From: Sodium-glucose co-transporter-2 inhibitors in patients treated with immune checkpoint inhibitors
 | Entire Cohort | non-SGLT2i | SGLT2i | p value |
---|---|---|---|---|
Number | 119 | 95 | 24 | Â |
Demographics | ||||
 Age, years | 71 (10) | 71 (11) | 70 (6) | 0.578 |
 Female, N (%) | 45 (38) | 40 (42) | 5 (21) | 0.092 |
Cancer Types, N (%) | Â | Â | Â | 0.065 |
 NSCLC | 29 (24) | 24 (25) | 5 (21) |  |
 Melanoma | 19 (16) | 17 (18) | 2 (8) |  |
 Renal Cell Carcinoma | 27 (23) | 21 (22) | 6 (25) |  |
 Hepatocellular Carcinoma | 23 (19) | 17 (18) | 6 (25) |  |
 Breast | 6 (5) | 2 (2) | 4 (17) |  |
 Cervical Squamous | 6 (5) | 6 (6) | 0 (0) |  |
 Other | 9 (8) | 8 (8) | 1 (4) |  |
Cancer Stages N (%) | Â | Â | Â | 0.851 |
 2 | 1 (1) | 1 (1) | 0 (0) |  |
 3 | 13 (11) | 10 (11) | 3 (12) |  |
 4 | 105 (88) | 84 (88) | 21 (88) |  |
Metastasis N (%) | 105 (93) | 83 (93) | 22 (92) | 1.000 |
Brain metastasis N (%) | Â | Â | Â | 0.507 |
 No | 31 (27) | 23 (26) | 8 (33) |  |
 Yes | 11 (10) | 10 (11) | 1 (4) |  |
 Unknown | 71 (63) | 56 (63) | 15 (63) |  |
Bone metastasis N (%) | Â | Â | Â | 0.159 |
 No | 64 (57) | 52 (59) | 12 (50) |  |
 Yes | 41 (37) | 29 (33) | 12 (50) |  |
 Unknown | 7 (6) | 7 (8) | 0 (0) |  |
Lung metastasis N (%) | Â | Â | Â | 0.360 |
 No | 49 (44) | 38 (43) | 11 (48) |  |
 Yes | 48 (43) | 37 (42) | 11 (4) |  |
 Unknown | 15 (13) | 14 (16) | 1 (4) |  |
Liver metastasis N (%) | Â | Â | Â | 0.358 |
 No | 60 (53) | 46 (52) | 14 (58) |  |
 Yes | 46 (41) | 36 (40) | 10 (42) |  |
 Unknown | 7 (6) | 7 (8) | 0 (0) |  |
Lymph node metastasis N (%) | Â | Â | Â | 0.189 |
 No | 33 (30) | 25 (28) | 8 (33) |  |
 Yes | 68 (61) | 52 (59) | 16 (67) |  |
 Unknown | 11 (10) | 11 (13) | 0 (0) |  |
ECOG N (%) | Â | Â | Â | 0.094 |
 0 | 36 (41) | 24 (34) | 12 (71) |  |
 1 | 39 (44) | 35 (49) | 4 (4) |  |
 2 | 9 (10) | 8 (11) | 1 (6) |  |
 3 | 3 (3) | 3 (4) | 0 (0) |  |
Immunotherapy Type N (%) | Â | Â | Â | 0.441 |
 Pembrolizumab | 28 (24) | 24 (25) | 4 (17) |  |
 Nivolumab | 10 (8) | 8 (8) | 2 (8) |  |
 Avelumab | 9 (8) | 8 (8) | 1 (4) |  |
 Atezolizumab | 36 (30) | 25 (26) | 11 (46) |  |
 Ipilimumab + Nivolumab | 36 (30) | 30 (32) | 6 (25) |  |
Previous ICIs N (%) | 4 (3) | 3 (3) | 1 (4) | 0.713 |
Number of ICIs cycles, median [IQR] | 6 [3, 17] | 5 [3, 17] | 8 [4, 14] | 0.261 |
