An Efficacy, Safety, and Tolerability Study of Canagliflo... | NCT00642278 | Trialant
NCT00642278
Sponsor
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Status
Completed
Last Update Posted
Jul 19, 2013Estimated
Enrollment
451Actual
Phase
Phase 2
Conditions
Diabetes Mellitus, Type II
Diabetes Mellitus, Non Insulin Dependent
Interventions
Canagliflozin (JNJ-28431754)
Sitagliptin
Placebo
Countries
United States
Argentina
Bulgaria
Canada
Czechia
India
Malaysia
Mexico
Poland
Puerto Rico
Romania
Russia
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT00642278
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
CR014587
Secondary IDs
ID
Type
Description
Link
28431754DIA2001
Other Identifier
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Brief Title
An Efficacy, Safety, and Tolerability Study of Canagliflozin (JNJ-28431754) in Patients With Type 2 Diabetes
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Double-Dummy, Parallel Group, Multicenter, Dose-Ranging Study in Subjects With Type 2 Diabetes Mellitus to Evaluate the Efficacy, Safety, and Tolerability of Orally Administered SGLT2 Inhibitor JNJ-28431754 With Sitagliptin as a Reference Arm
Acronym
Not provided
Organization
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.INDUSTRY
Status Module
Record Verification Date
Jul 2013
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Apr 2008
Primary Completion Date
Jan 2009Actual
Completion Date
Jan 2009Actual
First Submitted Date
Mar 21, 2008
First Submission Date that Met QC Criteria
Mar 24, 2008
First Posted Date
Mar 25, 2008Estimated
Results Waived
Not provided
Results First Submitted Date
Apr 1, 2013
Results First Submitted that Met QC Criteria
Apr 1, 2013
Results First Posted Date
May 17, 2013Estimated
Certification/Extension (aka Delayed Results) First Submitted Date
Jul 23, 2009
Certification/Extension First Submitted that Passed QC Review
Jul 23, 2009
Certification/Extension First Posted Date
Aug 10, 2009Estimated
Last Update Submitted Date
Jul 15, 2013
Last Update Posted Date
Jul 19, 2013Estimated
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.INDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The purpose of this study is to evaluate the effectiveness, safety, and tolerability of JNJ-28431754 compared with placebo in patients with type 2 diabetes.
Detailed Description
Type 2 diabetes mellitus is a metabolic disorder that is characterized by decreased secretion of insulin by the pancreas and resistance to the action of insulin in various tissues (muscle, liver, and adipose), which results in impaired glucose uptake. Chronic hyperglycemia leads to progressive impairment of insulin secretion and to insulin resistance of peripheral tissues in diabetes (so-called glucose toxicity), which further worsens control of blood glucose. In addition, chronic hyperglycemia is a major risk factor for complications, including heart disease, retinopathy, nephropathy, and neuropathy. Although numerous treatments have been developed for the treatment of diabetes and individual agents may be highly effective for some patients, it is still difficult to maintain optimal glycemic control in most patients with diabetes. This is a randomized, double-blind, placebo-controlled, parallel group, multicenter, dose-ranging study to determine the efficacy, safety and tolerability of JNJ-28431754 taken orally over 12 weeks, compared with placebo, in the treatment of Type 2 diabetes mellitus. The primary clinical hypothesis is that JNJ-28431754 is superior to placebo as measured by the change in hemoglobin A1c from baseline through Week 12 in the treatment of type 2 diabetes mellitus. Subject safety will be monitored throughout the study using spontaneous adverse event reporting, clinical laboratory tests (hematology, serum chemistry, urinalysis); severe and serious hypoglycemic episodes, assessment of urinary albumin excretion and markers of proximal renal tubular function; pregnancy tests; electrocardiograms (ECGs); vital sign measurements; physical examinations, assessment of calcium and phosphate homeostasis, bone formation and resorption markers, and hormones regulating calcium and phosphorus homeostasis; and vaginal and urine sample collection for fungal and bacterial culture in subjects with symptoms consistent with vulvovaginal candidiasis (VVC) or urinary tract infection (UTI).
