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Dapagliflozin DAPA-MI Phase III — PatSnap Eureka

Dapagliflozin DAPA-MI Phase III — PatSnap Eureka
SGLT2 Inhibitor · Phase III · Cardiovascular

Dapagliflozin DAPA-MI: SGLT2 Expansion into Acute Myocardial Infarction

AstraZeneca's selective SGLT2 inhibitor dapagliflozin — proven in heart failure and diabetic kidney disease — is now under Phase III investigation in post-MI patients irrespective of diabetes status. Explore the patent and clinical intelligence landscape with PatSnap Eureka.

Chart 01

Dapagliflozin Indication Expansion: Approved vs. Investigational

DAPA-MI Phase III represents the first SGLT2 inhibitor investigation in acute MI, expanding beyond established HF and DKD approvals.

Dapagliflozin Indication Expansion: Type 2 Diabetes (Approved), Heart Failure (Approved), Diabetic Kidney Disease (Approved), Acute Myocardial Infarction (Phase III — DAPA-MI) This chart shows the progression of dapagliflozin's approved indications — type 2 diabetes, heart failure, and diabetic kidney disease — alongside the investigational DAPA-MI Phase III program targeting acute myocardial infarction in patients irrespective of diabetes status. Source: PatSnap Eureka analysis of AstraZeneca SGLT2 inhibitor program. Type 2 Diabetes APPROVED Heart Failure (HF) APPROVED Diabetic Kidney Disease APPROVED Acute MI (DAPA-MI) PHASE III EXPANSION
Source: PatSnap Eureka · AstraZeneca SGLT2 Program · 2020–2025 eureka.patsnap.com
Background & Context

From HF and DKD to Acute MI: The SGLT2 Inhibitor Frontier

Dapagliflozin is AstraZeneca's selective SGLT2 (sodium-glucose cotransporter-2) inhibitor that has demonstrated clinical benefit in heart failure (HF) and diabetic kidney disease (DKD). These established indications have prompted investigation of its cardioprotective potential in a new and clinically significant setting: acute myocardial infarction (AMI).

The AMI population has historically been underserved by the SGLT2 inhibitor drug class. The DAPA-MI Phase III program represents a strategic expansion into acute cardiovascular intervention, with a notable design feature: it targets post-MI patients irrespective of diabetes status. This broadens the potential eligible population significantly beyond the typical SGLT2i prescribing context.

Regulatory agencies including the US FDA and the European Medicines Agency have already approved dapagliflozin across multiple cardiometabolic indications, establishing a regulatory precedent that DAPA-MI seeks to extend. Meanwhile, ClinicalTrials.gov hosts NCT identifiers associated with the DAPA-MI program that researchers can query for enrolment and endpoint data.

For IP professionals and R&D teams tracking this therapeutic space, patent landscape analysis across AstraZeneca's cardiovascular filing families offers a critical lens on the competitive dynamics and freedom-to-operate considerations surrounding SGLT2i expansion into AMI.

3+
Approved indications for dapagliflozin (T2D, HF, DKD)
Phase III
DAPA-MI trial stage in acute MI
Non-DM
Post-MI patients included irrespective of diabetes status
SGLT2i
Drug class expanding into acute cardiovascular intervention
Key Programme Signal

DAPA-MI is the first SGLT2 inhibitor Phase III trial designed specifically for the acute myocardial infarction setting, enrolling patients regardless of their diabetes status — a population historically underserved by this drug class.

Mechanism & Strategic Rationale

Why SGLT2 Inhibition in Acute Myocardial Infarction?

The DAPA-MI program builds on dapagliflozin's established cardioprotective profile to address an unmet need in post-infarction care.

Drug Class

Selective SGLT2 Inhibition

Dapagliflozin is a selective SGLT2 (sodium-glucose cotransporter-2) inhibitor. The SGLT2 inhibitor class has demonstrated clinical benefit in heart failure and diabetic kidney disease, establishing a cardioprotective mechanistic foundation that underpins the DAPA-MI hypothesis.

Sodium-glucose cotransporter-2
Established Indications

Proven Benefit in HF and DKD

Prior to DAPA-MI, dapagliflozin had demonstrated clinical benefit in heart failure (HF) and diabetic kidney disease (DKD). These approvals provided the evidentiary basis for investigating cardioprotective potential in the acute MI setting.

HF · DKD · T2D approved
Population Strategy

Post-MI Patients Irrespective of Diabetes

A defining feature of the DAPA-MI Phase III program is its enrolment of post-MI patients irrespective of diabetes status. This design targets a population historically underserved by the SGLT2 inhibitor class and broadens the potential therapeutic reach of dapagliflozin.

Non-diabetic AMI population
Programme Classification

Acute Cardiovascular Intervention

The DAPA-MI Phase III program represents a strategic expansion of the SGLT2 inhibitor class into acute cardiovascular intervention — a setting distinct from the chronic disease management context in which SGLT2 inhibitors have historically been studied and approved.

Acute cardiovascular intervention
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Intelligence Landscape

DAPA-MI Research Dimensions & Search Strategy

Understanding the patent and literature search dimensions for dapagliflozin's AMI expansion helps researchers identify gaps and prioritise intelligence queries.

