A Efficacy, Safety, and Tolerability Study of Canagliflozin in Patients With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin Alone or in Combination With a Sulphonylurea

NCT ID: NCT01381900

Last Updated: 2014-05-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

678 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2012-11-30

Brief Summary

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The purpose of this study is to assess the safety, tolerability, and efficacy of the addition of canagliflozin relative to the addition of placebo in patients with inadequate glycemic control on metformin alone or in combination with a sulphonylurea.

Detailed Description

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This is a double-blind (neither study staff or the patient will know the identity of the treatment assigned) study of canagliflozin where Chinese and other Asian adult patients with Type 2 Diabetes Mellitus (T2DM) who have inadequate glycemic control on metformin alone or in combination with a sulphonylurea (SU) will be randomized (assigned to 1 of 3 treatments by chance) to receive the addition of treatment with canagliflozin 100 mg once daily, canagliflozin 300 mg once daily, or matching placebo capsules (placebo is a treatment identical in appearance to canagliflozin but does not contain active drug). All patients will take orally (by mouth) 1 single-blind placebo capsule once daily before the first meal of the day for up to 2 weeks (last dose of single-blind placebo to be taken the day before the baseline (Day 1) visit. On Day 1, patients will take orally, once daily 1 capsule of canagliflozin 100 mg, canagliflozin 300 mg, or placebo before the first meal of the day for up to 18 weeks.

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

DOUBLE

Participants Caregivers

Study Groups

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Canagliflozin 100mg

Each participant will receive 100 mg of canagliflozin once daily for 18 weeks with protocol-specified doses of metformin alone or metformin plus sulphonylurea.

Group Type EXPERIMENTAL

Canagliflozin 100mg

Intervention Type DRUG

Type=1, unit=mg, number=100, form=capsule, route=oral use. One capsule once daily for up to 18 weeks after completing a single-blind placebo run-in period (1 placebo capsule once daily for up to 2 weeks).

Metformin

Intervention Type DRUG

The participant's stable dose of background therapy of metformin should be continued throughout the study.

Sulphonylurea

Intervention Type DRUG

The participant's stable dose of background therapy of metformin plus sulphonylurea should be continued throughout the study.

Canagliflozin 300mg

Each participant will receive 300 mg of canagliflozin once daily for 18 weeks with protocol-specified doses of metformin alone or metformin plus sulphonylurea.

Group Type EXPERIMENTAL

Canagliflozin 300mg

Intervention Type DRUG

Type=1, unit=mg, number=300, form=capsule, route=oral use. One capsule once daily for up to 18 weeks after completing a single-blind placebo run-in period (1 placebo capsule once daily for up to 2 weeks).

Metformin

Intervention Type DRUG

The participant's stable dose of background therapy of metformin should be continued throughout the study.

Sulphonylurea

Intervention Type DRUG

The participant's stable dose of background therapy of metformin plus sulphonylurea should be continued throughout the study.

Placebo

Each participant will receive matching placebo once daily for 18 weeks with protocol-specified doses of metformin alone or metformin plus sulphonylurea.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Form=capsule, route=oral administration. One capsule once daily for up to 18 weeks after completing a single-blind placebo run-in period (1 placebo capsule once daily for up to 2 weeks).

Metformin

Intervention Type DRUG

The participant's stable dose of background therapy of metformin should be continued throughout the study.

Sulphonylurea

Intervention Type DRUG

The participant's stable dose of background therapy of metformin plus sulphonylurea should be continued throughout the study.

Interventions

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Placebo

Form=capsule, route=oral administration. One capsule once daily for up to 18 weeks after completing a single-blind placebo run-in period (1 placebo capsule once daily for up to 2 weeks).

Intervention Type DRUG

Canagliflozin 100mg

Type=1, unit=mg, number=100, form=capsule, route=oral use. One capsule once daily for up to 18 weeks after completing a single-blind placebo run-in period (1 placebo capsule once daily for up to 2 weeks).

Intervention Type DRUG

Canagliflozin 300mg

Type=1, unit=mg, number=300, form=capsule, route=oral use. One capsule once daily for up to 18 weeks after completing a single-blind placebo run-in period (1 placebo capsule once daily for up to 2 weeks).

Intervention Type DRUG

Metformin

The participant's stable dose of background therapy of metformin should be continued throughout the study.

Intervention Type DRUG

Sulphonylurea

The participant's stable dose of background therapy of metformin plus sulphonylurea should be continued throughout the study.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with T2DM with inadequate glycemic control on metformin monotherapy or on metformin in combination with an SU at protocol-specified doses and having HbA1c \>=7.0% and \<=10.5% at Week -2 are eligible for enrollment in the study.

Exclusion Criteria

* History of diabetic ketoacidosis, type 1 diabetes mellitus (T1DM), pancreas or beta cell transplantation, or diabetes secondary to pancreatitis or pancreatectomy
* Has repeated (ie, 2 or more over a 1-week period) fasting plasma glucose (FPG) and/or fasting self-monitored blood glucose (SMBG) measurements \>=270 mg/dL (15 mmol/L) during the pre-treatment phase, despite reinforcement of diet and exercise counseling
* History of a severe hypoglycemic episode within 6 months before screening
* History of or current illness considered to be clinically significant by the investigator
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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Baotou, , China

Site Status

Beijing, , China

Site Status

Changchun, , China

Site Status

Changsha, , China

Site Status

Chengdu, , China

Site Status

Chongqing, , China

Site Status

Guangzhou, , China

Site Status

Hangzhou, , China

Site Status

Harbin, , China

Site Status

Nanchang, , China

Site Status

Nanjing, , China

Site Status

Nanning, , China

Site Status

Shanghai, , China

Site Status

Shenyang, , China

Site Status

Shiyan, , China

Site Status

Siping, , China

Site Status

Suzhou, , China

Site Status

Tianjin, , China

Site Status

Wuxi, , China

Site Status

Xi'an, , China

Site Status

Kota Bharu, , Malaysia

Site Status

Kuala Selangor, , Malaysia

Site Status

Pulau Pinang, , Malaysia

Site Status

Hanoi, , Vietnam

Site Status

Ho Chi Minh City, , Vietnam

Site Status

Countries

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China Malaysia Vietnam

Other Identifiers

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28431754DIA3014

Identifier Type: OTHER

Identifier Source: secondary_id

CR018541

Identifier Type: -

Identifier Source: org_study_id

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