Research Summary
Analyzed using Evidence Intelligence™

Ertugliflozin improves cardiac function in type 2 diabetes

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.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Some Concerns bias
Last updated July 6, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes

Intervention

Ertugliflozin, Placebo

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Primary outcome

left ventricular global longitudinal strain (LVGLS)

Comparator

Placebo Group

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

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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
1
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: 59

1

Related topics

12

Evidence pairs

161

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 12 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

NoneNo Change

Adverse events incidence

Ertugliflozin → Adverse events incidence

Ertugliflozin → Adverse events incidence

Evidence profile

NoneNo ChangeSafety
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StrongIncrease

angiotensin (1-7)

Ertugliflozin → angiotensin (1-7)

Ertugliflozin → angiotensin (1-7)

Evidence profile

StrongIncreaseClinical Outcomes
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StrongIncrease

angiotensin-converting enzyme 2 (ACE2)

Ertugliflozin → angiotensin-converting enzyme 2 (ACE2)

Ertugliflozin → angiotensin-converting enzyme 2 (ACE2)

Evidence profile

StrongIncreaseClinical Outcomes
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HarmfulDecrease

Global longitudinal strain

Ertugliflozin → Global longitudinal strain

Ertugliflozin → Global longitudinal strain

Evidence profile

HarmfulDecreaseClinical Outcomes
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NoneDecrease

HbA1c

Ertugliflozin → HbA1c

Ertugliflozin → HbA1c

Evidence profile

NoneDecreaseGlycemic Control
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StrongDecrease

Incidence of proteinuria

Ertugliflozin → Incidence of proteinuria

Ertugliflozin → Incidence of proteinuria

Evidence profile

StrongDecreaseMetabolic Health
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NoneIncrease

Left ventricular ejection fraction (LVEF)

Ertugliflozin → Left ventricular ejection fraction (LVEF)

Ertugliflozin → Left ventricular ejection fraction (LVEF)

Evidence profile

NoneIncreaseMetabolic Health
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NoneDecrease

Left ventricular mass index

Ertugliflozin → Left ventricular mass index

Ertugliflozin → Left ventricular mass index

Evidence profile

NoneDecreaseMetabolic Health
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StrongDecrease

lipoprotein(a)

Ertugliflozin → lipoprotein(a)

Ertugliflozin → lipoprotein(a)

Evidence profile

StrongDecreaseClinical Outcomes
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NoneDecrease

NT-proBNP

Ertugliflozin → NT-proBNP

Ertugliflozin → NT-proBNP

Evidence profile

NoneDecreaseMetabolic Health
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NoneDecrease

Systolic blood pressure

Ertugliflozin → Systolic blood pressure

Ertugliflozin → Systolic blood pressure

Evidence profile

NoneDecreaseMetabolic Health
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NoneDecrease

Uric Acid

Ertugliflozin → Uric Acid

Ertugliflozin → Uric Acid

Evidence profile

NoneDecreaseMetabolic Health
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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.

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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 Ertugliflozin and angiotensin (1-7), Ertugliflozin and angiotensin-converting enzyme 2 (ACE2).

Related evidence relationships

Explore in Evidence Archive

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 improve incidence of proteinuria?

Emerging Evidence

Ertugliflozin appears to improve Incidence of proteinuria.

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

Ranked evidence signals

  1. 1

    Incidence of proteinuria

    EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Ertugliflozin improve angiotensin (1-7)?

Emerging Evidence

Ertugliflozin appears to improve angiotensin (1-7).

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

Ranked evidence signals

  1. 1

    angiotensin (1-7)

    EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Ertugliflozin improve angiotensin-converting enzyme 2 (ace2)?

Emerging Evidence

Ertugliflozin appears to improve angiotensin-converting enzyme 2 (ACE2).

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

Ranked evidence signals

  1. 1

    angiotensin-converting enzyme 2 (ACE2)

    EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Ertugliflozin improve lipoprotein(a)?

Emerging Evidence

Ertugliflozin appears to improve lipoprotein(a).

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

Ranked evidence signals

  1. 1

    lipoprotein(a)

    EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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