A Phase 2 interventional study of Canagliflozin (JNJ-28431754) and Placebo in Obesity, sponsored by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.. Completed at 36 sites in 2 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2013-05-24.
Sponsored by Johnson & Johnson Pharmaceutical Research & Development, L.L.C. · Phase 2, Interventional, and Treatment
The purpose of this study is to test the safety and effectiveness of JNJ-28431754 in promoting weight loss in patients who are overweight or obese and who do not have diabetes.
The prevalence of obesity is increasing worldwide. Obesity and being overweight are major risk factors for chronic cardiovascular disease, type 2 diabetes mellitus, hypertension and stroke, and certain types of cancers. JNJ-28431754 is being investigated in this study for its possible effectiveness in promoting weight loss when taken over a 12-week period. The study consists of 3 phases: a pretreatment phase that includes a 7-day screening period and a 4-week run-in period, a 12-week double-blind treatment phase (neither the patient nor the investigator will know which treatment the patient is receiving) with an end-of-treatment visit, and a posttreatment phase. In the pretreatment phase, after giving written informed consent, patients will undergo screening evaluations. Patients who successfully complete the screening period will enter the 4-week run-in period and be given dietary and exercise counseling as standardized non-drug therapy for weight loss. During the 12 weeks of treatment, all patients will continue on the study diet and exercise non-drug therapy and will visit the study site about every 3 weeks to have their weight and the results of other safety and effectiveness tests recorded, and to have blood samples collected to measure the concentration of JNJ-28431754 in their blood. In the posttreatment phase, patients will return to the study site for a follow-up visit 14 days after receiving their last dose of study drug. Patient safety will be monitored throughout the study using spontaneous adverse event reporting, clinical laboratory tests (hematology, serum chemistry, urinalysis); pregnancy tests; physical examinations; electrocardiograms; vital signs measurements; overnight urine collection to measure albumin excretion; assessment of calcium and phosphate homeostasis (balance), bone formation and reabsorption markers, and hormones regulating calcium and phosphorus homeostasis; and self administered vaginal and urine sample collection for fungal and bacterial culture in subjects with symptoms consistent with vulvovaginal candidiasis and urinary tract infection. Patients will complete 2 questionnaires to record their reactions to taking the study drug and the effect of body weight on their daily lives. About 100 patients of the approximately 400 who qualify for the study, and who consent to this, will take part in 2 oral glucose tolerance tests (OGTTs). During the OGTTs they will drink a glucose solution and have a series of blood samples collected to measure glucose concentration, collect their urine over a 2 hour period, and (at the second OGTT only) have blood samples collected to measure JNJ 28431754 blood concentrations. The primary clinical theory for this study is that at well-tolerated doses, JNJ-28431754 is superior to placebo as measured by the percent change in body weight from baseline (Day 1 of the double-blind treatment period) through Week 12.
6,296 studies on the registry are indexed under Obesity; 1,692 are open to participants now.
This study's enrollment of 376 is above the median of 78 across 4,878 interventional studies indexed under Obesity.
Browse Obesity studies →Johnson & Johnson Pharmaceutical Research & Development, L.L.C. is the lead sponsor of 458 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Each patient will receive 50 mg of canagliflozin (JNJ-28431754) once daily for 12 weeks.
Drug: Canagliflozin (JNJ-28431754)
Each patient will receive 100 mg of canagliflozin (JNJ-28431754) once daily for 12 weeks.
Drug: Canagliflozin (JNJ-28431754)
Each patient will receive 300 mg of canagliflozin (JNJ-28431754) once daily for 12 weeks.
Drug: Canagliflozin (JNJ-28431754)
Each patient will receive matching placebo once daily for 12 weeks.
Drug: Placebo
One 50 mg, 100 mg, or 300 mg over-encapsulated tablet orally (by mouth) once daily for 12 weeks.
One matching placebo capsule orally once daily for 12 weeks.
