The CANTATA-D2 Trial (CANagliflozin Treatment And Trial Analysis - DPP-4 Inhibitor Second Comparator Trial)

Overview[ - collapse ][ - ]

Purpose The purpose of this study is to evaluate the efficacy and safety of canagliflozin compared with sitagliptin in patients with type 2 diabetes mellitus who are receiving treatment with metformin and sulphonylurea and have inadequate glycemic (blood sugar) control.
ConditionDiabetes Mellitus, Type 2
InterventionDrug: Sitagliptin 100 mg
Drug: Canagliflozin 300 mg
Drug: Metformin
Drug: Sulphonylurea
PhasePhase 3
SponsorJanssen Research & Development, LLC
Responsible PartyJanssen Research & Development, LLC
ClinicalTrials.gov IdentifierNCT01137812
First ReceivedJune 3, 2010
Last UpdatedJune 13, 2013
Last verifiedJune 2013

Tracking Information[ + expand ][ + ]

First Received DateJune 3, 2010
Last Updated DateJune 13, 2013
Start DateJuly 2010
Estimated Primary Completion DateMarch 2012
Current Primary Outcome MeasuresChange in HbA1c From Baseline to Week 52 [Time Frame: Day 1 (Baseline) and Week 52] [Designated as safety issue: No]The table below shows the least-squares (LS) mean change in HbA1c from Baseline to Week 52 for each treatment group. The statistical analysis shows the treatment difference (ie, between canagliflozin and sitagliptin) in the LS mean change.
Current Secondary Outcome Measures
  • Percentage of Patients With HbA1c <7% at Week 52 [Time Frame: Week 52] [Designated as safety issue: No]The table below shows the percentage of patients with HbA1c <7% at Week 52 in each treatment group. The statistical analysis shows the treatment difference (ie, between canagliflozin and sitagliptin) in the percentage.
  • Change in Fasting Plasma Glucose (FPG) From Baseline to Week 52 [Time Frame: Day 1 (Baseline) and Week 52] [Designated as safety issue: No]The table below shows the least-squares (LS) mean change in FPG from Baseline to Week 52 for each treatment group. The statistical analysis shows the treatment difference (ie, between canagliflozin and sitagliptin) in the LS mean change.
  • Percent Change in Body Weight From Baseline to Week 52 [Time Frame: Day 1 (Baseline) and Week 52] [Designated as safety issue: No]The table below shows the least-squares (LS) mean percent change in body weight from Baseline to Week 52 for each treatment group. The statistical analysis shows the treatment difference (ie, between canagliflozin and sitagliptin) in the LS mean percent change.
  • Change in Systolic Blood Pressure (SBP) From Baseline to Week 52 [Time Frame: Day 1 (Baseline) and Week 52] [Designated as safety issue: No]The table below shows the least-squares (LS) mean change in SBP from Baseline to Week 52 for each treatment group. The statistical analysis shows the treatment difference (ie, between canagliflozin and sitagliptin) in the LS mean change.
  • Percent Change in Triglycerides From Baseline to Week 52 [Time Frame: Day 1 (Baseline) and Week 52] [Designated as safety issue: No]The table below shows the mean percent change in triglycerides from Baseline to Week 52 for each treatment group. The statistical analysis shows the treatment difference (ie, between canagliflozin and sitagliptin) in the LS mean change.
  • Percent Change in High-density Lipoprotein Cholesterol (HDL-C) From Baseline to Week 52 [Time Frame: Day 1 (Baseline) and Week 52] [Designated as safety issue: No]The table below shows the mean percent change in HDL-C from Baseline to Week 52 for each treatment group. The statistical analysis shows the treatment difference (ie, between canagliflozin and sitagliptin) in the LS mean change.

Descriptive Information[ + expand ][ + ]

