Diabetes Mellitus, Type 2Phase 3NCT03170518
A Study to Investigate the Efficacy and Safety of Canagliflozin in Children and Adolescents (>=10 to <18 Years) With Type 2 Diabetes Mellitus
A Phase 3 study testing Canagliflozin 100 mg and Canagliflozin 300 mg in people with Diabetes Mellitus, Type 2, run by Janssen Research & Development, LLC at 106 sites in 10 countries.
Trial summary
The purpose of this study is to assess the effect of canagliflozin relative to placebo on glycated hemoglobin (HbA1c) after 26 weeks of treatment, and to assess the overall safety and tolerability of canagliflozin. Read more about this study
- Who is it for?
- Ages 10 to 17 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Canagliflozin 100 mg and Canagliflozin 300 mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 171 participants
- Where
- 106 sitesin 10 countries
- Study dates
- 21 Jul 2017to 20 Sep 2023
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 10 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Participants with a diagnosis of type 2 diabetes mellitus (T2DM)
- Random C-peptide at screening greater than (>)0.6 nanogram/milliliter (ng/mL) (>0.2 nanomole/liter [nmol]/L])
- HbA1c of greater than or equal to (>=)6.5 percent (%) to less than or equal to (<=)11.0% and meets 1 of the inclusion criteria below:
- On diet and exercise only for at least 4 weeks prior to screening
- On diet and exercise and a stable dose of metformin monotherapy >=1,000 mg per day or MTD per day for at least 8 weeks prior to screening
- On diet and exercise and a stable insulin monotherapy regimen for at least 8 weeks prior to screening (stable dose is defined as no change in the insulin regimen [that is, type{s} of insulin] and <=15% change in the total daily dose of insulin [averaged over 1 week to account for day to day variability])
- On diet and exercise and a stable combination therapy with metformin and insulin for at least 8 weeks prior to screening
Who cannot join
- History of diabetic ketoacidosis (DKA), type 1 diabetes mellitus (T1DM), pancreas or cell transplantation, or diabetes secondary to pancreatitis or pancreatectomy or maturity onset diabetes of the young (MODY)
- Participants on any antihyperglycemic agents (AHAs) other than metformin, or injectable insulin within 8 weeks of the first dose of study drug (that is Day 1)
- Repeated (2 or more over a 1-week period) fasting self-monitoring of blood glucose (SMBG) measurements >270 milligram/deciliter (mg/dL) (>15 millimole/liter [mmol/L]) during the pretreatment phase, despite reinforcement of diet and exercise counseling
- Severe hypoglycemia within 6 months prior to Day 1
- History of hereditary glucose-galactose malabsorption or primary renal glucosuria
- Alanine aminotransferase level >5.0 times the upper limit of normal (ULN) or total bilirubin >1.5 times the ULN at screening (for elevations in bilirubin: if, in the opinion of the investigator and agreed upon by the sponsor's medical officer, the elevation in bilirubin is consistent with Gilbert's disease, the subject may participate)
Trial locations and contacts
106 sites in 10 countries.