Percent Change in Body Weight From Baseline to Week 12
The table below shows the mean percent change in body weight from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean percent change.
Time frame: Day 1 (Baseline) and Week 12
Absolute Change in Body Weight From Baseline to Week 12
The table below shows the mean absolute change in body weight from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean change.
Time frame: Day 1 (Baseline) and Week 12
Change in Body Mass Index (BMI) From Baseline to Week 12
The table below shows the mean change in BMI from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean change.
Time frame: Day 1 (Baseline) and Week 12
Percentage of Patients Who Lost at Least 5% of Their Initial Body Weight by Week 12
The table below shows the percentage of patients who lost at least 5% of their initial body weight by Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo).
Time frame: Day 1 (Baseline) and Week 12
Percentage of Patients Who Lost at Least 10% of Their Initial Body Weight by Week 12
The table below shows the percentage of patients who lost at least 10% of their initial body weight by Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo).
Time frame: Day 1 (Baseline) and Week 12
Change in Waist Circumference From Baseline to Week 12
The table below shows the mean change in waist circumference from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean change.
Time frame: Day 1 (Baseline) and Week 12
Change in Hip Circumference From Baseline to Week 12
The table below shows the mean change in hip circumference from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean change.
Time frame: Day 1 (Baseline) and Week 12
Change in Waist/Hip Ratio From Baseline to Week 12
The table below shows the mean change in waist/hip ratio from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean change.
Time frame: Day 1 (Baseline) and Week 12
This study evaluated the efficacy and safety of canagliflozin (JNJ-28431754) in nondiabetic, overweight, and obese patients. The study was conducted between 31 March 2008 and 18 September 2008 and recruited patients from 38 study centers located in the United States and Puerto Rico.
| Milestone | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg |
|---|---|---|---|---|
| Started | 89 | 98 | 93 | 96 |
| Completed | 71 | 77 | 64 | 70 |
| Not completed | 18 | 21 | 29 | 26 |
| Withdrew: Adverse event | 0 | 5 | 3 | 4 |
| Withdrew: Lost to follow-up | 7 | 6 | 11 | 10 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 1 |
| Withdrew: Pregnancy | 0 | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 7 | 5 | 8 | 6 |
| Withdrew: Noncompliance with study drug regimen | 1 | 1 | 0 | 0 |
| Withdrew: Study terminated by sponsor | 2 | 3 | 5 | 4 |
| Withdrew: Other | 1 | 1 | 2 | 0 |
The table below shows the mean percent change in body weight from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean percent change.
| Percent change | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canaglifloziin 300 mg |
|---|---|---|---|---|
| Percent Change in Body Weight From Baseline to Week 12 | -1.1 ± 2.4 | -2.0 ± 3.0 | -2.8 ± 2.9 | -2.5 ± 3.0 |
The table below shows the mean absolute change in body weight from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean change.
| kg | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg |
|---|---|---|---|---|
| Absolute Change in Body Weight From Baseline to Week 12 | -1.1 ± 2.46 | -1.9 ± 2.90 | -2.8 ± 2.90 | -2.4 ± 2.90 |
The table below shows the mean change in BMI from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean change.
| kg/m2 | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg |
|---|---|---|---|---|
| Change in Body Mass Index (BMI) From Baseline to Week 12 | -0.4 ± 0.86 | -0.7 ± 1.05 | -1.0 ± 1.05 | -0.9 ± 1.07 |
The table below shows the percentage of patients who lost at least 5% of their initial body weight by Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo).
| Percentage of patients | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg |
|---|---|---|---|---|
| Percentage of Patients Who Lost at Least 5% of Their Initial Body Weight by Week 12 | 8.1 | 12.6 | 18.8 | 17.2 |
The table below shows the percentage of patients who lost at least 10% of their initial body weight by Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo).