Conditions Module
Conditions
Diabetes Mellitus, Type II
Diabetes Mellitus, Non Insulin Dependent
Keywords
Type 2 diabetes mellitus
Metformin
Hemoglobin A1c
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
451Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Canagliflozin 50 mg daily
Experimental
Each patient will receive 50 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Drug: Canagliflozin (JNJ-28431754)
Drug: Placebo
Canagliflozin 100 mg daily
Experimental
Each patient will receive 100 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Drug: Canagliflozin (JNJ-28431754)
Drug: Placebo
Canagliflozin 200 mg daily
Experimental
Each patient will receive 200 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Drug: Canagliflozin (JNJ-28431754)
Drug: Placebo
Canagliflozin 300 mg daily
Experimental
Each patient will receive 300 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo capsule once daily (in the evening).
Drug: Canagliflozin (JNJ-28431754)
Drug: Placebo
Canagliflozin 300 mg twice daily
Experimental
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Canagliflozin (JNJ-28431754)
Drug
One 50 mg, 100 mg, 200 mg, or 300 mg over-encapsulated tablet orally (by mouth) once daily for 12 weeks or one 300 mg over-encapsulated tablet orally twice daily for 12 weeks.
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Change in HbA1c From Baseline to Week 12
The table below shows the mean change in HbA1c from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin or sitagliptin group minus placebo) in the least-squares mean change.
Day 1 (Baseline) and Week 12
Secondary Outcomes
Measure
Description
Time Frame
Change in Fasting Plasma Glucose (FPG) From Baseline to Week 12
The table below shows the mean change in FPG from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin or sitagliptin group minus placebo) in the least-squares mean change.
Day 1 (Baseline) and Week 12
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Patients must have a diagnosis of type 2 diabetes mellitus
Hemoglobin A1c levels >=7% and <=10.5%
taking a stable daily dose of metformin
Body mass index (BMI) 25 to 45 kg/m2 except those of Asian descent who must have a BMI of 24 to 45 kg/m2
Stable body weight
Serum creatinine <=1.5 mg/dL (132.6 umol/L) for men and <=1.4 mg/dL (123.76 umol/L) for women
Exclusion Criteria:
Patients must not have prior exposure or known contraindication or suspected hypersensitivity to canagliflozin (JNJ-28431754)
Known contraindication or suspected hypersensitivity to sitagliptin or metformin
A history of diabetic ketoacidosis or type 1 diabetes mellitus
History of pancreas or beta-cell transplantation
History of active proliferative diabetic retinopathy
History of hereditary glucose-galactose malabsorption or primary renal glucosuria
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
65 Years
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Johnson & Johnson Pharmaceutical Research & Development, L.L. C. Clinical Trial
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Nyirjesy P, Zhao Y, Ways K, Usiskin K. Evaluation of vulvovaginal symptoms and Candida colonization in women with type 2 diabetes mellitus treated with canagliflozin, a sodium glucose co-transporter 2 inhibitor. Curr Med Res Opin. 2012 Jul;28(7):1173-8. doi: 10.1185/03007995.2012.697053. Epub 2012 Jun 14.
A total of 451 patients were randomly allocated to the 7 treatment arms in the study and comprised the intent-to-treat analysis set which was used for the efficacy analyses. All 451 patients received at least 1 dose of study drug and were included in the safety analysis set.
Recruitment Details
This study evaluated the efficacy and safety of canagliflozin (JNJ-28431754) in patients with type 2 diabetes mellitus with sitagliptin as a reference arm. The study was conducted between 27 March 2008 and 28 January 2009 and recruited patients from 85 study centers located in 13 countries worldwide.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Placebo
Each patient received matching placebo twice daily for 12 weeks.
FG001
Canagliflozin 50 mg Daily
Each patient received 50 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Each patient will receive 300 mg of canagliflozin (JNJ-28431754) twice daily for 12 weeks.
Drug: Canagliflozin (JNJ-28431754)
Sitagliptin 100 mg daily
Active Comparator
Each patient will receive 100 mg of sitagliptin once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Drug: Sitagliptin
Drug: Placebo
Placebo
Placebo Comparator
Each patient will receive matching placebo twice daily for 12 weeks.
Drug: Placebo
Canagliflozin 100 mg daily
Canagliflozin 200 mg daily
Canagliflozin 300 mg daily
Canagliflozin 300 mg twice daily
Canagliflozin 50 mg daily
JNJ-28431754
Sitagliptin
Drug
One 100 mg over-encapsulated tablet orally (by mouth) once daily for 12 weeks.