106 sites in 10 countries
United States36 sites
Appalachian Clinical Research
Adairsville, Georgia, 30103
University of New Mexico
Albuquerque, New Mexico, 87131
TOPAZ Clinical Research
Apopka, Florida, 32703
University of Colorado School of Medicine/Children's Hospital Colorado
Aurora, Colorado, 80045
Avant Research Associates, LLC
Austin, Texas, 78709
AM Diabetes & Endocrinology Center
Bartlett, Tennessee, 38133-4063
Floating Hospital For Children at Tufts Medical Center
Boston, Massachusetts, 02111
SUNY Downstate Medical Center
Brooklyn, New York, 11203
Capital Diabetes and Endocrine Associates
Camp Springs, Maryland, 20746
Carolinas Research Center, LLC
Charlotte, North Carolina, 28215
Cleveland Clinic Center for Pediatric Endocrinology
Cleveland, Ohio, 44195
Endocrine Consultants Research
Columbus, Georgia, 31904-4501
Buckeye Health and Research, LLC
Columbus, Ohio, 43207
Driscoll Children's Hospital
Corpus Christi, Texas, 78411
Alas Viable Research
Henderson, Nevada, 89014
Amir Ali Hassan, MD, PA
Houston, Texas, 77089
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242
Sante Clinical Research
Kerrville, Texas, 78028
Arkansas Childrens Hospital
Little Rock, Arkansas, 72202
Texas Institute for Kidney and Endocrine Disorders
Lufkin, Texas, 75904
LifeDoc Research, PLLC
Memphis, Tennessee, 38115
Columbus Clinical Services LLC
Miami, Florida, 33125
Medical Research Center of Miami II Inc
Miami, Florida, 33134
Nicklaus Children's Hospital
Miami, Florida, 33155
Icahn School of Medicine at Mount Sinai
New York, New York, 10029-6500
Nemours Children's Hospital/Endocrinology
Orlando, Florida, 32827
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104
WakeMed Clinical Research Institute
Raleigh, North Carolina, 27610
Center of Excellence for Diabetes and Endocrinology (CEDE)
Sacramento, California, 95821
Sun Research Institute
San Antonio, Texas, 78215
Asclepes Research
Spring Hill, Florida, 34609
Johns Hopkins All Children's Hospital
St. Petersburg, Florida, 33701
MultiCare Health System
Tacoma, Washington, 98405
American Institute of Research
Whittier, California, 90603
Nemours DuPont Hospital for Children
Wilmington, Delaware, 19803
PMG Research of Wilmington, LLC
Wilmington, North Carolina, 28401
Russia15 sites
Republic Children Clinical Hospital of the Ministry of Health of Udmurtskaya Republic
Izhevsk, 426009
Kirov Clinical Hospital #7 named after V.I. Yurlova
Kirov, 610014
Krasnoyarsk State Medical University
Krasnoyarsk, 660022
Natiolal Medical Research Center of Endocrinology
Moscow, 117036
Russian National Research Medical University named after N.I.Pirogov
Moscow, 123317
Children City Clinical Hospital #1
Novosibirsk, 630048
Omsk Regional Childrens Clinical Hospital
Omsk, 644001
City Children Clinical Outpatient Clinic #5
Perm, 614066
SBHI Children's City Multi-Profile Clinical Center named after K. A. Rauhfus
Saint Petersburg, 191036
Children Outpatient Clinic 45 Of Nevskiy Region
Saint Petersburg, 193312
Saint-Petersburg State Pediatric Medical Academy of RosZdrav, Clinical Diagnostic Center
Saint Petersburg, 194100
Samara Regional Children Clinical Hospital named after N.N. Ivanova
Samara, 443079
Siberian State Medical University
Tomsk, 634050
Tver Regional Clinical Hospital
Tver', 170100
Regional Pediatric Clinical Hospital No.1
Yekaterinburg, 620149
Brazil11 sites
Hospital Universitario Joao de Barros Barreto - UFPA
Belém, 66073-000
Santa Casa de Misericordia de Belo Horizonte
Belo Horizonte, 30150-221
Condominio Centro Clinico do Lago
Brasília, 71625-009
Centro de Diabetes Curitiba Ltda
Curitiba, 80810-040
Núcleo de Pesquisa Clinica
Porto Alegre, 90430-001
Instituto da Criança com Diabetes do Rio Grande do Sul - ICDRS
Porto Alegre, 91350-250
Ruschel Medicina e Pesquisa Clínica Ltda
Rio de Janeiro, 22270 060
Hospital e Maternidade Dr Christovao da Gama S.A
Santo André, 09030-010
IPEC - Instituto de Pesquisa Clínica Ltda
São Paulo, 01223-001
Hospital Das Clinicas Da Faculdade De Medicina Da USP
São Paulo, 05403-000
Santa Casa de Misericórdia de Votuporanga
Votuporanga, 15500-003
Mexico10 sites
Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V.
