An Efficacy, Safety, and Tolerability Study of Canagliflozin in the Treatment of Patients With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin Monotherapy

NCT ID: NCT01340664

Last Updated: 2014-09-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

279 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2012-04-30

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of 2 different doses of canagliflozin compared with placebo in patients with type 2 diabetes mellitus who are receiving treatment with metformin monotherapy (ie, treatment with a single drug) and have inadequate glycemic (blood sugar) control.

Detailed Description

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This is a randomized (study drug assigned by chance), double-blind (neither the patient nor the study doctor will know the identity of assigned study drug), placebo-controlled, parallel-group,3-arm (3 treatment groups) multicenter study to determine the efficacy, safety, and tolerability of canagliflozin compared to placebo (a capsule that is identical in appearance to canagliflozin but does not contain active drug) in patients with type 2 diabetes mellitus (T2DM) who are not achieving an adequate response from current antihyperglycemic therapy with metformin to control their diabetes. Canagliflozin (a Sodium-Glucose Cotransporter 2 inhibitor) is currently under development to lower blood sugar levels in patients with T2DM. Patients will take single-blind placebo capsules orally (by mouth) for 2 weeks before randomization. Patients will be randomly assigned canagliflozin or matching placebo, orally, twice daily, with 1 capsule taken with the morning meal and 1 capsule taken with the evening meal (2 capsules per day) and concurrent with metformin, if applicable, for up to 18 weeks. The dosing time of metformin should remain the same throughout the study.

Conditions

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Diabetes Mellitus, Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Canagliflozin 50 mg bid

Each patient will receive 50 mg canagliflozin twice daily for 18 weeks.

Group Type EXPERIMENTAL

Canagliflozin 50 mg

Intervention Type DRUG

One canagliflozin 50-mg capsule taken orally twice daily with a meal for 18 weeks

Metformin

Intervention Type DRUG

The patient's stable daily dose of Metformin background therapy should be continued throughout the study.

Canagliflozin 150 mg bid

Each patient will receive 150 mg canagliflozin twice daily for 18 weeks

Group Type EXPERIMENTAL

Canagliflozin 150 mg

Intervention Type DRUG

1 canagliflozin 150-mg capsule taken orally twice daily with a meal for 18 weeks

Metformin

Intervention Type DRUG

The patient's stable daily dose of Metformin background therapy should be continued throughout the study.

Placebo

Each patient will receive matching placebo twice daily for 18 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

1 placebo capsule taken orally twice daily with a meal for 18 weeks

Metformin

Intervention Type DRUG

The patient's stable daily dose of Metformin background therapy should be continued throughout the study.

Interventions

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Canagliflozin 50 mg

One canagliflozin 50-mg capsule taken orally twice daily with a meal for 18 weeks

Intervention Type DRUG

Placebo

1 placebo capsule taken orally twice daily with a meal for 18 weeks

Intervention Type DRUG

Canagliflozin 150 mg

1 canagliflozin 150-mg capsule taken orally twice daily with a meal for 18 weeks

Intervention Type DRUG

Metformin

The patient's stable daily dose of Metformin background therapy should be continued throughout the study.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* All patients must have a diagnosis of T2DM and be currently treated with metformin
* Patients in the study must have a HbA1c between \>=7 and \<=10.5%
* Patients must have a fasting plasma glucose (FPG) \<270 mg/dL (15 mmol/L)

Exclusion Criteria

* History of diabetic ketoacidosis, type 1 diabetes mellitus (T1DM), pancreas or beta cell transplantation, diabetes secondary to pancreatitis or pancreatectomy, or a severe hypoglycemic episode within 6 months before screening
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Little Rock, Arkansas, United States

Site Status

National City, California, United States

Site Status

Spring Valley, California, United States

Site Status

Bradenton, Florida, United States

Site Status

Marianna, Florida, United States

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Savannah, Georgia, United States

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Avon, Indiana, United States

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Valparaiso, Indiana, United States

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Madisonville, Kentucky, United States

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Metairie, Louisiana, United States

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Charlotte, North Carolina, United States

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Columbus, Ohio, United States

Site Status

Mason, Ohio, United States

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Perrysburg, Ohio, United States

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Tulsa, Oklahoma, United States

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Yukon, Oklahoma, United States

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Oregon City, Oregon, United States

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Pittsburgh, Pennsylvania, United States

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East Providence, Rhode Island, United States

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Nashville, Tennessee, United States

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Houston, Texas, United States

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Pearland, Texas, United States

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San Antonio, Texas, United States

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Bountiful, Utah, United States

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Virginia Beach, Virginia, United States

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Milwaukee, Wisconsin, United States

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St. John's, Newfoundland and Labrador, Canada

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Halifax, Nova Scotia, Canada

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Brampton, Ontario, Canada

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Toronto, Ontario, Canada

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Saskatoon, Saskatchewan, Canada

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Beroun, , Czechia

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Olomouc, , Czechia

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Ostrava, , Czechia

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Pardubice, , Czechia

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Písek, , Czechia

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Prague, , Czechia

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Znojmo, , Czechia

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Aguascalientes, , Mexico

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Guadalajara, Jalisco., , Mexico

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Monterrey, , Mexico

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Tampico, , Mexico

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Bacau, , Romania

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Brasov, , Romania

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Bucharest, , Romania

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Cluj-Napoca, , Romania

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Galati, , Romania

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Târgu Mureş, , Romania

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Kursk, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Samara, , Russia

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Saratov, , Russia

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Tyumen, , Russia

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Voronezh, , Russia

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Banská Bystrica, , Slovakia

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Bratislava, , Slovakia

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Košice, , Slovakia

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Prešov, , Slovakia

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Šahy, , Slovakia

Site Status

Trebišov, , Slovakia

Site Status

Countries

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United States Canada Czechia Mexico Romania Russia Slovakia

References

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Qiu R, Capuano G, Meininger G. Efficacy and safety of twice-daily treatment with canagliflozin, a sodium glucose co-transporter 2 inhibitor, added on to metformin monotherapy in patients with type 2 diabetes mellitus. J Clin Transl Endocrinol. 2014 May 5;1(2):54-60. doi: 10.1016/j.jcte.2014.04.001. eCollection 2014 Jun.

Reference Type DERIVED
PMID: 29159083 (View on PubMed)

Other Identifiers

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28431754DIA2003

Identifier Type: OTHER

Identifier Source: secondary_id

2010-024256-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CR017914

Identifier Type: -

Identifier Source: org_study_id

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