Brief TitleThe CANTATA-D2 Trial (CANagliflozin Treatment And Trial Analysis - DPP-4 Inhibitor Second Comparator Trial)
Official TitleA Randomized, Double-Blind, Active-Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of Canagliflozin Versus Sitagliptin in the Treatment of Subjects With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin and Sulphonylurea Therapy
Brief Summary
The purpose of this study is to evaluate the efficacy and safety of canagliflozin compared
with sitagliptin in patients with type 2 diabetes mellitus who are receiving treatment with
metformin and sulphonylurea and have inadequate glycemic (blood sugar) control.
Detailed Description
Canagliflozin is a drug that is being tested to see if it may be useful in treating patients
diagnosed with type 2 diabetes mellitus (T2DM). This is a randomized (study drug assigned by
chance), double-blind (neither the patient or the study doctor will know the name of the
assigned treatment), multicenter study to determine the efficacy, safety, and tolerability
of canagliflozin 300 mg compared to sitagliptin 100 mg (an antihyperglycemic drug) in
patients with T2DM who are not achieving an adequate response from current antihyperglycemic
therapy with metformin and sulphonylurea to control their diabetes. Approximately 720
patients with T2DM who are receiving combination therapy with metformin and sulphonylurea
will receive the addition of once-daily treatment with canagliflozin 300 mg or sitagliptin
100 mg capsules for 52 weeks. Patients will participate in the study for approximately 59 to
72 weeks. During treatment, patients will be monitored for safety by review of adverse
events, results from laboratory tests, 12-lead electrocardiograms (ECGs), vital signs
measurements, body weight, physical examinations, and self monitored blood glucose (SMBG)
measurements. The primary outcome measure in the study is the effect of canagliflozin
compared to sitagliptin on hemoglobin A1c (HbA1c) after 52 weeks of treatment. Study drug
will be taken orally (by mouth) once daily before the first meal each day unless otherwise
specified. Patients will take single-blind placebo for 2 weeks before randomization. After
randomization, patients in the study will take double-blind canagliflozin 300 mg or matching
sitagliptin 100 mg for 52 weeks.
Study TypeInterventional
Study PhasePhase 3
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
ConditionDiabetes Mellitus, Type 2
InterventionDrug: Sitagliptin 100 mg
One 100 mg capsule once daily for 52 weeks with protocol-specified doses of metformin and sulphonylurea
Drug: Canagliflozin 300 mg
One 300 mg capsule once daily for 52 weeks with protocol-specified doses of metformin and sulphonylurea
Drug: Metformin
Patients will continue to take background therapy with Metformin for T2DM at maximally or near-maximally effective protocol-specified doses for the duration of the study.
Drug: Sulphonylurea
Patients will continue to take background therapy with Sulphonylurea for T2DM at maximally or near-maximally effective protocol-specified doses for the duration of the study.
Study Arm (s)
  • Experimental: Canagliflozin 300 mg
    Each patient will receive 300 mg of canagliflozin once daily for 52 weeks with protocol-specified doses of metformin and sulphonylurea
  • Active Comparator: Sitagliptin 100 mg
    Each patient will receive 100 mg of sitagliptin once daily for 52 weeks with protocol-specified doses of metformin and sulphonylurea

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment756
Estimated Completion DateMarch 2012
Estimated Primary Completion DateMarch 2012
Eligibility Criteria
Inclusion Criteria:

- All patients must have a diagnosis of T2DM and be currently treated with metformin
and sulphonylurea

- Patients in the study must have a HbA1c between >=7 and <=10.5% and a fasting plasma
glucose (FPG) <300 mg/dL (16.7 mmol/L)

Exclusion Criteria:

- History of diabetic ketoacidosis, type 1 diabetes mellitus (T1DM), pancreas or beta
cell transplantation, or diabetes secondary to pancreatitis or pancreatectomy

- or a severe hypoglycemic episode within 6 months before screening
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States, Austria, Belgium, Brazil, Canada, Denmark, France, Germany, India, Israel, Korea, Republic of, Malaysia, Netherlands, New Zealand, Poland, Singapore, Ukraine

Administrative Information[ + expand ][ + ]

NCT Number NCT01137812
Other Study ID NumbersCR017185
Has Data Monitoring CommitteeNot Provided
Information Provided ByJanssen Research & Development, LLC
Study SponsorJanssen Research & Development, LLC
CollaboratorsNot Provided
Investigators Study Director: Janssen Research & Development, LLC C. Clinical Trial Janssen Research & Development, LLC
Verification DateJune 2013

Locations[ + expand ][ + ]