Aguascalientes, 20010
Instituto Nacional de Pediatría
Coyoacán, 4530
Desarrollo Ético en Investigación Clínica S.C .
Guadalajara, 44500
Centro de Estudios de Investigación Metabólicos y Cardiovasculares S.C.
Madero, 89440
St Lucas Clinical Research Center
Mérida, 97217
Bio Investigación AMARC, S.C.
Mexico City, 11400
UBAM Unidad Biomédica Avanzada Monterrey
Monterrey, 64460
Consultorio Medico
Puebla City, 72190
Centro Integral Medico SJR, SC
San Juan del Río, 76800
Centro De Investigacion Medica De Occidente, S.C.
Zapopan, 45116
China8 sites
Capital Institute of Pediatrics
Beijing, 100000
Xiangya Hospital Central South University
Changsha, 410008
The Childrens Hospital Zhejiang University School Of Medicine
Hangzhou, 310052
Jiangxi Provincial Children's Hospital
Nanchang, 330006
Jiangsu Province Hospital
Nanjing, 210029
Wuhan Union Hospital
Wuhan, 430023
Tongji Hospital Tongji Medical College of Huazhong University of Science and Technology
Wuhan, 430030
Chidren's Hospital of Zhengzhou
Zhengzhou, 450003
India8 sites
Diacon Hospital
Bangalore, 560010
Post Graduate Institute of Medical Education And Research PGIMER
Chandigarh, 160012
Kovai Diabetes Specialty Centre & Hospital
Coimbatore, 641 009
Quality Care India Limited
Hyderabad, 500024
P D Hinduja National Hospital and Medical Research Center
Mumbai, 400016
Sir Ganga Ram Hospital
New Delhi, 110060
Jehangir Clinical Development Center Pvt Ltd
Pune, 411001
Jothydev's Diabetes Research Centre
Trivandrum, 695032
Poland6 sites
Gornoslaskie Centrum Zdrowia, SPSK nr 6 Slaskiego Uniwersytetu Medycznego w Katowicach
Katowice, 40-752
WSS Dzieciecy prof.dr S.Popowskiego w Olsztynie,Od.Pediatryczny VI Reumatologiczno-Endokrynologiczny
Olsztyn, 10-561
Gabinet Pediatryczny Artur Mazur
Rzeszów, 35 301
Instytut 'Pomnik-Centrum Zdrowia Dziecka', Klinika Endokrynologii i Diabetologii
Warsaw, 04-730
Uniwersytecki Szpital Kliniczny im Jana Mikulicza Radeckiego we Wroclawiu
Wroclaw, 50 368
Specjalistyczna Praktyka Lekarska Aspiro
Wroclaw, 50-341
Malaysia5 sites
Hospital Sultanah Bahiyah
Alor Star, 5460
Hospital Pulau Pinang
George Town, 10990
Hospital Raja Permaisuri Bainun
Ipoh, 30990
Hospital Tuanku Fauziah
Kangar, 1000
Hospital University Sains Malaysia
Kubang Kerian, 16150
Philippines5 sites
Chong Hua Hospital
Cebu City, 6000
Norzel MedicaL and Diagnostic Clinic
Cebu City, 6000
De La Salle Health Sciences Institute- DLSUMC
Dasmariñas, 4114
Davao Doctors Hospital
Davao City, 8000
Docbebet Diabetes Clinic
San Fernando City, 2000
Greece2 sites
General Children's Hospital 'P. and A. Kyriakou'
Athens, 11527
Athens Medical Center
Athens, 15125
About this study
Official title: A Randomized, Multicenter, Double-Blind, Parallel-Group, Placebo-Controlled Study to Investigate the Efficacy and Safety of Canagliflozin in Children and Adolescents (≥10 to <18 Years) With Type 2 Diabetes Mellitus
The purpose of this study is to assess the effect of canagliflozin relative to placebo on glycated hemoglobin (HbA1c) after 26 weeks of treatment, and to assess the overall safety and tolerability of canagliflozin.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Canagliflozin 100 mg, Canagliflozin 300 mg, Placebo
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Canagliflozin 100 mgDrug
Also called JNJ-28431754
Canagliflozin 100 mg tablet will be administered orally (by mouth) once-daily.
