Health Condition 1: null- Diabetes Mellitus, Type 2 Renal Insufficiency
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with T2DM not on an AHA or on any AHA in monotherapy or combination therapy (including oral or non oral agents) Patients with reduced kidney function
Exclusion criteria
Exclusion criteria: History of diabetic ketoacidosis, type 1 diabetes mellitus (T1DM), pancreas or beta cell transplantation, or diabetes secondary to pancreatitis or pancreatectomy Have proliferative diabetic retinopathy for which treatment is planned during the course of the study Kidney disease that required treatment with immunosuppressive therapy, history of dialysis or kidney transplant, presence of nephrotic syndrome (eg, severe proteinuria with hypoalbuminemia and/or edema), or inflammatory kidney disease Receiving anti hypertensive or anti-hyperlipidemic therapy not on a stable regimen History of a severe hypoglycemic episode within 6 months before screening
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the effect of canagliflozin relative to placebo on hemoglobin A1c (HbA1c) and to assess the safety and tolerability of canagliflozinTimepoint: The effect of canagliflozin will be assessed after 26 weeks of treatment with study drug. The safety and tolerability of canagliflozin will be assessed from time of signed informed consent to study end (includes up to 30 days following the last dose). | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess exposure-response relationships of canagliflozin using a population pharmacokinetic approach.Timepoint: Over 26 weeks of treatment;To assess the effects of canagliflozin relative to placebo on fasting plasma glucoseTimepoint: After 26 weeks of treatment;To assess the effects of canagliflozin relative to placebo on fasting plasma lipids, body weight, systolic and diastolic blood pressure, the proportion of patients achieving an HbA1c <7, and the proportion of patients receiving rescue therapy.Timepoint: After 26 and 52 weeks of treatment;To assess the effects of canagliflozin relative to placebo on glycemic control.Timepoint: After 52 weeks of treatment;To assess the effects of canagliflozin relative to placebo on renal functionTimepoint: After 26 and 52 weeks of treatment | — |
Countries
Australia, Belgium, Brazil, Canada, France, Germany, Hong Kong, India, Italy, Latvia, Malaysia, Mexico, New Zealand, Poland, Republic of Korea, Romania, Russian Federation, South Africa, Spain, United States of America