CANVAS - CANagliflozin cardioVascular Assessment Study



Status:Completed
Conditions:Peripheral Vascular Disease, Diabetes
Therapuetic Areas:Cardiology / Vascular Diseases, Endocrinology
Healthy:No
Age Range:30 - Any
Updated:12/9/2018
Start Date:December 9, 2009
End Date:February 22, 2017

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A Randomized, Multicenter, Double-Blind, Parallel, Placebo-Controlled Study of the Effects of JNJ-28431754 on Cardiovascular Outcomes in Adult Subjects With Type 2 Diabetes Mellitus

The study will assess canagliflozin (JNJ-28431754) in the treatment of patients with type 2
diabetes mellitus (T2DM) with regard to cardiovascular (CV) risk for major adverse cardiac
events (MACE). Other objectives include evaluating the overall safety, tolerability, and
effectiveness of canagliflozin.

The data from this study will be combined with the data from CANVAS-R study (Study of the
Effects of Canagliflozin on Renal Endpoints in Adult Subjects with T2DM, NCT01989754) in a
pre-specified integrated analysis of CV safety outcomes to satisfy US FDA post-marketing
requirements for canagliflozin.

The study will evaluate canagliflozin compared to placebo on CV events including CV death,
heart attack, and stroke in patients with T2DM, whose diabetes is not well controlled at the
beginning of the study and who have a history of CV events or have a high risk for CV events.
The study includes 3 substudies which will compare the effectiveness of lowering blood
glucose and assess the safety of canagliflozin relative to placebo in patients receiving
specific commonly-used diabetes agents. 4,330 participants will be randomly assigned to
treatment with 1 of 2 doses of canagliflozin (100 or 300 mg) or placebo, in a 1:1:1 ratio.
This study was originally designed to last for up to 9 years. As per FDA post-marketing
requirements for canagliflozin, the study's last subject last visit will now occur when
enough MACE events (ie, CV death, nonfatal myocardial infarction, nonfatal stroke) are
accumulated between the CANVAS (this study) and CANVAS-R studies. The completion target was
reached in February 2017.

Inclusion Criteria:

- Patients must have a diagnosis of type 2 diabetes mellitus and greater than or equal
to (>=) 30 yrs old with history of cardiovascular (CV) event, or >= 50 yrs old with
high risk of CV events

- Patients must have inadequate diabetes control (as defined by glycosylated hemoglobin
greater than or equal to 7.0% to less than or equal to 10.5% at screening) and be
either (1) not currently on diabetes drug therapy or (2) on therapy with any approved
class of diabetes drugs

Exclusion Criteria:

- A history of diabetic ketoacidosis, type 1 diabetes mellitus, pancreas or beta-cell
transplantation, or diabetes secondary to pancreatitis or pancreatectomy

- History of one or more severe hypoglycemic (ie, very low blood sugar) episode within 6
months before screening
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