Table 1.

Main results of the ACCORD, ADVANCE, and VADT trials

ACCORD3 N= 10 251ADVANCE4 N= 11 140VADT5 N= 1791
Δ HbA1c versus control−1.1%−0.8%−1.5%
Primary outcomeHR (95% CI)P-valueHR (95% CI)P-valueHR (95% CI)P-value
0.90 (0.78 to 1.04)a0.160.94 (0.82 to 0.98b0.010.88 (0.74 to 1.05)c0.14
MI + stroke + CV death0.90 (0.78 to 1.04)0.161.06 (0.94 to 1.16)0.31NA
Death1.14 (1.01 to 1.46)0.040.93 (0.83 to 1.06)0.281.07 (0.81 to 1.42)0.62
CV mortality1.35 (1.04 to 1.76)0.020.93 (0.85 to 1.02)0.121.32 (0.81 to 2.14)0.26
Non-fatal MI0.76 (0.62 to 0.92)0.0041.02 (0.77 to 1.22)0.860.82 (0.59 to 1.14)0.24
Non-fatal stroke1.06 (0.75 to 1.50)0.740.98 (0.76 to 1.15)NR0.78 (0.48 to 1.28)0.32
Severe hypoglycaemia3.00 (2.55 to 3.54)<0.00051.86 (1.42 to 2.80)<0.0013.52 (2.50 to 5.31)<0.005
  • a MI + stroke + CV death.

  • b ‘Major vascular events’: MI + stroke + CV death + new or worsening nephropathy (albumin–creatinine ratio >300 µg of albumin per milligram of creatinine or doubling of the serum creatinine level to at least 2.26 mg per decilitre or need for renal-replacement therapy, or death due to renal disease) + retinopathy (development of proliferative retinopathy, or macular oedema or diabetes-related blindness, or the use of retinal photocoagulation therapy).

  • c MI + stroke + CV death + heart failure + angina + vascular surgery + amputation. CV = cardiovascular. HR = hazard ratio. MI = myocardial infarction. NR = not reported. Bold = significant.