Number of ICIs lines, median [IQR] | 1 [1, 2] | 1 [1, 2] | 1 [1, 1]] | 0.201 |
Line of treatment N (%) | Â | Â | Â | 0.319 |
 1 | 72 (65) | 55 (63) | 17 (71) |  |
 2 | 31 (28) | 26 (30) | 5 (21) |  |
 3 | 6 (5) | 5 (6) | 1 (4) |  |
 4 | 1 (1) | 1 (1) | 0 (0) |  |
 5 | 1 (1) | 0 (0) | 1 (4) |  |
Previous lines, median [IQR] | 0 [0,1] | 0 [0, 1] | 0 [0,0] | 0.595 |
 0 | 87 (73) | 67 (71) | 20 (83) |  |
 1 | 21 (18) | 19 (20) | 2 (8) |  |
 2 | 6 (5) | 5 (5) | 1 (4) |  |
 3 | 3 (3) | 2 (2) | 1 (4) |  |
 4 | 2 (2) | 2 (2) | 0 (0) |  |
Chemotherapy/Biological plus ICIs N (%) | 39 (33) | 23 (24) | 16 (67) |  < 0.001 |
Only ICIs, N (%) | 80 (67) | 72 (76) | 8 (33) | Â |
Chemo plus ICIs, N (%) | 24 (20) | 13 (14) | 11 (46) | Â |
Biological plus ICIs, N (%) | 15 (13) | 10 (11) | 5 (21) | Â |
Cardio-Vascular Risk Factors | ||||
 Hypertension, N (%) | 70 (59) | 56 (59) | 14 (58) | 1.000 |
 Smoking, N (%) | 9 (8) | 7 (7) | 2 (8) | 1.000 |
 Ischemic Heart Disease, N (%) | 26 (22) | 16 (17) | 10 (42) | 0.019 |
 Obstructive Sleep Apnea, N (%) | 1 (1) | 1 (1) | 0 (0) | 1.000 |
 BMI baseline, mean (SD) | 28.6 (5.5) | 28.7 (5.7) | 28.3 (4.8) | 0.708 |
 Hyperlipidemia, N (%) | 41 (34) | 29 (31) | 12 (50) | 0.120 |
 Chronic Kidney Disease, N (%) | 8 (7) | 6 (6) | 2 (8) | 1.000 |
Cardiovascular Medications, N (%) | ||||
 MRA | 11 (9) | 6 (6) | 5 (21) | 0.072 |
 ARNI | 4 (3) | 2 (2) | 2 (8) | 0.380 |
 ACEI | 41 (34) | 30 (32) | 11 (46) | 0.283 |
 ARB | 35 (29) | 26 (27) | 9 (38) | 0.470 |
 Statin | 82 (69) | 60 (63) | 22 (92) | 0.014 |
 Furosemide | 17 (14) | 12 (13) | 5 (21) | 0.484 |
 Beta blocker | 58 (49) | 43 (47) | 15 (62) | 0.200 |
 Metformin | 91 (76) | 71 (75) | 20 (83) | 0.375 |
 GLP-1 | 1 (1) | 1 (1) | 0 (0) | 1.000 |
Baseline Laboratory Parameters | ||||
 HbA1C %, median [IQR] | 6.6 [6.1, 7.3] | 6.6 [6.0, 6.9] | 7.1 [6.3, 8.3] | 0.089 |
 WBC K/Ul, mean (SD) | 9.4 (3.4) | 9.5 (3.5) | 9.2 (3.0) | 0.756 |
 Platelet K/Ul, mean (SD) | 240.2 (83.7) | 243.8 (85.1) | 225.6 (77.6) | 0.352 |
 Hematocrit %, mean (SD) | 33.6 (6.2) | 32.8 (6.0) | 37.0 (6.1) | 0.003 |
 Creatinine mg/Dl, median (IQR) | 0.9 [0.7, 1.2] | 0.9 [0.7, 1.2] | 1.0 [0.9, 1.2] | 0.351 |
 Troponin I ng/L baseline, median (IQR) | 5.5 [2.5, 14.2] | 6.0 [4.0, 15.0] | 3.0 [0.5, 7.5] | 0.056 |
 Troponin I ng/L following ICIs, median (IQR) | 8.0 [5.0, 23.0] | 8.0 [5.0, 23.5] | 8.0 [5.0, 21.0] | 0.762 |