Sitagliptin 100 mg daily
Placebo
Drug
One matching placebo capsule orally (by mouth) once or twice daily for 12 weeks.
Canagliflozin 100 mg daily
Canagliflozin 200 mg daily
Canagliflozin 300 mg daily
Canagliflozin 50 mg daily
Placebo
Sitagliptin 100 mg daily
Percentage of Patients With Symptoms of Hypoglycemia
The table below shows the percentage of patients who experienced symptomatic hypoglycemic events between Baseline and Week 12.
Up to Week 12
Change in Overnight Urine Glucose/Creatinine Ratio From Baseline to Week 12
The table below shows the mean change in overnight urine glucose/creatinine ratio from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin or sitagliptin group minus placebo) in the least-squares mean change.
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.
Day 1 (Baseline) and Week 12
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 or sitagliptin group minus placebo) in the least-squares mean change.
Nicolle LE, Capuano G, Ways K, Usiskin K. Effect of canagliflozin, a sodium glucose co-transporter 2 (SGLT2) inhibitor, on bacteriuria and urinary tract infection in subjects with type 2 diabetes enrolled in a 12-week, phase 2 study. Curr Med Res Opin. 2012 Jul;28(7):1167-71. doi: 10.1185/03007995.2012.689956. Epub 2012 May 15.
Rosenstock J, Aggarwal N, Polidori D, Zhao Y, Arbit D, Usiskin K, Capuano G, Canovatchel W; Canagliflozin DIA 2001 Study Group. Dose-ranging effects of canagliflozin, a sodium-glucose cotransporter 2 inhibitor, as add-on to metformin in subjects with type 2 diabetes. Diabetes Care. 2012 Jun;35(6):1232-8. doi: 10.2337/dc11-1926. Epub 2012 Apr 9.
FG002
Canagliflozin 100 mg Daily
Each patient received 100 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
FG003
Canagliflozin 200 mg Daily
Each patient received 200 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
FG004
Canagliflozin 300 mg Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
FG005
Canagliflozin 300 mg Twice Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) twice daily for 12 weeks.
FG006
Sitagliptin 100 mg Daily
Each patient received 100 mg of sitagliptin once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
FG00065 subjects
FG00164 subjects
FG00264 subjects
FG00365 subjects
FG00464 subjects
FG00564 subjects
FG00665 subjects
COMPLETED
FG00055 subjects
FG00159 subjects
FG00259 subjects
FG00356 subjects
FG00456 subjects
FG00557 subjects
FG00660 subjects
NOT COMPLETED
FG00010 subjects
FG0015 subjects
FG0025 subjects
FG0039 subjects
FG0048 subjects
FG0057 subjects
FG0065 subjects
Type
Comment
Reasons
Adverse Event
FG0002 subjects
FG0011 subjects
FG0023 subjects
FG0031 subjects
FG0042 subjects
FG0052 subjects
FG0060 subjects
Lack of Efficacy
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG004
Lost to Follow-up
FG0005 subjects
FG0011 subjects
FG0020 subjects
FG0031 subjects
FG004
Physician Decision
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG004
Protocol Violation
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0031 subjects
FG004
Withdrawal by Subject
FG0001 subjects
FG0011 subjects
FG0021 subjects
FG0033 subjects
FG004
Noncompliance with study drug regimen
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG004
Other
FG0002 subjects
FG0011 subjects
FG0020 subjects
FG0031 subjects
FG004
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Placebo
Each patient received matching placebo twice daily for 12 weeks.
BG001
Canagliflozin 50 mg Daily
Each patient received 50 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
BG002
Canagliflozin 100 mg Daily
Each patient received 100 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
BG003
Canagliflozin 200 mg Daily
Each patient received 200 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
BG004
Canagliflozin 300 mg Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
BG005
Canagliflozin 300 mg Twice Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) twice daily for 12 weeks.
