Empagliflozin

InterventionSGLT2 inhibitors6 papers12 findingsPubChem 11949646ChEBI 82720MeSH C570240

Human trials show empagliflozin increases urine volume, sodium excretion, haematocrit, and serum magnesium while improving angina symptoms and endothelial function. Reviews also link it to reduced kidney disease progression and cardiovascular mortality in chronic kidney disease.

  • Human trial4
  • Humans1

Outcomes

10

Endothelial dysfunction

downin humans1Very low certainty

1 study
  1. Empagliflozin decreases endothelial dysfunction in humans.

    Human trialANOCA participants with CMVD10 mg daily90 days

    Empagliflozin Improves Angina and Endothelial Dysfunction Indices in Angina and No Obstructive Coronary Arteries (ANOCA) · Arteriosclerosis, thrombosis, and vascular biology · 1 Oct 2026

Seattle Angina Questionnaire summary score

upin humans1Very low certainty

1 study
  1. Empagliflozin improves seattle Angina Questionnaire summary score in humans (14.0 (4.2-23.9) points).

    Human trialANOCA participants with CMVD10 mg daily90 daysn = 11

    Empagliflozin Improves Angina and Endothelial Dysfunction Indices in Angina and No Obstructive Coronary Arteries (ANOCA) · Arteriosclerosis, thrombosis, and vascular biology · 1 Oct 2026

Daily paracentesis volume

downin humans1Low certainty

1 study
  1. Empagliflozin decreases daily paracentesis volume in humans (mean difference -0.70 L/day, 95%CI: -1.17 to -0.23).

    Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21

    Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026

24-hour urine volume

upin humans1Low certainty

1 study
  1. Empagliflozin increases 24-hour urine volume in humans (+ 822 mL/24 h (95%CI: 403-1240)).

    Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21

    Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026

24-hour urinary sodium excretion

upin humans1Low certainty

1 study
  1. Empagliflozin increases 24-hour urinary sodium excretion in humans (+92.1 mmol/24 h (95%CI: 47.1-137.2)).

    Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21

    Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026

24-hour urinary sodium excretion →

Fractional excretion of sodium

upin humans1Low certainty

1 study
  1. Empagliflozin increases fractional excretion of sodium in humans (+0.44 percentage points (95%CI: 0.05-0.83; p=0.029)).

    Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21

    Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026

Fractional excretion of sodium →

Lipoprotein profiles

no changein humans1Very low certainty

1 study
  1. Empagliflozin has no effect on lipoprotein profiles in humans.

    “without altering lipoprotein profiles”

    Human trialtype 2 diabetes3 months

    Metabolic and Lipoprotein Changes in Type 2 Diabetes Patients Treated with Empagliflozin · Biomedicines · 8 Sep 2026

Hematocrit

upin humans1Very low certainty

1 study
  1. Empagliflozin increases hematocrit in humans (1.74 ± 2.08%).

    “hematocrit (mean difference = 1.74 ± 2.08%”

    Human trialtype 2 diabetes1 month

    Metabolic and Lipoprotein Changes in Type 2 Diabetes Patients Treated with Empagliflozin · Biomedicines · 8 Sep 2026

Hematocrit →

Serum magnesium

upin humans1Very low certainty

1 study
  1. Empagliflozin increases serum magnesium in humans (0.26 ± 0.38 mg/dL).

    “Empagliflozin increased serum magnesium (mean difference = 0.26 ± 0.38 mg/dL”

    Human trialtype 2 diabetes1 month

    Metabolic and Lipoprotein Changes in Type 2 Diabetes Patients Treated with Empagliflozin · Biomedicines · 8 Sep 2026

Serum magnesium →

Estimated glomerular filtration rate decline

downin humans1High certainty

1 study
  1. Empagliflozin decreases estimated glomerular filtration rate decline in humans.

    Reviewadults with CKD

    Empagliflozin: Reimbursement Recommendation · Canadian Agency for Drugs and Technologies in Health, Ottawa (ON) · 1 Aug 2026

Associations

2

Hospitalization for any cause

downin humans1High certainty

1 study
  1. Empagliflozin lowers the risk of hospitalization for any cause in humans.

    Reviewadults with CKD

    Empagliflozin: Reimbursement Recommendation · Canadian Agency for Drugs and Technologies in Health, Ottawa (ON) · 1 Aug 2026

Progression of kidney disease or cardiovascular death

downin humans1High certainty

1 study
  1. Empagliflozin lowers the risk of progression of kidney disease or cardiovascular death in humans.

    Reviewadults with CKD

    Empagliflozin: Reimbursement Recommendation · Canadian Agency for Drugs and Technologies in Health, Ottawa (ON) · 1 Aug 2026

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