A Study to Evaluate the Efficacy and Safety of the Addition of Canagliflozin in Participants With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin and Sitagliptin

NCT ID: NCT02025907

Last Updated: 2016-10-31

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

PHASE4

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2015-09-30

Brief Summary

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The purpose of this study is to assess the effect of canagliflozin (JNJ-28431754) compared to placebo in the treatment of participants with Type 2 Diabetes Mellitus (T2DM), who have inadequate glycemic control on maximally or near-maximally effective doses of metformin and sitagliptin.

Detailed Description

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This is a randomized (the study medication is assigned by chance), double-blind (neither physician nor participant knows the identity of the assigned treatment), placebo-controlled (an inactive substance that is compared with a study drug, to test whether the study drug has a real effect), multicenter study of efficacy, safety, and tolerability of canagliflozin in participants with T2DM, who have inadequate glycemic (blood sugar) control on maximally or near-maximally effective doses of metformin \>=1500 mg/day and sitagliptin 100 mg/day. Approximately 200 participants will be randomly assigned to 1 of 2 treatment groups in 1:1 ratio for 26 weeks. During the study the participants will be also provided with diet and exercise counseling (standardized non-pharmacological therapy).

Conditions

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Diabetes Mellitus, Type 2

Keywords

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Diabetes Mellitus, Type 2 Canagliflozin Hemoglobin A1c Metformin Sitagliptin T2DM JNJ-28431754

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 (JNJ-28431754)

Each participant will receive canagliflozin (JNJ-28431754) 100 mg once daily during the first 6 weeks, then the dose may be increased to 300 mg once daily.

Group Type EXPERIMENTAL

Canagliflozin, 100 mg

Intervention Type DRUG

One 100 mg capsule taken orally (by mouth) once daily.

Canagliflozin, 300 mg

Intervention Type DRUG

One 300 mg capsule taken orally (by mouth) once daily.

Placebo

Each participant will receive placebo (inactive medication) once daily for 28 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

One placebo capsule taken orally (by mouth) once daily.

Interventions

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Canagliflozin, 100 mg

One 100 mg capsule taken orally (by mouth) once daily.

Intervention Type DRUG

Canagliflozin, 300 mg

One 300 mg capsule taken orally (by mouth) once daily.

Intervention Type DRUG

Placebo

One placebo capsule taken orally (by mouth) once daily.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Must have a diagnosis of type 2 diabetes mellitus
* Must have a screening HbA1c of \>=7.5% to \<=10.5%
* Must be on metformin \>=1500 mg/day and sitagliptin 100 mg/day (or equivalent fixed dose combination) at a stable dose for at least 12 weeks before screening

Exclusion Criteria

* History of diabetic ketoacidosis or T1DM, hereditary glucose-galactose malabsorption or primary renal glycosuria
* A myocardial infarction, unstable angina, revascularization procedure or cerebrovascular accident within 12 weeks before screening
* eGFR \<60 ml/min/1.73m2, or serum creatinine \>=1.4 mg/dL for men and \>=1.3 mg/dL for women
* Known significant liver disease (eg, acute hepatitis, chronic active hepatitis, cirrhosis)
* Major surgery (ie, requiring general anesthesia) within 12 weeks before screening
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 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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Montgomery, Alabama, United States

Site Status

Phoenix, Arizona, United States

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Little Rock, Arkansas, United States

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Northridge, California, United States

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Norwalk, California, United States

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Rancho Cucamonga, California, United States

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San Ramon, California, United States

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Aurora, Colorado, United States

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Denver, Colorado, United States

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Littleton, Colorado, United States

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Cooper City, Florida, United States

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Miami, Florida, United States

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North Miami Beach, Florida, United States

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Atlanta, Georgia, United States

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Perry, Georgia, United States

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Shawnee Mission, Kansas, United States

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Marrero, Louisiana, United States

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Metairie, Louisiana, United States

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Metarie, Louisiana, United States

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Rockville, Maryland, United States

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Jackson, Mississippi, United States

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Picayune, Mississippi, United States

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St Louis, Missouri, United States

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Nashua, New Hampshire, United States

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Albuquerque, New Mexico, United States

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Albany, New York, United States

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Arlington, Texas, United States

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San Antonio, Texas, United States

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Sugarland, Texas, United States

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Bountiful, Utah, United States

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Coffs Harbour, , Australia

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Freemantle, , Australia

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Geelong, , Australia

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Heidelberg, , Australia

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Herston, , Australia

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Melbourne, , Australia

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Merewether, , Australia

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Sherwood, , Australia

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Sydney, , Australia

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Wollongong, , Australia

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Brampton, Ontario, Canada

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Hawkesbury, Ontario, Canada

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Toronto, Ontario, Canada

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La Rochelle Cedex 1 Poitou-Cha, , France

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La Tronche, , France

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Nancy, , France

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Narbonne, , France

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Nice, , France

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Paris, , France

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Vénissieux, , France

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Freiburg im Breisgau, , Germany

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Fulda, , Germany

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Hamburg, , Germany

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Münster, , Germany

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Neuwied, , Germany

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Pirna, , Germany

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Speyer, , Germany

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Countries

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United States Australia Canada France Germany

References

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Cai J, Delahanty LM, Akapame S, Slee A, Traina S. Impact of Canagliflozin Treatment on Health-Related Quality of Life among People with Type 2 Diabetes Mellitus: A Pooled Analysis of Patient-Reported Outcomes from Randomized Controlled Trials. Patient. 2018 Jun;11(3):341-352. doi: 10.1007/s40271-017-0290-4.

Reference Type DERIVED
PMID: 29313267 (View on PubMed)

Other Identifiers

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2013-004819-40

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

28431754DIA4004

Identifier Type: OTHER

Identifier Source: secondary_id

CR103477

Identifier Type: -

Identifier Source: org_study_id