A Phase 3 interventional study of Canagliflozin 100 mg and Canagliflozin 300 mg in Diabetes Mellitus, Type 2, sponsored by Janssen Research & Development, LLC. Completed at 137 sites in 13 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-07-11.
Sponsored by Janssen Research & Development, LLC · Phase 3, Interventional, and Treatment
The purpose of this study is to assess the effectiveness of the co-administration of canagliflozin and metformin extended release (XR) compared with canagliflozin alone, and metformin XR alone in patients with type 2 diabetes mellitus with inadequate control despite treatment with diet and exercise. The safety and tolerability of canagliflozin will also be assessed.
This study will be a randomized (the study medication is assigned by chance), double-blind (neither physician nor participant knows the identity of the assigned treatment), active-controlled (one of the treatments is an established effective treatment for type 2 diabetes mellitus), parallel-group (each group of participants will be treated at the same time), 5-arm (groups), multicenter study. Approximately 1,200 participants will be randomly assigned to the 5 treatment arms in a 1:1:1:1:1 ratio for 26 weeks.
10,923 studies on the registry are indexed under Diabetes Mellitus; 1,318 are open to participants now.
This study's enrollment of 1,186 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
Browse Diabetes Mellitus studies →Janssen Research & Development, LLC is the lead sponsor of 912 studies on the registry; 76 are open to participants now.
Of its 278 completed or terminated interventional studies of FDA-regulated products, 131 (47%) have results posted.
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Exclusion Criteria:
Participants will receive one 100 mg canagliflozin capsule before the morning meal and one matching placebo capsule with the evening meal plus placebo tablets with the evening meal (to match the metformin XR tablets administered in other treatment arms) for 26 weeks.
Drug: Canagliflozin 100 mg
Participants will receive one 300 mg canagliflozin capsule before the morning meal and one matching placebo capsule with the evening meal plus placebo tablets with the evening meal (to match the metformin XR tablets administered in other treatment arms) for 26 weeks.
Drug: Canagliflozin 300 mg
Participants will receive metformin XR tablets (in doses titrated over 9 weeks) once daily with the evening meal, plus one placebo capsule before the morning meal and one placebo capsule with the evening meal (to match the canagliflozin capsules administered in other treatment arms) for 26 weeks.
Drug: Metformin XR
Participants will receive one 100 mg canagliflozin capsule with the evening meal and one matching placebo capsule before the morning meal plus metformin XR tablets (in doses titrated over 9 weeks) once daily with the evening meal for 26 weeks.
Drug: Canagliflozin 100 mg · Drug: Metformin XR
Participants will receive one 300 mg canagliflozin capsule with the evening meal and one matching placebo capsule before the morning meal plus metformin XR tablets (in doses titrated over 9 weeks) once daily with the evening meal for 26 weeks.
Drug: Canagliflozin 300 mg · Drug: Metformin XR
One 100 mg capsule taken orally (by mouth) once daily either before the morning meal (for the Canagliflozin 100 mg arm) or with the evening meal (for the Canagliflozin 100 mg + Metformin XR arm).
One 300 mg capsule taken orally (by mouth) once daily either before the morning meal (for the Canagliflozin 300 mg arm) or with the evening meal (for the Canagliflozin 300 mg + Metformin XR arm).
One 500 mg tablet (Day 1 up to week 1); two 500 mg tablets (Week 1 up to Week 3); three 500 mg tablets (Week 3 to Week 6); four 500 mg tablets (Week 6 to Week 9). Tablets will be administered with the evening meal.
Change in Glycated Hemoglobin (HbA1c) From Baseline at Week 26
The change in the value of glycated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) from baseline at Week 26 was compared between the different treatment groups.
Time frame: Day 1 (Baseline) and Week 26
Percent Change in Body Weight From Baseline to Week 26
The percentage change in body weight from baseline to Week 26 was compared between the different treatment groups.
Time frame: Day 1 (Baseline) and Week 26
Percentage of Participants With Glycated Hemoglobin (HbAIc) Less Than 7 Percent at Week 26
The percentage of participants achieved HbAIc less than 7 percent at Week 26 was compared between the different treatment groups.
Time frame: Week 26
Change in Systolic Blood Pressure From Baseline at Week 26
The change in systolic blood pressure from baseline at Week 26 was compared between the different treatment groups.
Time frame: Day 1 (Baseline) and Week 26
Percent Change in Fasting High-Density Lipoprotein Cholesterol (HDL-C) From Baseline to Week 26
The percentage change in Fasting High-Density Lipoprotein Cholesterol (HDL-C) from baseline to Week 26 was compared between the different treatment groups.