BG006
Sitagliptin 100 mg Daily
Each patient received 100 mg of sitagliptin once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
BG007
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00065
BG00164
BG00264
BG00365
BG00464
BG00564
BG00665
BG007451
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Categorical
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
<=18 years
BG0000
BG0010
BG0020
BG003
Age Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00053.3± 7.82
BG00153.3± 8.48
BG002
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00034
BG00130
BG002
Region Enroll
Number
participants
Title
Denominators
Categories
ARGENTINA
Title
Measurements
BG0001
BG0011
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Change in HbA1c From Baseline to Week 12
The table below shows the mean change in HbA1c from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin or sitagliptin group minus placebo) in the least-squares mean change.
This analysis was conducted using the intent-to-treat analysis set, which included all patients who were randomly assigned to a treatment group. The last-observation-carried-forward method was applied when Week 12 values were missing. The table includes only patients with both baseline and post baseline values.
Posted
Mean
Standard Deviation
Percent
Day 1 (Baseline) and Week 12
ID
Title
Description
OG000
Placebo
Each patient received matching placebo twice daily for 12 weeks.
OG001
Canagliflozin 50 mg Daily
Each patient received 50 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG002
Canagliflozin 100 mg Daily
Each patient received 100 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG003
Canagliflozin 200 mg Daily
Each patient received 200 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG004
Canagliflozin 300 mg Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG005
Canagliflozin 300 mg Twice Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) twice daily for 12 weeks.
OG006
Sitagliptin 100 mg Daily
Each patient received 100 mg of sitagliptin once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Units
Counts
Participants
OG00061
OG00162
OG00262
OG003
Title
Denominators
Categories
Title
Measurements
OG000-0.22± 0.702
OG001-0.79± 0.749
OG002-0.76± 0.992
OG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Adjusted using Dunnett's procedure.
Least-Squares Mean Difference
-0.45
Standard Error of the Mean
0.116
2-Sided
95
-0.747
-0.148
No
Superiority or Other
Secondary
Change in Fasting Plasma Glucose (FPG) From Baseline to Week 12
The table below shows the mean change in FPG from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin or sitagliptin group minus placebo) in the least-squares mean change.
This analysis was conducted using the intent-to-treat analysis set, which included all patients who were randomly assigned to a treatment group. The last-observation-carried-forward method was applied when Week 12 values were missing. The table includes only patients with both baseline and post baseline values.
Posted
Mean
Standard Deviation
mmol/L
Day 1 (Baseline) and Week 12
ID
Title
Description
OG000
Placebo
Each patient received matching placebo twice daily for 12 weeks.
OG001
Canagliflozin 50 mg Daily
Each patient received 50 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG002
Canagliflozin 100 mg Daily
Each patient received 100 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Secondary
Percentage of Patients With Symptoms of Hypoglycemia
The table below shows the percentage of patients who experienced symptomatic hypoglycemic events between Baseline and Week 12.
This analysis was conducted using the intent-to-treat analysis set, which included all patients who were randomiy assigned to a treatment group.
Posted
Number
Percentage of patients
Up to Week 12
ID
Title
Description
OG000
Placebo
Each patient received matching placebo twice daily for 12 weeks.
OG001
Canagliflozin 50 mg Daily
Each patient received 50 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG002
Canagliflozin 100 mg Daily
Each patient received 100 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG003
Canagliflozin 200 mg Daily
Each patient received 200 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Secondary
Change in Overnight Urine Glucose/Creatinine Ratio From Baseline to Week 12
The table below shows the mean change in overnight urine glucose/creatinine ratio from Baseline to Week 12 for each treatment group. The statistical analyses show the treatment differences (ie, each canagliflozin or sitagliptin group minus placebo) in the least-squares mean change.
This analysis was conducted using the intent-to-treat analysis set, which included all patients who were randomly assigned to a treatment group. The last-observation-carried-forward method was applied when Week 12 values were missing. The table includes only patients with both baseline and post baseline values.
Posted
Mean
Standard Deviation
mg/mg
Day 1 (Baseline) and Week 12
ID
Title
Description
OG000
Placebo
Each patient received matching placebo twice daily for 12 weeks.
OG001
Canagliflozin 50 mg Daily
Each patient received 50 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG002
Canagliflozin 100 mg Daily
Each patient received 100 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Secondary
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.
This analysis was conducted using the intent-to-treat analysis set, which included all patients who were randomly assigned to a treatment group. The last-observation-carried-forward method was applied when Week 12 values were missing. The table includes only patients with both baseline and post baseline values.