| Percentage of patients | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg |
|---|---|---|---|---|
| Percentage of Patients Who Lost at Least 10% of Their Initial Body Weight by Week 12 | 0.0 | 3.2 | 2.4 | 1.1 |
The table below shows the mean change in waist circumference from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean change.
| cm | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg |
|---|---|---|---|---|
| Change in Waist Circumference From Baseline to Week 12 | -1.2 ± 10.06 | -1.4 ± 4.99 | -2.9 ± 10.32 | -2.6 ± 7.22 |
The table below shows the mean change in hip circumference from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean change.
| cm | Placebo | Canaglifozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg |
|---|---|---|---|---|
| Change in Hip Circumference From Baseline to Week 12 | 0.1 ± 10.38 | -2.0 ± 3.97 | -2.1 ± 10.62 | -3.0 ± 7.95 |
The table below shows the mean change in waist/hip ratio from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin group minus placebo) in the least-squares mean change.
| ratio | Placebo | Canaglifozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg |
|---|---|---|---|---|
| Change in Waist/Hip Ratio From Baseline to Week 12 | -0.011 ± 0.0542 | 0.003 ± 0.0422 | -0.008 ± 0.0915 | -0.004 ± 0.0469 |
Collected over Adverse events were reported for the duration of the study; each patient participated in the study for approximately 12 weeks.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | — | 0/89 (0%) | 28/89 (31.5%) |
| Canagliflozin 50 mg | — | 1/98 (1%) | 41/98 (41.8%) |
| Canagliflozin 100 mg | — | 0/93 (0%) | 30/93 (32.3%) |
| Canagliflozin 300 mg | — | 0/96 (0%) | 31/96 (32.3%) |
| Event | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg |
|---|---|---|---|---|
| ArthralgiaMusculoskeletal and connective tissue disorders | 0/89 | 1/98 | 0/93 | 0/96 |
| Event | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg |
|---|---|---|---|---|
| Vulvovaginal mycotic infectionInfections and infestations | 1/89 | 8/98 | 5/93 | 14/96 |
| HeadacheNervous system disorders | 7/89 | 6/98 | 11/93 | 4/96 |
| Urinary tract infectionInfections and infestations | 6/89 | 10/98 | 7/93 | 8/96 |
| NauseaGastrointestinal disorders | 2/89 | 7/98 | 6/93 | 3/96 |
| Upper respiratory tract infectionInfections and infestations | 5/89 | 6/98 | 6/93 | 5/96 |
| NasopharyngitisInfections and infestations | 3/89 | 6/98 | 1/93 | 1/96 |
| SinusitisInfections and infestations | 0/89 | 6/98 | 2/93 | 1/96 |
| DiarrhoeaGastrointestinal disorders | 5/89 | 5/98 | 3/93 | 2/96 |
| ConstipationGastrointestinal disorders | 2/89 | 5/98 | 3/93 | 2/96 |
| Age, Categorical(Participants) | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg | Total |
|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 88 | 97 | 93 | 94 | 372 |
| >=65 years | 1 | 1 | 0 | 2 | 4 |
| Age Continuous(years) | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg | Total |
|---|---|---|---|---|---|
| Mean | 45.1 ± 11.92 | 44.9 ± 11.8 | 45.8 ± 10.95 | 43.5 ± 10.99 | 44.8 ± 11.4 |
| Sex: Female, Male(Participants) | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg | Total |
|---|---|---|---|---|---|
| Female | 75 | 86 | 76 | 86 | 323 |
| Male | 14 | 12 | 17 | 10 | 53 |
| Region Enroll(participants) | Placebo | Canagliflozin 50 mg | Canagliflozin 100 mg | Canagliflozin 300 mg | Total |
|---|---|---|---|---|---|
| PUERTO RICO | 3 | 4 | 4 | 5 | 16 |
| UNITED STATES | 86 | 94 | 89 | 91 | 360 |
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Johnson & Johnson Pharmaceutical Research & Development, L.L.C.