Time frame: Day 1 (Baseline) and Week 26
Percent Change in Triglycerides From Baseline to Week 26
The percentage change in triglycerides from baseline to Week 26 was compared between the different treatment groups.
Time frame: Day 1 (Baseline) and Week 26
Number of Participants With Treatment Emergent Adverse Events (AEs)
An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between administration of study drug and up to 30 days after last dose of study drug that were absent before treatment or that worsened relative to pre-treatment state.
Time frame: Up to 30 weeks of last study drug administration
The study was conducted between 16 May 2013 and 01 December 2014 and recruited participants from 158 study centers in 12 countries worldwide.
| Milestone | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR |
|---|---|---|---|---|---|
| Started | 237 | 237 | 238 | 237 | 237 |
| Completed | 205 | 211 | 216 | 225 | 212 |
| Not completed | 32 | 26 | 22 | 12 | 25 |
| Withdrew: Lost to follow-up | 5 | 2 | 4 | 2 | 3 |
| Withdrew: Withdrawal by subject | 6 | 4 | 4 | 2 | 5 |
| Withdrew: Adverse event | 4 | 3 | 7 | 4 | 8 |
| Withdrew: Death | 1 | 0 | 0 | 0 | 0 |
| Withdrew: Protocol violation | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Physician decision | 1 | 1 | 0 | 0 | 0 |
| Withdrew: Pregnancy | 1 | 0 | 0 | 0 | 0 |
| Withdrew: Other | 14 | 15 | 7 | 4 | 9 |
The change in the value of glycated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) from baseline at Week 26 was compared between the different treatment groups.
| percentage of hemoglobin | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR |
|---|---|---|---|---|---|
| Change in Glycated Hemoglobin (HbA1c) From Baseline at Week 26 | -1.30 ± 0.071 | -1.37 ± 0.071 | -1.42 ± 0.070 | -1.77 ± 0.069 | -1.78 ± 0.070 |
The percentage change in body weight from baseline to Week 26 was compared between the different treatment groups.
| percent change | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR |
|---|---|---|---|---|---|
| Percent Change in Body Weight From Baseline to Week 26 | -2.1 ± 0.3 | -3.0 ± 0.3 | -3.9 ± 0.3 | -3.5 ± 0.3 | -4.2 ± 0.3 |
The percentage of participants achieved HbAIc less than 7 percent at Week 26 was compared between the different treatment groups.
| percentage of participants | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR |
|---|---|---|---|---|---|
| Percentage of Participants With Glycated Hemoglobin (HbAIc) Less Than 7 Percent at Week 26 | 43.0 | 38.8 | 42.8 | 49.6 | 56.8 |
The change in systolic blood pressure from baseline at Week 26 was compared between the different treatment groups.
| millimeter of mercury (mm Hg) | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR |
|---|---|---|---|---|---|
| Change in Systolic Blood Pressure From Baseline at Week 26 | -0.33 ± 0.633 | -2.24 ± 0.627 | -2.36 ± 0.622 | -2.24 ± 0.613 | -1.65 ± 0.624 |
The percentage change in Fasting High-Density Lipoprotein Cholesterol (HDL-C) from baseline to Week 26 was compared between the different treatment groups.
| percent change | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR |
|---|---|---|---|---|---|
| Percent Change in Fasting High-Density Lipoprotein Cholesterol (HDL-C) From Baseline to Week 26 | 10.2 ± 1.5 | 17.6 ± 1.5 | 16.6 ± 1.5 | 15.5 ± 1.5 | 14.5 ± 1.5 |
The percentage change in triglycerides from baseline to Week 26 was compared between the different treatment groups.
| percent change | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR |
|---|---|---|---|---|---|
| Percent Change in Triglycerides From Baseline to Week 26 | 13.6 ± 51.8 | 1.7 ± 50.5 | 2.8 ± 60.3 | 13.0 ± 81.9 | 21.2 ± 71.1 |
An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between administration of study drug and up to 30 days after last dose of study drug that were absent before treatment or that worsened relative to pre-treatment state.