Posted
Mean
Standard Deviation
kg
Day 1 (Baseline) and Week 12
ID
Title
Description
OG000
Placebo
Each patient received matching placebo twice daily for 12 weeks.
OG001
Canagliflozin 50 mg Daily
Each patient received 50 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG002
Canagliflozin 100 mg Daily
Each patient received 100 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG003
Canagliflozin 200 mg Daily
Secondary
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 or sitagliptin group minus placebo) in the least-squares mean change.
This analysis was conducted using the intent-to-treat analysis set, which included all patients who were randomly assigned to a treatment group. The last-observation-carried-forward method was applied when Week 12 values were missing. The table includes only patients with both baseline and post baseline values.
Posted
Mean
Standard Deviation
Percent change
Day 1 (Baseline) and Week 12
ID
Title
Description
OG000
Placebo
Each patient received matching placebo twice daily for 12 weeks.
OG001
Canagliflozin 50 mg Daily
Each patient received 50 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG002
Canagliflozin 100 mg Daily
Each patient received 100 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Time Frame
Adverse events were reported for the duration of the study; each patient participated in the study for approximately 12 weeks.
Description
The total number of adverse events listed in the "Other (non-Serious) Adverse Event" table are based upon a cut-off of greater than or equal to 5 percent of patients experiencing the adverse event in any treatment arm.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Placebo
Each patient received matching placebo twice daily for 12 weeks.
1
65
9
65
EG001
Canagliflozin 50 mg Daily
Each patient received 50 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
1
64
13
64
EG002
Canagliflozin 100 mg Daily
Each patient received 100 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
1
64
10
64
EG003
Canagliflozin 200 mg Daily
Each patient received 200 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
1
65
10
65
EG004
Canagliflozin 300 mg Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
1
64
10
64
EG005
Canagliflozin 300 mg Twice Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) twice daily for 12 weeks.
1
64
12
64
EG006
Sitagliptin 100 mg Daily
Each patient received 100 mg of sitagliptin once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
0
65
7
65
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Atrial fibrillation
Cardiac disorders
MEDDRA 11.1
Non-systematic Assessment
EG0000 affected65 at risk
EG0010 affected64 at risk
EG0020 affected64 at risk
EG0030 affected65 at risk
EG0041 affected64 at risk
EG0050 affected64 at risk
EG0060 affected65 at risk
Cardiac failure congestive
Cardiac disorders
MEDDRA 11.1
Non-systematic Assessment
EG0000 affected65 at risk
EG0010 affected64 at risk
EG0020 affected64 at risk
EG003
Gastroenteritis
Infections and infestations
MEDDRA 11.1
Non-systematic Assessment
EG0000 affected65 at risk
EG0010 affected64 at risk
EG0020 affected64 at risk
EG003
Otitis externa
Infections and infestations
MEDDRA 11.1
Non-systematic Assessment
EG0000 affected65 at risk
EG0011 affected64 at risk
EG0020 affected64 at risk
EG003
Pneumonia
Infections and infestations
MEDDRA 11.1
Non-systematic Assessment
EG0001 affected65 at risk
EG0010 affected64 at risk
EG0020 affected64 at risk
EG003
Blood creatine phosphokinase increased
Investigations
MEDDRA 11.1
Non-systematic Assessment
EG0001 affected65 at risk
EG0010 affected64 at risk
EG0020 affected64 at risk
EG003
Gestational diabetes
Metabolism and nutrition disorders
MEDDRA 11.1
Non-systematic Assessment
EG0000 affected65 at risk
EG0010 affected64 at risk
EG0020 affected64 at risk
EG003
Spondylolisthesis
Musculoskeletal and connective tissue disorders
MEDDRA 11.1
Non-systematic Assessment
EG0000 affected65 at risk
EG0010 affected64 at risk
EG0021 affected64 at risk
EG003
Hypoxia
Respiratory, thoracic and mediastinal disorders
MEDDRA 11.1
Non-systematic Assessment
EG0001 affected65 at risk
EG0010 affected64 at risk
EG0020 affected64 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Abdominal pain upper
Gastrointestinal disorders
MEDDRA 11.1
Non-systematic Assessment
EG0001 affected65 at risk
EG0010 affected64 at risk
EG0020 affected64 at risk
EG0030 affected65 at risk
EG0042 affected64 at risk
EG0054 affected64 at risk
EG0060 affected65 at risk
Nausea
Gastrointestinal disorders
MEDDRA 11.1
Non-systematic Assessment
EG0000 affected65 at risk
EG0013 affected64 at risk
EG0021 affected64 at risk
EG003
Nasopharyngitis
Infections and infestations
MEDDRA 11.1
Non-systematic Assessment
EG0002 affected65 at risk
EG0015 affected64 at risk
EG0020 affected64 at risk
EG003
Urinary tract infection
Infections and infestations
MEDDRA 11.1
Non-systematic Assessment
EG0004 affected65 at risk
EG0013 affected64 at risk
EG0022 affected64 at risk
EG003
Vulvovaginal mycotic infection
Infections and infestations
MEDDRA 11.1
Non-systematic Assessment
EG0000 affected65 at risk
EG0014 affected64 at risk
EG0022 affected64 at risk
EG003
Headache
Nervous system disorders
MEDDRA 11.1
Non-systematic Assessment
EG0002 affected65 at risk
EG0011 affected64 at risk
EG0025 affected64 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
A copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested in writing, such publication will be withheld for up to an additional 60 days.
