Trial Outcomes & Findings for 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 NCT02025907)

NCT ID: NCT02025907

Last Updated: 2016-10-31

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

218 participants

Primary outcome timeframe

Baseline and Week 26

Results posted on

2016-10-31

Participant Flow

One participant was randomized at 2 different sites (once to placebo and once to canagliflozin) and was therefore counted twice in the total number of randomized participants. The participant was withdrawn from the study and not included in any efficacy or safety analyses.

Participant milestones

Participant milestones
Measure
Placebo
Participants administered with placebo (inactive medication) once daily for 26 weeks.
Canagliflozin
Participants administered canagliflozin (JNJ-28431754) 100 milligram (mg) titratable to 300 mg once daily for 26 weeks.
Overall Study
STARTED
108
108
Overall Study
COMPLETED
81
96
Overall Study
NOT COMPLETED
27
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Participants administered with placebo (inactive medication) once daily for 26 weeks.
Canagliflozin
Participants administered canagliflozin (JNJ-28431754) 100 milligram (mg) titratable to 300 mg once daily for 26 weeks.
Overall Study
Lack of Efficacy
1
0
Overall Study
Withdrawal by Subject
15
8
Overall Study
Protocol Violation
2
0
Overall Study
Physician Decision
2
0
Overall Study
Lost to Follow-up
2
2
Overall Study
Adverse Event
3
1
Overall Study
Potential misconduct,GCPcompliance issue
2
1

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=106 Participants
Participants administered with placebo (inactive medication) once daily for 26 weeks.
Canagliflozin
n=107 Participants
Participants administered canagliflozin (JNJ-28431754) 100 milligram (mg) titratable to 300 mg once daily for 26 weeks.
Total
n=213 Participants
Total of all reporting groups
Age, Continuous
57.5 years
STANDARD_DEVIATION 10.14 • n=93 Participants
57.4 years
STANDARD_DEVIATION 9.28 • n=4 Participants
57.4 years
STANDARD_DEVIATION 9.69 • n=27 Participants
Gender
Female
51 Participants
n=93 Participants
41 Participants
n=4 Participants
92 Participants
n=27 Participants
Gender
Male
55 Participants
n=93 Participants
66 Participants
n=4 Participants
121 Participants
n=27 Participants
Region of Enrollment
Australia
13 participants
n=93 Participants
22 participants
n=4 Participants
35 participants
n=27 Participants
Region of Enrollment
Canada
16 participants
n=93 Participants
23 participants
n=4 Participants
39 participants
n=27 Participants
Region of Enrollment
France
10 participants
n=93 Participants
6 participants
n=4 Participants
16 participants
n=27 Participants
Region of Enrollment
Germany
16 participants
n=93 Participants
13 participants
n=4 Participants
29 participants
n=27 Participants
Region of Enrollment
United States
51 participants
n=93 Participants
43 participants
n=4 Participants
94 participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline and Week 26

Population: mITT population included all randomized participants who received at least 1 dose of double-blind study drug. A total of 3 participants were excluded from the mITT population due to potential misconduct and GCP compliance issues. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

Outcome measures

Outcome measures
Measure
Placebo
n=94 Participants
Participants administered with placebo (inactive medication) once daily for 26 weeks.
Canagliflozin
n=99 Participants
Participants administered canagliflozin (JNJ-28431754) 100 milligram (mg) titratable to 300 mg once daily for 26 weeks.
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 26
-0.01 percentage of glycosylated hemoglobin
Standard Error 0.119
-0.91 percentage of glycosylated hemoglobin
Standard Error 0.113

SECONDARY outcome

Timeframe: Baseline and Week 26

Population: mITT population included all randomized participants who received at least 1 dose of double-blind study drug. A total of 3 participants were excluded from the mITT population due to potential misconduct and GCP compliance issues. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

Outcome measures

Outcome measures
Measure
Placebo
n=104 Participants
Participants administered with placebo (inactive medication) once daily for 26 weeks.
Canagliflozin
n=103 Participants
Participants administered canagliflozin (JNJ-28431754) 100 milligram (mg) titratable to 300 mg once daily for 26 weeks.
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
-0.14 millimoles per liter
Standard Error 0.281
-1.65 millimoles per liter
Standard Error 0.264