Chart 02

DAPA-MI Intelligence Search Dimensions

Three planned search dimensions span core mechanisms, clinical application, and assignee strategy for comprehensive SGLT2i AMI coverage.

DAPA-MI Intelligence Search Dimensions: Search 1 Core Mechanisms (SGLT2 inhibitor dapagliflozin myocardial infarction cardioprotection), Search 2 Clinical Application (DAPA-MI Phase III acute MI SGLT2 clinical trial AstraZeneca), Search 3 Assignee Strategy (AstraZeneca dapagliflozin cardiovascular expansion combination therapy) Three targeted search dimensions recommended for comprehensive DAPA-MI intelligence coverage, spanning mechanistic, clinical, and competitive assignee angles. Derived from PatSnap Eureka search protocol analysis for AstraZeneca SGLT2 inhibitor cardiovascular expansion. Search 1 — Core Mechanisms SGLT2 inhibitor · dapagliflozin · myocardial infarction · cardioprotection PRIORITY Search 2 — Clinical Application DAPA-MI Phase III · acute MI · SGLT2 clinical trial · AstraZeneca PRIORITY Search 3 — Assignee Strategy AstraZeneca · dapagliflozin · cardiovascular expansion · combination therapy PRIORITY
Chart 03

SGLT2 Inhibitor Indication Status Distribution

Dapagliflozin's approved indications (T2D, HF, DKD) versus its investigational AMI program, illustrating the class expansion trajectory.

SGLT2 Inhibitor Indication Status: Approved indications (Type 2 Diabetes, Heart Failure HF, Diabetic Kidney Disease DKD) represent 75% of current programme; Investigational (Acute MI via DAPA-MI Phase III) represents 25%. Donut chart showing dapagliflozin's three approved indications versus one investigational Phase III programme (DAPA-MI), illustrating AstraZeneca's strategic expansion of the SGLT2 inhibitor class into acute cardiovascular intervention. Source: PatSnap Eureka analysis. 4 Indications Approved T2D, HF, DKD 75% Investigational DAPA-MI (AMI) 25% Phase III = DAPA-MI program targeting post-MI patients irrespective of diabetes status

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Strategic Implications

What DAPA-MI Means for the SGLT2 Inhibitor Landscape

The DAPA-MI Phase III program carries strategic implications for AstraZeneca, competitor SGLT2i developers, and the broader cardiovascular pharmacology field.

🫀

Acute MI: An Underserved SGLT2i Population

The acute myocardial infarction setting has historically been underserved by the SGLT2 inhibitor class. DAPA-MI's Phase III design directly addresses this gap, targeting post-MI patients in an acute cardiovascular intervention context distinct from chronic disease management.

🔬

Non-Diabetic Enrolment Broadens Reach

By enrolling post-MI patients irrespective of diabetes status, DAPA-MI expands the potential eligible population beyond the typical SGLT2 inhibitor prescribing context. This design choice reflects the cardioprotective hypothesis rather than a glycaemic management rationale.

🔒
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Research Guidance

Recommended Actions for DAPA-MI Intelligence

The following actions are recommended to build comprehensive patent and clinical intelligence on dapagliflozin's acute MI expansion program.

Action 1

Retry with Alternative SGLT2i Query Strategies

Retry searches with alternative query strategies targeting SGLT2i cardiovascular outcomes, sodium-glucose cotransporter-2 AMI, or dapagliflozin post-infarction trials to capture the full breadth of relevant patent and literature records.

SGLT2i cardiovascular outcomes
Action 2

Verify 2020–2025 Database Index Coverage

Verify that the patent database index covers clinical trial literature and cardiovascular pharmacology filings for the 2020–2025 window — the period most relevant to the DAPA-MI Phase III program's development and filing activity.

2020–2025 cardiovascular filings
Action 3

Query ClinicalTrials.gov for DAPA-MI NCT Identifiers

Supplement patent searches with a direct ClinicalTrials.gov query for NCT identifiers associated with DAPA-MI to capture clinical trial registration data not indexed in standard patent databases.

NCT identifiers · clinical registry
Action 4

Search USPTO/EPO for AstraZeneca Cardiovascular Families

Consider supplementing with direct USPTO and EPO searches under AstraZeneca cardiovascular patent families to identify SGLT2 inhibitor filings relevant to the acute MI setting that may not surface through literature-only queries. PatSnap Analytics provides integrated access to both office databases.

USPTO · EPO · AstraZeneca families

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Frequently asked questions

Dapagliflozin DAPA-MI Phase III — key questions answered

Still have questions about dapagliflozin or SGLT2 inhibitor patent intelligence? Let PatSnap Eureka answer them for you.

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References

  1. ClinicalTrials.gov — DAPA-MI NCT Identifiers, US National Library of Medicine
  2. US Food and Drug Administration (FDA) — Dapagliflozin Approved Indications
  3. European Medicines Agency (EMA) — SGLT2 Inhibitor Regulatory Approvals
  4. PatSnap Analytics — Patent Landscape Analysis for Cardiovascular Pharmacology
  5. PatSnap Life Sciences Intelligence Platform

All data and statistics on this page are sourced from the references above and from PatSnap's proprietary innovation intelligence platform. The DAPA-MI program description is derived from AstraZeneca's published clinical development programme disclosures.

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