A Study of Effects of Canagliflozin as Add-on Therapy to Insulin in the Treatment of Participants With Type 1 Diabetes Mellitus (T1DM)

NCT ID: NCT02139943

Last Updated: 2016-07-18

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

352 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2015-06-30

Brief Summary

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The purpose of this study is to assess the effects of administration of canagliflozin 100 mg and 300 mg, compared with placebo as an addition to insulin therapy for the treatment of Type 1 Diabetes Mellitus (T1DM).

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 medication to test whether the medication has a real effect) parallel-group, multicenter study of canagliflozin as an addition to insulin therapy for participants with type 1 diabetes mellitus and inadequate glycemic control.

Approximately 330 participants will be randomly assigned in a 1:1:1 ratio to either canagliflozin 100 mg, canagliflozin 300 mg, or placebo groups. About 90 participants (30 per treatment group) will be selected for a substudy with a purpose of a continuous glucose monitoring (CGM) assessment for 7 days at baseline and 7 days at the end of treatment.

The total duration of the participation will be about 22 weeks, during which participants will need to return to investigational sites for approximately 9 visits. During the study participants will receive advice on treatment of hypoglycemia and diabetic ketoacidosis (DKA), as well as on compliance with diet and exercise.

Conditions

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Diabetes Mellitus, Type 1

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Canagliflozin 100 mg

Each participant will receive 100 mg of canagliflozin once daily for 18 weeks.

Group Type EXPERIMENTAL

Canagliflozin 100 mg

Intervention Type DRUG

Canagliflozin capsule of 100 mg dose will be taken orally, before the first meal of the day.

Canagliflozin 300 mg

Each participant will receive 300 mg of canagliflozin once daily for 18 weeks.

Group Type EXPERIMENTAL

Canagliflozin 300 mg

Intervention Type DRUG

Canagliflozin capsule of 300 mg dose will be taken orally, before the first meal of the day.

Placebo

Each participant will receive matching placebo once daily for 18 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo capsule will be taken orally, before the first meal of the day.

Interventions

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Canagliflozin 100 mg

Canagliflozin capsule of 100 mg dose will be taken orally, before the first meal of the day.

Intervention Type DRUG

Canagliflozin 300 mg

Canagliflozin capsule of 300 mg dose will be taken orally, before the first meal of the day.

Intervention Type DRUG

Placebo

Matching placebo capsule will be taken orally, before the first meal of the day.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Must have type 1 diabetes mellitus (T1DM) for at least 1 year
* Must have have inadequate glycemic control (as defined by glycosylated hemoglobin level of \>= 7.0% to \<= 9.0%) on basal plus bolus insulin at screening
* Must have body mass index 21 to 35 kg/m2 inclusive
* Must be on a total daily dose of insulin \>= 0.6 IU/kg at screening
* Must be on a stable insulin regimen for at least 8 weeks prior to screening

Exclusion Criteria

* History of T2DM, pancreas or β-cell transplantation, or diabetes secondary to pancreatitis or pancreatectomy
* Severe hypoglycemia (defined as an event required assistance from another person, or which resulted in seizure or loss of consciousness) within 6 months prior to study start
* Diabetic ketoacidosis within 6 months prior to study start
* History of hereditary glucose-galactose malabsorption or primary renal glycosuria
* An ongoing, inadequately controlled thyroid disorder
Minimum Eligible Age

25 Years

Maximum Eligible Age

65 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

Concord, California, United States

Site Status

La Jolla, California, United States

Site Status

Los Angeles, California, United States

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Los Gatos, California, United States

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Northridge, California, United States

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Orange, California, United States

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San Francisco, California, United States

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Temecula, California, United States

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Tustin, California, United States

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Ventura, California, United States

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Walnut Creek, California, United States

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Denver, Colorado, United States

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Miami, Florida, United States

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Palm Harbor, Florida, United States

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Atlanta, Georgia, United States

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Honolulu, Hawaii, United States

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Council Bluffs, Iowa, United States

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Des Moines, Iowa, United States

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Baton Rouge, Louisiana, United States

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Rockville, Maryland, United States

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Billings, Montana, United States

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Omaha, Nebraska, United States

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El Paso, Nevada, United States

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Las Vegas, Nevada, United States

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Nashua, New Hampshire, United States

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Billings, New York, United States

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Smithtown, New York, United States

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Morehead City, North Carolina, United States

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Columbus, Ohio, United States

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Mentor, Ohio, United States

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Philadelphia, Pennsylvania, United States

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Greer, South Carolina, United States

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Bloomington, Tennessee, United States

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Arlington, Texas, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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El Paso, Texas, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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Schertz, Texas, United States

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Tomball, Texas, United States

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Ogden, Utah, United States

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Salt Lake City, Utah, United States

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Spokane, Washington, United States

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Milwaukee, Wisconsin, United States

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Calgary, Alberta, Canada

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London, Ontario, Canada

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Oakville, Ontario, Canada

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Thornhill, Ontario, Canada

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Toronto, Ontario, Canada

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Laval, Quebec, Canada

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Sainte-Foy, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Rodbard HW, Peters AL, Slee A, Cao A, Traina SB, Alba M. The Effect of Canagliflozin, a Sodium Glucose Cotransporter 2 Inhibitor, on Glycemic End Points Assessed by Continuous Glucose Monitoring and Patient-Reported Outcomes Among People With Type 1 Diabetes. Diabetes Care. 2017 Feb;40(2):171-180. doi: 10.2337/dc16-1353. Epub 2016 Nov 29.

Reference Type DERIVED
PMID: 27899497 (View on PubMed)

Peters AL, Henry RR, Thakkar P, Tong C, Alba M. Diabetic Ketoacidosis With Canagliflozin, a Sodium-Glucose Cotransporter 2 Inhibitor, in Patients With Type 1 Diabetes. Diabetes Care. 2016 Apr;39(4):532-8. doi: 10.2337/dc15-1995.

Reference Type DERIVED
PMID: 26989182 (View on PubMed)

Henry RR, Thakkar P, Tong C, Polidori D, Alba M. Efficacy and Safety of Canagliflozin, a Sodium-Glucose Cotransporter 2 Inhibitor, as Add-on to Insulin in Patients With Type 1 Diabetes. Diabetes Care. 2015 Dec;38(12):2258-65. doi: 10.2337/dc15-1730. Epub 2015 Oct 20.

Reference Type DERIVED
PMID: 26486192 (View on PubMed)

Other Identifiers

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2013-005078-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

28431754DIA2004

Identifier Type: OTHER

Identifier Source: secondary_id

CR104173

Identifier Type: -

Identifier Source: org_study_id

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