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Phase 3 N=4,401 Randomized Double-blind Treatment

Evaluation of the Effects of Canagliflozin on Renal and Cardiovascular Outcomes in Participants With Diabetic Nephropathy

Diabetes Mellitus, Type 2 · Diabetic Nephropathy

Enrolled (actual)
4,401
Serious AEs
35.1%
Results posted
Nov 2019
Primary outcome: Primary: Primary Composite Endpoint of Doubling of Serum Creatinine (DoSC), End-stage Kidney Disease (ESKD), and Renal or Cardiovascular (CV) Death — 61.24; 43.21 Event rate per 1000 participant-years — p=< 0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Canagliflozin (Drug); Placebo (Drug)
Age
Adult, Older Adult · 30+ yrs
Sex
All
Sponsor
Janssen Research & Development, LLC
Primary completion
Oct 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Primary Composite Endpoint of Doubling of Serum Creatinine (DoSC), End-stage Kidney Disease (ESKD), and Renal or Cardiovascular (CV) Death
61.24; 43.21 < 0.0001 sig
SECONDARY
Composite Endpoint of CV Death and Hospitalized Heart Failure (HHF)
45.44; 31.47 =0.0001 sig
SECONDARY
Major Adverse Cardiac Event (MACE)
48.67; 38.71 =0.0121 sig
SECONDARY
Hospitalized Heart Failure (HHF)
25.33; 15.65 =0.0003 sig
SECONDARY
Renal Composite Endpoint
40.36; 26.99 <0.0001 sig
SECONDARY
Cardiovascular (CV) Death
24.38; 19.01 =0.0502
SECONDARY
All-cause Mortality
35.00; 29.04 = 0.0727
SECONDARY
CV Composite Endpoint
66.95; 49.35 0.0001 sig

Summary

The goal of this study is to assess whether canagliflozin has a renal and vascular protective effect in reducing the progression of renal impairment relative to placebo in participants with type 2 diabetes mellitus (T2DM), Stage 2 or 3 chronic kidney disease (CKD) and macroalbuminuria, who are receiving standard of care including a maximum tolerated labeled daily dose of an angiotensin-converting enzyme inhibitor (ACEi) or angiotensin receptor blocker (ARB).

Eligibility Criteria

Inclusion Criteria

  • Type 2 diabetes mellitus with a hemoglobin A1c (HbA1c) greater than or equal to (>=) 6.5 percent (%) and less than or equal to ( = 30 milliliter (mL)/minute (min)/1.73meter (m)^2 and less than ( ) 300 milligram (mg)/gram (g) and 5.5 millimole (mmol)/liter (L) during Screening
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02065791). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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