| participants | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR |
|---|---|---|---|---|---|
| Number of Participants With Treatment Emergent Adverse Events (AEs) | 89 | 88 | 95 | 99 | 105 |
Collected over Up to 30 weeks of last study drug administration. Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Metformin XR | — | 7/237 (3%) | 37/237 (15.6%) |
| Canagliflozin 100 Milligram (mg) | — | 4/237 (1.7%) | 38/237 (16%) |
| Canagliflozin 300 mg | — | 7/238 (2.9%) | 38/238 (16%) |
| Canagliflozin 100 mg + Metformin XR | — | 7/237 (3%) | 42/237 (17.7%) |
| Canagliflozin 300 mg + Metformin XR | — | 4/237 (1.7%) | 43/237 (18.1%) |
| Event | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR |
|---|---|---|---|---|---|
| Angina PectorisCardiac disorders | 0/237 | 0/237 | 2/238 | 0/237 | 0/237 |
| SyncopeNervous system disorders | 0/237 | 0/237 | 2/238 | 0/237 | 0/237 |
| AnaemiaBlood and lymphatic system disorders | 0/237 | 1/237 | 0/238 | 0/237 | 0/237 |
| Immune Thrombocytopenic PurpuraBlood and lymphatic system disorders | 0/237 | 1/237 | 0/238 | 0/237 | 0/237 |
| Angina UnstableCardiac disorders | 0/237 | 0/237 | 0/238 | 1/237 | 0/237 |
| ArrhythmiaCardiac disorders | 0/237 | 1/237 | 0/238 | 0/237 | 0/237 |
| Coronary Artery DiseaseCardiac disorders | 0/237 | 1/237 | 0/238 | 1/237 | 0/237 |
| GoitreEndocrine disorders | 0/237 | 0/237 | 0/238 | 1/237 | 0/237 |
| DiverticulumGastrointestinal disorders | 1/237 | 0/237 | 0/238 | 0/237 | 0/237 |
| Epiploic AppendagitisGastrointestinal disorders | 1/237 | 0/237 | 0/238 | 0/237 | 0/237 |
| Event | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR |
|---|---|---|---|---|---|
| DiarrhoeaGastrointestinal disorders | 3/237 | 3/237 | 4/238 | 10/237 | 10/237 |
| NasopharyngitisInfections and infestations | 3/237 | 9/237 | 9/238 | 6/237 | 3/237 |
| HeadacheNervous system disorders | 8/237 | 4/237 | 4/238 | 9/237 | 7/237 |
| InfluenzaInfections and infestations | 5/237 | 6/237 | 5/238 | 8/237 | 7/237 |
| Urinary Tract InfectionInfections and infestations | 3/237 | 3/237 | 4/238 | 2/237 | 7/237 |
| NauseaGastrointestinal disorders | 6/237 | 1/237 | 2/238 | 1/237 | 2/237 |
| Upper Respiratory Tract InfectionInfections and infestations | 6/237 | 2/237 | 6/238 | 3/237 | 4/237 |
| Glomerular Filtration Rate DecreasedInvestigations | 0/237 | 6/237 | 3/238 | 1/237 | 2/237 |
| HyperglycaemiaMetabolism and nutrition disorders | 6/237 | 5/237 | 1/238 | 0/237 | 2/237 |
| Back PainMusculoskeletal and connective tissue disorders | 4/237 | 3/237 | 5/238 | 6/237 | 5/237 |
| Age, Continuous(years) | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR | Total |
|---|---|---|---|---|---|---|
| Mean | 55.2 ± 9.75 | 54.0 ± 10.70 | 55.8 ± 9.56 | 54.2 ± 9.58 | 55.4 ± 9.84 | 54.9 ± 9.91 |
| Sex: Female, Male(Participants) | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR | Total |
|---|---|---|---|---|---|---|
| Female | 121 | 132 | 113 | 129 | 122 | 617 |
| Male | 116 | 105 | 125 | 108 | 115 | 569 |
| Region of Enrollment(participants) | Metformin XR | Canagliflozin 100 Milligram (mg) | Canagliflozin 300 mg | Canagliflozin 100 mg + Metformin XR | Canagliflozin 300 mg + Metformin XR | Total |
|---|---|---|---|---|---|---|
| Argentina | 12 | 19 | 21 | 17 | 20 | 89 |
| Brazil | 1 | 2 | 1 | 0 | 0 | 4 |
| Czech Republic | 8 | 6 | 6 | 6 | 8 | 34 |
| Hungary | 2 | 5 | 8 | 9 | 4 | 28 |
| Mexico | 33 | 31 | 19 | 38 | 38 | 159 |
| Romania | 24 | 16 | 21 | 27 | 14 | 102 |
| Russian Federation | 38 | 38 | 45 | 44 | 37 | 202 |
| Slovakia | 17 | 12 | 22 | 9 | 9 | 69 |
| South Africa | 5 | 5 | 4 | 5 | 3 | 22 |
| South Korea | 4 | 2 | 2 | 1 | 3 | 12 |
| Ukraine | 50 | 56 | 42 | 40 | 54 | 242 |
| United States | 43 | 45 | 47 | 41 | 47 | 223 |
Showing the first 100 of 137 sites across 13 countries.
This study is completed, as verified in Jun 2017. You cannot join it, but the record below documents what was studied.
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