Point of Contact
Title
Organization
Phone
Extension
Email
Vice President, Franchise Medical Leader, Cardiovascular & Metabolism Franchise
Janssen Research & Development, LLC
1-800-526-7736
ID
Term
D003924
Diabetes Mellitus, Type 2
Ancestor Terms
ID
Term
D003920
Diabetes Mellitus
D044882
Glucose Metabolism Disorders
D008659
Metabolic Diseases
D009750
Nutritional and Metabolic Diseases
D004700
Endocrine System Diseases
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
D000068896
Canagliflozin
D000068900
Sitagliptin Phosphate
Ancestor Terms
ID
Term
D013876
Thiophenes
D013457
Sulfur Compounds
D009930
Organic Chemicals
D006573
Heterocyclic Compounds, 1-Ring
D006571
Heterocyclic Compounds
D005960
Glucosides
D006027
Glycosides
D002241
Carbohydrates
D014230
Triazoles
D001393
Azoles
D011719
Pyrazines
Browse Leaves
Not provided
Browse Branches
Not provided
0 subjects
FG0050 subjects
FG0060 subjects
0 subjects
FG0051 subjects
FG0061 subjects
0 subjects
FG0050 subjects
FG0060 subjects
0 subjects
FG0051 subjects
FG0062 subjects
6 subjects
FG0052 subjects
FG0062 subjects
0 subjects
FG0050 subjects
FG0060 subjects
0 subjects
FG0051 subjects
FG0060 subjects
0
BG0040
BG0050
BG0060
BG0070
Between 18 and 65 years
BG00063
BG00161
BG00263
BG00361
BG00463
BG00562
BG00665
BG007438
>=65 years
BG0002
BG0013
BG0021
BG0034
BG0041
BG0052
BG0060
BG00713
51.7
± 7.95
BG00352.9± 9.56
BG00452.3± 6.88
BG00555.2± 7.14
BG00651.7± 8.09
BG00752.9± 8.06
28
BG00332
BG00428
BG00536
BG00627
BG007215
Male
BG00031
BG00134
BG00236
BG00333
BG00436
BG00528
BG00638
BG007236
3
BG0031
BG0042
BG0050
BG0062
BG00710
BULGARIA
Title
Measurements
BG0001
BG0011
BG0021
BG0030
BG0043
BG0053
BG0061
BG00710
CANADA
Title
Measurements
BG00011
BG0016
BG0029
BG0038
BG0048
BG0054
BG0067
BG00753
CZECH REPUBLIC
Title
Measurements
BG0002
BG0013
BG0022
BG0036
BG0040
BG0052
BG0062
BG00717
INDIA
Title
Measurements
BG0004
BG0016
BG0023
BG0035
BG0042
BG0056
BG0064
BG00730
MALAYSIA
Title
Measurements
BG0003
BG0010
BG0026
BG0032
BG0044
BG0051
BG0063
BG00719
MEXICO
Title
Measurements
BG0004
BG0016
BG0029
BG0039
BG0046
BG00514
BG0062
BG00750
POLAND
Title
Measurements
BG0003
BG0015
BG0024
BG0037
BG0046
BG0055
BG0069
BG00739
ROMANIA
Title
Measurements
BG0009
BG0018
BG0024
BG0036
BG0046
BG0055
BG0068
BG00746
RUSSIAN FEDERATION
Title
Measurements
BG0005
BG0017
BG0025
BG0032
BG0046
BG0053
BG0064
BG00732
UNITED KINGDOM
Title
Measurements
BG0001
BG0010
BG0022
BG0031
BG0043
BG0051
BG0062
BG00710
UNITED STATES
Title
Measurements
BG00021
BG00121
BG00216
BG00318
BG00418
BG00520
BG00621
BG007135
62
OG00460
OG00562
OG00662
-0.70
± 0.720
OG004-0.92± 0.695
OG005-0.95± 0.704
OG006-0.74± 0.615
OG000
OG002
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Adjusted using Dunnett's procedure.
