The 11th Cardiovascular Outcome Trial (CVOT) Summit: Congress on
Cardiovascular, Kidney, and Metabolic Outcomes was held virtually on
November 20–21, 2025. The Summit provided a multidisciplinary forum to
review and discuss recent outcome trials investigating emerging
pharmacological therapies targeting diseases of the
cardiovascular–kidney–metabolic (CKM) continuum. This report highlights
the unique developments of 2025 discussed during the Summit, including
the first head-to-head CVOT (SURPASS-CVOT), the growing evidence base
for combination therapies across the disease spectrum, new insights into
the inflammatory component of the CKM syndrome, and relevant policy
developments. The first part of this report summarizes pioneering
clinical trials addressing combination therapy with finerenone and
empagliflozin (CONFIDENCE), the oral glucagon-like peptide-1 (GLP-1)
receptor agonists orforglipron (ATTAIN-1), and the aldosterone synthase
inhibitor (ASI) baxdrostat (BaxHTN). The second part presents recent
guideline and policy developments discussed by experts in endocrinology,
diabetology, cardiology, nephrology, hepatology, and general practice.
In addition, advances in medical technology, particularly in continuous
glucose and ketone monitoring, are highlighted, as well as emerging
therapies for diseases of the CKM continuum. These include
pharmacological agents for a broad spectrum of metabolic disorders such
as metabolic liver disease and type 1 Diabetes (T1D) alongside emphasis
on the importance of early detection and innovative treatment
strategies. The 12th Cardiovascular Outcome Trial Summit will be held
virtually on 19–20 November 2026 (http://www.cvot.org).