SECONDARY outcome

Timeframe: Baseline and Week 26

Population: mITT population included all randomized participants who received at least 1 dose of double-blind study drug. A total of 3 participants were excluded from the mITT population due to potential misconduct and GCP compliance issues. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

Outcome measures

Outcome measures
Measure
Placebo
n=104 Participants
Participants administered with placebo (inactive medication) once daily for 26 weeks.
Canagliflozin
n=103 Participants
Participants administered canagliflozin (JNJ-28431754) 100 milligram (mg) titratable to 300 mg once daily for 26 weeks.
Percent Change From Baseline in Body Weight at Week 26
-1.60 percent change
Standard Error 0.337
-3.35 percent change
Standard Error 0.324

SECONDARY outcome

Timeframe: Week 26

Population: mITT population included all randomized participants who received at least 1 dose of double-blind study drug. A total of 3 participants were excluded from the mITT population due to potential misconduct and GCP compliance issues. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

Outcome measures

Outcome measures
Measure
Placebo
n=82 Participants
Participants administered with placebo (inactive medication) once daily for 26 weeks.
Canagliflozin
n=96 Participants
Participants administered canagliflozin (JNJ-28431754) 100 milligram (mg) titratable to 300 mg once daily for 26 weeks.
Percentage of Participants With HbA1c Less Than (<) 7.0 Percent at Week 26
12.2 percentage of participants
32.3 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Week 26

Population: mITT population included all randomized participants who received at least 1 dose of double-blind study drug. A total of 3 participants were excluded from the mITT population due to potential misconduct and GCP compliance issues. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

Outcome measures

Outcome measures
Measure
Placebo
n=104 Participants
Participants administered with placebo (inactive medication) once daily for 26 weeks.
Canagliflozin
n=103 Participants
Participants administered canagliflozin (JNJ-28431754) 100 milligram (mg) titratable to 300 mg once daily for 26 weeks.
Change From Baseline in Systolic Blood Pressure (SBP) at Week 26
0.09 millimeter of mercury (mmHg)
Standard Error 1.123
-5.76 millimeter of mercury (mmHg)
Standard Error 1.078

Adverse Events

Placebo

Serious events: 2 serious events
Other events: 16 other events
Deaths: 0 deaths

Canagliflozin

Serious events: 2 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=108 participants at risk
Participants administered with placebo (inactive medication) once daily for 26 weeks.
Canagliflozin
n=108 participants at risk
Participants administered canagliflozin (JNJ-28431754) 100 milligram (mg) titratable to 300 mg once daily for 26 weeks.
Cardiac disorders
Angina Unstable
0.00%
0/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
0.93%
1/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
Infections and infestations
Diverticulitis
0.00%
0/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
0.93%
1/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
Nervous system disorders
Cerebral Infarction
0.93%
1/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
0.00%
0/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
Nervous system disorders
Transient Ischaemic Attack
0.93%
1/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
0.00%
0/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.

Other adverse events

Other adverse events
Measure
Placebo
n=108 participants at risk
Participants administered with placebo (inactive medication) once daily for 26 weeks.
Canagliflozin
n=108 participants at risk
Participants administered canagliflozin (JNJ-28431754) 100 milligram (mg) titratable to 300 mg once daily for 26 weeks.
Infections and infestations
Nasopharyngitis
5.6%
6/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
5.6%
6/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
Infections and infestations
Upper Respiratory Tract Infection
2.8%
3/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
1.9%
2/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
Metabolism and nutrition disorders
Hyperglycaemia
4.6%
5/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
0.00%
0/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
Musculoskeletal and connective tissue disorders
Back Pain
0.93%
1/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
2.8%
3/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
Musculoskeletal and connective tissue disorders
Pain in Extremity
0.93%
1/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
2.8%
3/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
Psychiatric disorders
Depression
0.00%
0/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
2.8%
3/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
Renal and urinary disorders
Polyuria
2.8%
3/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.
2.8%
3/108 • From Baseline, up to end of treatment (Approximately 31 weeks)
Safety population included all randomized participants who received at least 1 dose of double-blind study drug and 3 participants who were excluded from the mITT population due to potential misconduct and GCP compliance issues.

Additional Information

Senior Director, Clinical Leader

Janssen Research & Development, LLC

Results disclosure agreements

  • Principal investigator is a sponsor employee A copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested in writing, such publication will be withheld for up to an additional 60 days.
  • Publication restrictions are in place

Restriction type: OTHER