Effects of Canagliflozin on Intravascular Volume and Hemodynamics

NCT ID: NCT03190798

Last Updated: 2017-10-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-01

Study Completion Date

2018-08-01

Brief Summary

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RESEARCH HYPOTHESIS

* In subjects with T2DM and HF, effect of canagliflozin will be superior to placebo for the change from baseline in PCWP after a single dose (6 hours post-dose) and after 4 weeks.
* Treatment with canagliflozin will be well tolerated over 4 weeks.

Detailed Description

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This is a randomized, double-blind, placebo-controlled, parallel-group, single-center study (Figure 1). Thirty subjects will be randomized in a 3:2 randomization ratio to canagliflozin 300 mg once daily (QD) or placebo. The study will include a 3-week pretreatment screening phase and a 4-week double-blind treatment phase.

Conditions

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Type2 Diabetes Mellitus Cardiovascular Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, Double-Blind, Placebo-Controlled, Single-Center, Mechanistic Study
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Canagliflozin Group

Assuming a 25% dropout rate, 16 individuals in the canagliflozin group

Group Type ACTIVE_COMPARATOR

Canagliflozin 300mg

Intervention Type DRUG

Canagliflozin is a sodium-glucose cotransporter 2 (SGLT2) inhibitor. It works by decreasing the amount of sugar the body absorbs, and increasing the amount of sugar that leaves the body in the urine.

Administered in 300mg tablets.

Placebo Group

Assuming a 25% dropout rate, 11 individuals in the placebo group

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo for Canagliflozin

Interventions

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Canagliflozin 300mg

Canagliflozin is a sodium-glucose cotransporter 2 (SGLT2) inhibitor. It works by decreasing the amount of sugar the body absorbs, and increasing the amount of sugar that leaves the body in the urine.

Administered in 300mg tablets.

Intervention Type DRUG

Placebo

Placebo for Canagliflozin

Intervention Type DRUG

Other Intervention Names

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Invokana Canagliflozin Placebo

Eligibility Criteria

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Inclusion Criteria

* on stable doses (more than 3 months) of antihyperglycemic agents (except for an SGLT2 inhibitor and insulin)
* have an A1c ≥7% and ≤11%
* Estimated glomerular filtration rate (eGFR) must be ≥45 ml/min•1.73 m2
* have an NT-proBNP ≥500 pg/mL
* be on a stable dose of guideline-directed HF medication (i.e., angiotensin converting enzyme \[ACE\] inhibitor, angiotensin II receptor blocker \[ARB\], or angiotensin receptor neprilysin inhibitor \[ARNI\], β-blocker, diuretics, and/or mineralcorticoid receptor antagonist) for at least 4 weeks
* be on stable antihypertensive therapy for at least 2 months

Exclusion Criteria

* T1DM
* repeated fasting plasma glucose (FPG) or fasting self-monitored blood glucose measurements ≥240 mg/dL or both
* during the pretreatment phase, NYHA Class IV HF status, uncontrolled hypertension as defined as systolic blood pressure (SBP) \>160 or diastolic blood pressure (DBP) \>100 mmHg
* liver disease (ALT or AST \>3 x ULN)
* anemia Hb\<10
* anticipated cardiac surgery or coronary intervention within the next 3 months
* severe unremediated valvular heart disease
* major CV event (e.g., MI, cerebrovascular accident) within 3 months prior to screening visit
* hospitalization for HF within 2 months prior to screening visit
* documented atrial fibrillation
* history of atraumatic amputation within past 12 months of screening or critical ischemia of the lower extremity within 6 months of screening
* an active skin ulcer, osteomyelitis, or gangrene
* have an allergy to iodocyanine green and inulin
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Scientific Affairs, LLC

INDUSTRY

Sponsor Role collaborator

The University of Texas Health Science Center at San Antonio

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Devjit Tripathy, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center at San Antonio

Locations

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The University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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DIA4028

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

HSC20170151H

Identifier Type: -

Identifier Source: org_study_id