Canagliflozin 300 mgDrug
Also called JNJ-28431754
Canagliflozin 300 mg tablet will be administered orally once-daily.
PlaceboDrug
Matching placebo tablet will be administered orally once-daily.
| Study group | Role | What they receive |
|---|---|---|
| Single-blind run-in Period: Placebo | Experimental | Participants will receive 1 placebo tablet matching canagliflozin 100 milligram (mg) once-daily during the 2-week single-blind placebo run-in period. Receives: Drug: Placebo |
| Double-blind Treatment Phase: Canagliflozin or Placebo | Experimental | Canagliflozin 100 mg/matching placebo once-daily during first 12 weeks. At Week 13, participants who have glycated hemoglobin (HbA1c) of greater than or equal to (>=)7.0 percent (%), estimated glomerular filtration rate (eGFR) >=60 milliliter/minute/1.73 meter square (mL/min/1.73 m^2) will be re-randomized to either remain on canagliflozin 100 mg/matching placebo or up-titrate to canagliflozin 300 mg/matching placebo till Week 52. Receives: Drug: Canagliflozin 100 mg; Drug: Canagliflozin 300 mg; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 26
Change from baseline in HbA1c at Week 26 was analyzed using a pattern mixture model with multiple imputation. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1) and Week 26
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)
An AE was any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non investigational) product. An AE did not necessarily have a causal relationship with the pharmaceutical/biological agent under study. TEAE was defined as the AEs occurring after first administration of double blind study intervention up to 30 days post last dose of study intervention.
Measured: Baseline (Day 1) up to 30 days post last dose at Week 52 (up to Week 56)
Secondary outcomes (16)
Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 26 and 52
Change from baseline in FPG at Weeks 26 and Week 52 was reported. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1), Weeks 26 and 52
Percentage of Participants With HbA1c Less Than (<)7.5 Percent (%), <7%, and <6.5% at Weeks 26 and 52
The percentage of participants with HbA1c <7.5%, <7.0%, and <6.0% at Weeks 26 and 52 was reported. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Weeks 26 and 52
Percentage of Participants Who Received Rescue Therapy
Percentage of participants who received rescue therapy was reported. Participants who met glycemic rescue criteria that is with baseline HbA1c less than (<) 9.0 percent (%) and greater than (>) 0.8% change from baseline in HbA1c or with baseline HbA1c >=9% and >0.5% change from baseline in HbA1c received the glycemic rescue therapy. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1) up to Week 52
Time to Rescue Therapy
Time to rescue therapy was planned to be reported. Participants who met glycemic rescue criteria that is with baseline HbA1c less than (<) 9.0 percent (%) and greater than (>) 0.8% change from baseline in HbA1c or with baseline HbA1c greater than or equal to (>=)9% and >0.5% change from baseline in HbA1c received the glycemic rescue therapy. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1) up to Week 52
Percent Change From Baseline in Body Weight at Weeks 26 and 52
The percent change from baseline in body weight at Weeks 26 and 52 was reported. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1), Weeks 26 and 52
Change From Baseline in Body Mass Index (BMI) at Weeks 26 and 52
Change from baseline in BMI at Weeks 26 and 52 was reported. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1), Weeks 26, and 52
Percent Change From Baseline in Fasting Plasma Lipids Levels at Weeks 26 and 52