Least-Squares Mean Difference
-0.51
Standard Error of the Mean
0.116
2-Sided
95
-0.804
-0.207
No
Superiority or Other
OG000
OG003
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Adjusted using Dunnett's procedure.
Least-Squares Mean Difference
-0.54
Standard Error of the Mean
0.116
2-Sided
95
-0.841
-0.244
No
Superiority or Other
OG000
OG004
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Adjusted using Dunnett's procedure.
Least-Squares Mean Difference
-0.71
Standard Error of the Mean
0.117
2-Sided
95
-1.006
-0.405
No
Superiority or Other
OG000
OG005
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Adjusted using Dunnett's procedure.
Least-Squares Mean Difference
-0.73
Standard Error of the Mean
0.116
2-Sided
95
-1.029
-0.432
No
Superiority or Other
OG000
OG006
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Adjusted using Dunnett's procedure.
Least-Squares Mean Difference
-0.56
Standard Error of the Mean
0.116
2-Sided
95
-0.862
-0.265
No
Superiority or Other
OG003
Canagliflozin 200 mg Daily
Each patient received 200 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG004
Canagliflozin 300 mg Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG005
Canagliflozin 300 mg Twice Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) twice daily for 12 weeks.
OG006
Sitagliptin 100 mg Daily
Each patient received 100 mg of sitagliptin once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Units
Counts
Participants
OG00062
OG00163
OG00263
OG00362
OG00461
OG00562
OG00664
Title
Denominators
Categories
Title
Measurements
OG0000.2± 1.58
OG001-0.9± 2.26
OG002-1.4± 1.70
OG003-1.5± 2.23
OG004-1.4± 1.87
OG005-1.3± 1.54
OG006-0.7± 1.77
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
0.001
Least-Squares Mean Difference
-0.9
Standard Error of the Mean
0.27
2-Sided
95
-1.39
-0.34
No
Superiority or Other
OG000
OG002
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Squares Mean Difference
-1.4
Standard Error of the Mean
0.27
2-Sided
95
-1.98
-0.92
No
Superiority or Other
OG000
OG003
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Squares Mean Difference
-1.8
Standard Error of the Mean
0.27
2-Sided
95
-2.33
-1.27
No
Superiority or Other
OG000
OG004
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Squares Mean Difference
-1.8
Standard Error of the Mean
0.27
2-Sided
95
-2.32
-1.26
No
Superiority or Other
OG000
OG005
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Squares Mean Difference
-1.7
Standard Error of the Mean
0.27
2-Sided
95
-2.25
-1.19
No
Superiority or Other
OG000
OG006
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Squares Mean Difference
-1.0
Standard Error of the Mean
0.27
2-Sided
95
-1.51
-0.46
No
Superiority or Other
OG004
Canagliflozin 300 mg Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG005
Canagliflozin 300 mg Twice Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) twice daily for 12 weeks.
OG006
Sitagliptin 100 mg Daily
Each patient received 100 mg of sitagliptin once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Units
Counts
Participants
OG00065
OG00164
OG00264
OG00365
OG00464
OG00564
OG00665
Title
Denominators
Categories
Title
Measurements
OG0002
OG0010
OG0022
OG0036
OG0040
OG0053
OG0065
OG003
Canagliflozin 200 mg Daily
Each patient received 200 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG004
Canagliflozin 300 mg Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG005
Canagliflozin 300 mg Twice Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) twice daily for 12 weeks.
