In our trial, the combined risk of cardiovascular death or hospitalization for heart failure was 25% lower among the patients who received empagliflozin than among those who received placebo, a difference that was primarily related to a 31% lower risk of hospitalization for heart failure. These benefits were seen in patients receiving any of the currently recommended drugs for heart failure, including sacubitril–valsartan, and were seen regardless of the presence or absence of diabetes. In addition, empagliflozin was associated with a lower number of hospitalizations for heart failure and with a slower rate of decline in the estimated GFR; the latter effect was accompanied by a lower risk of serious renal outcomes.