The percentage change from baseline in fasting plasma lipids (low-density lipoprotein-cholesterol [LDL-C], high-density lipoprotein-cholesterol [HDL-C], total cholesterol, non-HDL-C, and triglycerides) at Weeks 26 and 52 was reported. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1), Weeks 26, and 52
Percent Change From Baseline in LDL-C to HDL-C Ratio and Non-HDL-C to LDL-C Ratio at Weeks 26 and 52
The percentage change from baseline in LDL-C to HDL-C ratio and non-HDL-C to LDL-C ratio at Weeks 26 and 52 was reported. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1), Weeks 26, and 52
Change From Baseline in Systolic Blood Pressure at Weeks 26 and 52
Change from baseline in systolic blood pressure at Weeks 26 and 52 was reported. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1), Weeks 26 and 52
Change From Baseline in Diastolic Blood Pressure at Weeks 26 and 52
Change from baseline in diastolic blood pressure at Weeks 26 and 52 was reported. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1), Weeks 26, and 52
Change From Baseline in HbA1c at Weeks 12 and 52
Change from baseline in HbA1c at Weeks 12 and 52 was reported. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Measured: Baseline (Day 1), Weeks 12, and 52
Growth Velocity at Weeks 26 and 52
Growth velocity (increase in height per year) at Weeks 26 and 52 was reported. Growth velocity was derived from height measurements taken at baseline (Day 1), Week 26 and Week 52 visit. Growth velocity at Week 26 was derived as: (height at Week 26 - height at baseline)/(time from baseline to week 26. Similarly, growth velocity at Week 56 was derived.
Measured: Baseline (Day 1) and Weeks 26 and 52
Number of Participants With Changes in Tanner Staging (Females) From Baseline at Weeks 26 and 52
Tanner pubertal staging was assessed in female (F) for pubic hair growth and for breast development in stages (S) 1 to 5. If a participant had reached tanner S 5, no further Tanner pubertal S assessments were to be completed and reported as 'not done (ND)'. Tanner S Pubic hair growth: Pubic hair (1: No hair, 2: Downy hair, 3: More coarse and curly hair, 4: Adult-like hair quality; 5: Hair extends to medial surface of the thighs); Breast development: (1: The nipple is raised a little in this stage. The rest of the breast is still flat, 2: Breast bud forms,3: More elevated, outside areola, 4: Increased breast size, 5: Final adult-size breasts). Categories with at least 1 non-zero data values are reported. Baseline=B, Week=W.
Measured: Baseline (Day 1), Weeks 26, and 52
Number of Participants With Changes in Tanner Staging (Males) From Baseline at Weeks 26 and 52
Tanner pubertal staging was assessed in male (M) for pubic hair growth and for genitalia development in S 1 to 5. If a participant had reached Tanner S5, no further Tanner pubertal S assessments were to be completed and reported as ND. Tanner S pubic hair growth: Pubic hair (1: No hair, 2: little soft, long, lightly curled hair at penis 3: More coarse and curly hair covered larger area, 4: Adult-like hair quality; 5: Hair extends to medial surface of the thighs); Genitalia development: (1: Testes, scrotum, and penis about same size, 2: Enlargement of scrotum, testes, and penis, 3: Enlargement of penis, 4: The penis and glans became larger, 5: Genitalia size and shape same an adult male). Categories with at least 1 non-zero data values are reported. GD: genitalia development.
Measured: Baseline (Day 1), Weeks 26, and 52
Change From Baseline in Bone Turnover Marker: Serum Osteocalcin and Serum Collagen Type 1 Carboxy-Telopeptide (CTx) at Weeks 26 and 52
Change from baseline in bone turnover marker: serum osteocalcin and CTx at Weeks 26 and 52 was reported.
Measured: Baseline (Day 1), Weeks 26 and 52
Urinary Albumin/Creatinine Ratio (ACR) at Weeks 26 and 52
Urinary ACR at Weeks 26 and 52 was reported.
