Efficacy and Safety of Canagliflozin (TA-7284) in Patients With Diabetic Nephropathy
A Randomized, Double-blind, Placebo-controlled Study to Evaluate Efficacy and Safety of Canagliflozin (TA-7284) in Patients With Diabetic Nephropathy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Aichi, Japan
- Research Site
-
Chiba, Japan
- Research Site
-
Fukuoka, Japan
- Research Site
-
Fukushima, Japan
- Research Site
-
Gunma, Japan
- Research Site
-
Hiroshima, Japan
- Research Site
-
Hokkaido, Japan
- Research Site
-
Hyōgo, Japan
- Research Site
-
Ibaraki, Japan
- Research Site
-
Kagawa, Japan
- Research Site
-
Kagoshima, Japan
- Research Site
-
Kanagawa, Japan
- Research Site
-
Kumamoto, Japan
- Research Site
-
Mie, Japan
- Research Site
-
Nagano, Japan
- Research Site
-
Nagasaki, Japan
- Research Site
-
Okinawa, Japan
- Research Site
-
Osaka, Japan
- Research Site
-
Saitama, Japan
- Research Site
-
Shizuoka, Japan
- Research Site
-
Tochigi, Japan
- Research Site
-
Tokyo, Japan
- Research Site
-
Wakayama, Japan
- Research Site
-
Yamagata, Japan
- Research Site
-
Yamaguchi, Japan
- Research Site
-
Ōita, Japan
- Research Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Additional criteria check may apply for qualification:
- Glycated hemoglobin(HbA1c) of ≥6.5% and ≤12.0%
- eGFR of ≥30 mL/min/1.73m2 and <90 mL/min/1.73m2
- The median UACR of the first morning void urine samples is ≥300 mg/g Cr and ≤5000 mg/g Cr
- Patients who are taking on angiotensin-converting enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB)
- Patients who are under dietary management and taking therapeutic exercise for diabetes
Exclusion Criteria:
Additional criteria check may apply for qualification:
- Type I diabetes, diabetes mellitus resulting from pancreatic disorder, or secondary diabetes
- A diagnosis of non-diabetic renal disease
- Hereditary glucose-galactose malabsorption or primary renal glucosuria
- Class IV heart failure symptoms according to New York Heart Association (NYHA) functional classification
- Severe hepatic disorder or severe renal disorder
- Blood potassium level >5.5 mmoL/L
- Stable blood pressure (diastolic blood pressure (DBP) ≥100mmHg or systolic blood pressure (SBP) ≥180mmHg)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
|
Placebo orally once daily
|
|
Experimental: Canagliflozin 100mg
|
Canagliflozin 100mg orally once daily
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With 30% Decline in Estimated Glomerular Filtration Rate (eGFR) From Baseline at Week 104
Time Frame: Week 104
|
Percentage of participants with 30% decline in eGFR was calculated by multiple imputation method for missing data.
|
Week 104
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With 40% Decline in eGFR From Baseline at Week 104
Time Frame: Week 104
|
Percentage of participants with 40% decline in eGFR was calculated by multiple imputation method for missing data.
|
Week 104
|
|
Change From Baseline in eGFR at Week 104
Time Frame: Baseline and Week 104
|
Baseline and Week 104
|
|
|
Composite Endpoint of End-stage Renal Disease (ESRD), Doubling of Serum Creatinine, Renal Death, and Cardiovascular (CV) Death
Time Frame: up to approximately 108 weeks
|
up to approximately 108 weeks
|
|
|
Change From Baseline in Percentage of Urine Albumin-to -Creatinine Ratio (UACR) at Week 104
Time Frame: Baseline and Week 104
|
Baseline and Week 104
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: General Manager, Tanabe Pharma Corporation
Publications and helpful links
General Publications
- Wada T, Mori-Anai K, Takahashi A, Matsui T, Inagaki M, Iida M, Maruyama K, Tsuda H. Effect of canagliflozin on the decline of estimated glomerular filtration rate in chronic kidney disease patients with type 2 diabetes mellitus: A multicenter, randomized, double-blind, placebo-controlled, parallel-group, phase III study in Japan. J Diabetes Investig. 2022 Dec;13(12):1981-1989. doi: 10.1111/jdi.13888. Epub 2022 Aug 9.
- Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Endocrine System Diseases
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Metabolic Diseases
- Glucose Metabolism Disorders
- Diabetes Mellitus
- Diabetes Complications
- Nutritional and Metabolic Diseases
- Diabetes Mellitus, Type 2
- Diabetic Nephropathies
- Sulfur Compounds
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Carbohydrates
- Glucosides
- Glycosides
- Thiophenes
- Canagliflozin
Other Study ID Numbers
Other Study ID Numbers
- TA-7284-14
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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