OG006
Sitagliptin 100 mg Daily
Each patient received 100 mg of sitagliptin once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Units
Counts
Participants
OG00054
OG00158
OG00256
OG00353
OG00457
OG00556
OG00658
Title
Denominators
Categories
Title
Measurements
OG0001.9± 12.34
OG00135.4± 28.98
OG00251.5± 28.83
OG00350.5± 24.38
OG00449.4± 38.41
OG00561.6± 37.85
OG006-1.9± 14.78
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Sqaures Mean Difference
36.1
Standard Error of the Mean
5.10
2-Sided
95
26.07
46.13
No
Superiority or Other
OG000
OG002
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Sqaures Mean Difference
49.3
Standard Error of the Mean
5.13
2-Sided
95
39.17
59.34
No
Superiority or Other
OG000
OG003
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Sqaures Mean Difference
48.2
Standard Error of the Mean
5.2
2-Sided
95
37.98
58.42
No
Superiority or Other
OG000
OG004
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Squares Mean Difference
49.0
Standard Error of the Mean
5.11
2-Sided
95
38.91
59.01
No
Superiority or Other
OG000
OG005
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Sqaures Mean Difference
60.3
Standard Error of the Mean
5.13
2-Sided
95
50.17
70.35
No
Superiority or Other
OG000
OG006
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
0.513
Least-Squares Mean Difference
-3.3
Standard Error of the Mean
5.09
2-Sided
95
-13.33
6.67
No
Superiority or Other
Each patient received 200 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG004
Canagliflozin 300 mg Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG005
Canagliflozin 300 mg Twice Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) twice daily for 12 weeks.
OG006
Sitagliptin 100 mg Daily
Each patient received 100 mg of sitagliptin once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Units
Counts
Participants
OG00062
OG00163
OG00264
OG00363
OG00462
OG00562
OG00664
Title
Denominators
Categories
Title
Measurements
OG000-0.78± 2.099
OG001-1.96± 2.334
OG002-2.25± 2.145
OG003-2.32± 2.842
OG004-2.88± 2.391
OG005-2.87± 2.344
OG006-0.43± 2.693
OG003
Canagliflozin 200 mg Daily
Each patient received 200 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG004
Canagliflozin 300 mg Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
OG005
Canagliflozin 300 mg Twice Daily
Each patient received 300 mg of canagliflozin (JNJ-28431754) twice daily for 12 weeks.
OG006
Sitagliptin 100 mg Daily
Each patient received 100 mg of sitagliptin once daily (in the morning) for 12 weeks with matching placebo once daily (in the evening).
Units
Counts
Participants
OG00062
OG00163
OG00264
OG00363
OG00462
OG00562
OG00664
Title
Denominators
Categories
Title
Measurements
OG000-1.1± 2.4
OG001-2.3± 2.8
OG002-2.6± 2.3
OG003-2.7± 3.0
OG004-3.4± 2.8
OG005-3.4± 2.6
OG006-0.6± 3.0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
0.009
Least-Sqaures Mean Difference
-1.3
Standard Error of the Mean
0.5
2-Sided
95
-2.2
-0.3
No
Superiority or Other
OG000
OG002
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
0.002
Least-Sqaures Mean Difference
-1.5
Standard Error of the Mean
0.5
2-Sided
95
-2.5
-0.6
No
Superiority or Other
OG000
OG003
ANCOVA
ANCOVA model included terms for treatment, baseline value, and mixed meal tolerance test.
<0.001
Least-Sqaures Mean Difference
-1.6
Standard Error of the Mean
0.5
2-Sided
95
-2.6
-0.7
No
Superiority or Other
OG000
OG004
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Sqaures Mean Difference
-2.3
Standard Error of the Mean
0.5
2-Sided
95
-3.3
-1.4
No
Superiority or Other
OG000
OG005
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).
<0.001
Least-Sqaures Mean Difference
-2.3
Standard Error of the Mean
0.5
2-Sided
95
-3.3
-1.4
No
Superiority or Other
OG000
OG006
ANCOVA
ANCOVA model included terms for treatment, baseline value, and stratification factor (participation in mixed meal tolerance test).