Measured: Weeks 26 and 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 May 2017
- Study start21 Jul 2017
- Primary completion20 Sep 2023
- Study completion20 Sep 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 171 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03170518
- Sponsor's protocol ID
- CR108298
- Other IDs
- 28431754DIA3018, 2016-005223-88, 2016
- Status last verified
- Apr 2025
- First submitted
- 26 May 2017
- Last updated
- 25 Apr 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Nadgir U, Ali SR, Gogate J, Shaw W, Antunes J, Fonseca S. Treatment With Canagliflozin Versus Placebo in Children and Adolescents With Type 2 Diabetes : A Randomized Clinical Trial. Ann Intern Med. 2025 Sep;178(9):1217-1226. doi: 10.7326/ANNALS-24-04017. Epub 2025 Aug 5.
PubMed 40759025
Study at a glance
From the registry record, last updated by the sponsor on 25 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multicenter, Double-Blind, Parallel-Group, Placebo-Controlled Study to Investigate the Efficacy and Safety of Canagliflozin in Children and Adolescents (≥10 to <18 Years) With Type 2 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT03170518
- Acronym / sponsor ID
- CR108298
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 171 participants (actual)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 21 Jul 2017 (actual)
- Primary completion
- 20 Sep 2023 (actual)
- Study completion
- 20 Sep 2023 (actual)
- First posted
- 31 May 2017 (actual)
- Results
- Posted 12 Mar 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the effect of canagliflozin relative to placebo on glycated hemoglobin (HbA1c) after 26 weeks of treatment, and to assess the overall safety and tolerability of canagliflozin.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Single-blind run-in Period: Placebo | Experimental | Drug: PlaceboParticipants will receive 1 placebo tablet matching canagliflozin 100 milligram (mg) once-daily during the 2-week single-blind placebo run-in period. |
| Double-blind Treatment Phase: Canagliflozin or Placebo | Experimental | Drug: Canagliflozin 100 mg, Drug: Canagliflozin 300 mg, Drug: PlaceboCanagliflozin 100 mg/matching placebo once-daily during first 12 weeks. At Week 13, participants who have glycated hemoglobin (HbA1c) of greater than or equal to (>=)7.0 percent (%), estimated glomerular filtration rate (eGFR) >=60 milliliter/minute/1.73 meter square (mL/min/1.73 m^2) will be re-randomized to either remain on canagliflozin 100 mg/matching placebo or up-titrate to canagliflozin 300 mg/matching placebo till Week 52. |
Who may qualify
- Ages
- 10 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (7 listed)
- Participants with a diagnosis of type 2 diabetes mellitus (T2DM)
- Random C-peptide at screening greater than (>)0.6 nanogram/milliliter (ng/mL) (>0.2 nanomole/liter [nmol]/L])
- HbA1c of greater than or equal to (>=)6.5 percent (%) to less than or equal to (<=)11.0% and meets 1 of the inclusion criteria below:
Key exclusion criteria (6 listed)
- History of diabetic ketoacidosis (DKA), type 1 diabetes mellitus (T1DM), pancreas or cell transplantation, or diabetes secondary to pancreatitis or pancreatectomy or maturity onset diabetes of the young (MODY)
- Participants on any antihyperglycemic agents (AHAs) other than metformin, or injectable insulin within 8 weeks of the first dose of study drug (that is Day 1)
- Repeated (2 or more over a 1-week period) fasting self-monitoring of blood glucose (SMBG) measurements >270 milligram/deciliter (mg/dL) (>15 millimole/liter [mmol/L]) during the pretreatment phase, despite reinforcement of diet and exercise counseling
- Severe hypoglycemia within 6 months prior to Day 1
- History of hereditary glucose-galactose malabsorption or primary renal glucosuria
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Canagliflozin 100 mgAlso: JNJ-28431754Canagliflozin 100 mg tablet will be administered orally (by mouth) once-daily. | Drug | Double-blind Treatment Phase: Canagliflozin or Placebo |
| Canagliflozin 300 mgAlso: JNJ-28431754Canagliflozin 300 mg tablet will be administered orally once-daily. | Drug | Double-blind Treatment Phase: Canagliflozin or Placebo |
| PlaceboMatching placebo tablet will be administered orally once-daily. | Drug | Double-blind Treatment Phase: Canagliflozin or Placebo, Single-blind run-in Period: Placebo |
Primary outcome
Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 26
Time frame: Baseline (Day 1) and Week 26
Change from baseline in HbA1c at Week 26 was analyzed using a pattern mixture model with multiple imputation. Data for this outcome measure was planned to be collected and analyzed for the combined population of arm Canagliflozin 100 mg and Canagliflozin 300 mg.
