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A Study for Comparison of Canagliflozin Versus Alternative Antihyperglycemic Treatments on Risk of Heart Failure Hospitalization and Amputation for Participants With Type 2 Diabetes Mellitus and the Subpopulation With Established Cardiovascular Disease

Comparison of Canagliflozin vs. Alternative Antihyperglycemic Treatments on Risk of Heart Failure Hospitalization and Amputation for Patients With Type 2 Diabetes Mellitus and the Subpopulation With Established Cardiovascular Disease

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03492580
Enrollment
714582
Registered
2018-04-10
Start date
2018-02-22
Completion date
2018-06-25
Last updated
2025-06-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetes Mellitus, Type 2, Cardiovascular Diseases

Brief summary

The primary purpose of study is to estimate the incidence and comparative effect on health outcomes: 1) hospitalization for heart failure, 2) below knee lower extremity amputation. The date of first exposure to the particular drug(s) in the database, where the exposure start is between 1-April-2013 to 15-May-2017 and outcome data for these participants will be analyzed and reported in this study.

Interventions

DRUGCanagliflozin

No intervention or treatment assignment imposed by this study. Participants received canagliflozin as a part of routine clinical practice.

DRUGEmpagliflozin

No intervention or treatment assignment imposed by this study. Participants received empagliflozin as a part of routine clinical practice.

DRUGDapagliflozin

No intervention or treatment assignment imposed by this study. Participants received dapagliflozin as a part of routine clinical practice.

No intervention or treatment assignment imposed by this study. Participants received DPP-4 inhibitor as a part of routine clinical practice. DPP-4 inhibitors includes: alogliptin, linagliptin, saxagliptin, sitagliptin, vildagliptin.

DRUGGlucagon-like Peptide-1 (GLP-1) Agonist

No intervention or treatment assignment imposed by this study. Participants received GLP-1 agonist as a part of routine clinical practice. GLP-1 agonists includes: albiglutide, dulaglutide, exenatide, liraglutide, lixisenatide.

DRUGAnti-hyperglycemic Agents (AHA)

No intervention or treatment assignment imposed by this study. Participants received other selected AHA as a part of routine clinical practice. Other select AHAs includes: acarbose, bromocriptine, miglitol, nateglinide, repaglinide.

DRUGThiazolidinediones (TZD)

No intervention or treatment assignment imposed by this study. Participants received TZD as a part of routine clinical practice. TZDs includes: pioglitazone, rosiglitazone, troglitazone.

No intervention or treatment assignment imposed by this study. Participants received SU as a part of routine clinical practice. SUs includes: glipizide, glyburide, glimepiride, chlorpropamide, tolazamide, tolbutamide, acetohexamide

DRUGInsulin

No intervention or treatment assignment imposed by this study. Participants received Insulin as a part of routine clinical practice.

Sponsors

Janssen Research & Development, LLC
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* First exposure to the particular drug(s) in database (index date) * Exposure start is between 1 April 2013 and 15 May 2017 * At least 365 days of continuous observation time prior to index * At least 1 condition occurrence of 'Type II diabetes' any time in the prior continuous observation time (which is at least 365 days long) before or on the index date (first exposure to the particular drug(s) in database) For cohort with 'established cardiovascular disease - At least 1 occurrence of 'conditions indicating established cardiovascular disease' on or any time in the prior continuous observation time (which is at least 365 days long) prior to the index date

Exclusion criteria

\- Participants with type 1 diabetes or secondary diabetes prior to or on the index date of exposure were excluded from the study

Design outcomes

Primary

MeasureTime frameDescription
Number of Hospitalizations for Heart FailureApproximately 4-yearsNumber of hospital admissions with a primary diagnosis of 'heart failure' will be reported.
Number of Participants with Below Knee Lower Extremity Amputation EventsApproximately 4-yearsNumber of participants with new below-knee lower extremity amputation procedures, excluding recent (within 30 day) revisions will be reported.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026