Cardiology Rx (Repurposed) kidneys cardiovascular liver

Empagliflozin (SGLT2i)

em-pa-gli-FLOH-zin USAN
Formula C23H27ClO7 MW 450.91 g/mol PubChem CID 11949646 →

IUPAC Empagliflozin

SMILES C1CC(OC1)OC2=CC=C(C=C2)CC3=C(C=CC(=C3)[C@H]4[C@@H]([C@H]([C@@H]([C@H](O4)CO)O)O)O)Cl
2D structure
A+ 90.0/100

Evidence Summary

SGLT2 inhibitors (empagliflozin, dapagliflozin) are the highest-evidence longevity compound class in the registry, with A+ grades for both CKD and heart failure indications. The EMPA-KIDNEY, DAPA-CKD, and CREDENCE trials demonstrated significant reductions in kidney disease progression and cardiovascular death.

Unlike most longevity interventions, SGLT2 inhibitors have multiple completed Phase 3 RCTs with hard clinical endpoints across multiple indications. They are FDA-approved and widely prescribed.

SGLT2 inhibitors receive less consumer attention than GLP-1 agonists despite comparable or superior clinical evidence for organ-specific outcomes — a key example of the evidence-hype gap this platform exists to surface.

Safety Considerations

Genital mycotic infections (common). Diabetic ketoacidosis risk (rare, even in non-diabetics). Volume depletion risk in elderly or those on diuretics. Fournier gangrene (extremely rare). Monitor renal function. Not recommended in advanced CKD (eGFR <20).

Evidence Signals (0)

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Products Containing Empagliflozin (SGLT2i)

No commercial products are currently listed for this molecule.

Regulatory Intelligence

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This evidence profile reflects publicly available research as of March 15, 2026. Evidence grades may change as new research is published. ClinEvident grades the quality of published evidence — it does not evaluate the efficacy of any specific commercial product.