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)
Time frame: Baseline (Day 1) up to 30 days post last dose at Week 52 (up to Week 56)
An AE was any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non investigational) product. An AE did not necessarily have a causal relationship with the pharmaceutical/biological agent under study. TEAE was defined as the AEs occurring after first administration of double blind study intervention up to 30 days post last dose of study intervention.
16 secondary outcomes
Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 26 and 52
Time frame: Baseline (Day 1), Weeks 26 and 52
Percentage of Participants With HbA1c Less Than (<)7.5 Percent (%), <7%, and <6.5% at Weeks 26 and 52
Time frame: Weeks 26 and 52
Percentage of Participants Who Received Rescue Therapy
Time frame: Baseline (Day 1) up to Week 52
Time to Rescue Therapy
Time frame: Baseline (Day 1) up to Week 52
Percent Change From Baseline in Body Weight at Weeks 26 and 52
Time frame: Baseline (Day 1), Weeks 26 and 52
Change From Baseline in Body Mass Index (BMI) at Weeks 26 and 52
Time frame: Baseline (Day 1), Weeks 26, and 52
Percent Change From Baseline in Fasting Plasma Lipids Levels at Weeks 26 and 52
Time frame: Baseline (Day 1), Weeks 26, and 52
Percent Change From Baseline in LDL-C to HDL-C Ratio and Non-HDL-C to LDL-C Ratio at Weeks 26 and 52
Time frame: Baseline (Day 1), Weeks 26, and 52
Change From Baseline in Systolic Blood Pressure at Weeks 26 and 52
Time frame: Baseline (Day 1), Weeks 26 and 52
Change From Baseline in Diastolic Blood Pressure at Weeks 26 and 52
Time frame: Baseline (Day 1), Weeks 26, and 52
Change From Baseline in HbA1c at Weeks 12 and 52
Time frame: Baseline (Day 1), Weeks 12, and 52
Growth Velocity at Weeks 26 and 52
Time frame: Baseline (Day 1) and Weeks 26 and 52
Number of Participants With Changes in Tanner Staging (Females) From Baseline at Weeks 26 and 52
Time frame: Baseline (Day 1), Weeks 26, and 52
Number of Participants With Changes in Tanner Staging (Males) From Baseline at Weeks 26 and 52
Time frame: Baseline (Day 1), Weeks 26, and 52
Change From Baseline in Bone Turnover Marker: Serum Osteocalcin and Serum Collagen Type 1 Carboxy-Telopeptide (CTx) at Weeks 26 and 52
Time frame: Baseline (Day 1), Weeks 26 and 52
Urinary Albumin/Creatinine Ratio (ACR) at Weeks 26 and 52
Time frame: Weeks 26 and 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Apr 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40759025Nadgir U, Ali SR, Gogate J, Shaw W, Antunes J, Fonseca S. Treatment With Canagliflozin Versus Placebo in Children and Adolescents With Type 2 Diabetes : A Randomized Clinical Trial. Ann Intern Med. 2025 Sep;178(9):1217-1226. doi: 10.7326/ANNALS-24-04017. Epub 2025 Aug 5.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
106 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Canagliflozin 100 mg and Canagliflozin 300 mg in people with Diabetes Mellitus, Type 2, run by Janssen Research & Development, LLC at 106 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 106 sites in United States, Russia, Brazil, Mexico, China and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Mar 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 26 (time frame: Baseline (Day 1) and Week 26). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03170518, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Apr 2025.