United States, Alabama
Mobile, Alabama, United States
United States, Arizona
Goodyear, Arizona, United States
United States, Arizona
Mesa, Arizona, United States
United States, California
Escondido, California, United States
United States, California
Fresno, California, United States
United States, California
Greenbrae, California, United States
United States, California
La Mesa, California, United States
United States, California
Laguna Hills, California, United States
United States, California
Lancaster, California, United States
United States, California
Long Beach, California, United States
United States, California
Los Angeles, California, United States
United States, California
Norwalk, California, United States
United States, California
Pismo Beach, California, United States
United States, California
Roseville, California, United States
United States, California
Spring Valley, California, United States
United States, California
Walnut Creek, California, United States
United States, California
Watsonville, California, United States
United States, Colorado
Denver, Colorado, United States
United States, Colorado
Northglenn, Colorado, United States
United States, Connecticut
Milford, Connecticut, United States
United States, Florida
Bradenton, Florida, United States
United States, Florida
Cape Coral, Florida, United States
United States, Florida
Clearwater, Florida, United States
United States, Florida
Delray Beach, Florida, United States
United States, Florida
Miami, Florida, United States
United States, Florida
Pembroke Pines, Florida, United States
United States, Florida
Tampa, Florida, United States
United States, Georgia
Atlanta, Georgia, United States
United States, Idaho
Lewiston, Idaho, United States
United States, Illinois
Chicago, Illinois, United States
United States, Illinois
O'Fallon, Illinois, United States
United States, Illinois
Springfield, Illinois, United States
United States, Kansas
Topeka, Kansas, United States
United States, Kentucky
Bowling Green, Kentucky, United States
United States, Kentucky
Lexington, Kentucky, United States
United States, Kentucky
Madisonville, Kentucky, United States
United States, Louisiana
Baton Rouge, Louisiana, United States
United States, Louisiana
Mandeville, Louisiana, United States
United States, Louisiana
Metairie, Louisiana, United States
United States, Louisiana
Sunset, Louisiana, United States
United States, Massachusetts
Brockton, Massachusetts, United States
United States, Michigan
Saint Clair Shores, Michigan, United States
United States, Michigan
Southfield, Michigan, United States
United States, Nebraska
Dakota Dunes, Nebraska, United States
United States, New Jersey
Toms River, New Jersey, United States
United States, New Mexico
Albuquerque, New Mexico, United States
United States, New York
West Seneca, New York, United States
United States, North Carolina
Calabash, North Carolina, United States
United States, North Carolina
Greensboro, North Carolina, United States
United States, North Carolina
Moerhead City, North Carolina, United States
United States, North Carolina
Morganton, North Carolina, United States
United States, Ohio
Cincinnati, Ohio, United States
United States, Ohio
Gallipolis, Ohio, United States
United States, Ohio
Marion, Ohio, United States
United States, Ohio
Mason, Ohio, United States
United States, Ohio
Toledo, Ohio, United States
United States, Ohio
Zanesville, Ohio, United States
United States, Pennsylvania
Beaver, Pennsylvania, United States
United States, Pennsylvania
Bensalem, Pennsylvania, United States
United States, Pennsylvania
Norristown, Pennsylvania, United States
United States, Pennsylvania
Perryopolis, Pennsylvania, United States
United States, Pennsylvania
Philadelphia, Pennsylvania, United States
United States, Pennsylvania
Pittsburgh, Pennsylvania, United States
United States, Pennsylvania
Pottstown, Pennsylvania, United States
United States, South Carolina
Greenville, South Carolina, United States
United States, South Carolina
Spartanburg, South Carolina, United States
United States, Tennessee
Johnson City, Tennessee, United States
United States, Texas
Dallas, Texas, United States
United States, Texas
Fort Worth, Texas, United States
United States, Texas
Killeen, Texas, United States
United States, Texas
Richardson, Texas, United States
United States, Texas
San Antonio, Texas, United States
United States, Texas
Schertz, Texas, United States
United States, Texas
Sugar Land, Texas, United States
United States, Virginia
Burke, Virginia, United States
United States, Virginia
Danville, Virginia, United States
United States, Virginia
Falls Church, Virginia, United States
United States, Virginia
Hampton, Virginia, United States
United States, Virginia
Henrico, Virginia, United States
United States, Virginia
Manassas, Virginia, United States
United States, Virginia
Norfolk, Virginia, United States
United States, Virginia
Richmond, Virginia, United States
United States, Washington
Selah, Washington, United States
United States, Washington
Tacoma, Washington, United States
Austria
Salzburg, Austria
Austria
Wien, Austria
Belgium
Hedersem (Aalst), Belgium
Belgium
Tremelo, Belgium
Brazil
Belem, Brazil
Brazil
Brasilia, Brazil
Brazil
Fortaleza, Brazil
Brazil
Goiânia, Brazil
Brazil
Marília, Brazil
Brazil
Passo Fundo, Brazil
Brazil
Porto Alegre, Brazil
Brazil
Sao Paulo, Brazil
Canada, Alberta
Red Deer, Alberta, Canada
Canada, British Columbia
Vancouver, British Columbia, Canada
Canada, Nova Scotia
Halifax, Nova Scotia, Canada
Canada, Ontario
Brampton, Ontario, Canada
Canada, Ontario
Oshawa, Ontario, Canada
Canada, Prince Edward Island
Charlottetown, Prince Edward Island, Canada
Canada, Quebec
Sherbrooke, Quebec, Canada
Canada, Quebec
Ville, Laint-Laurent, Quebec, Canada
Canada
Calgary, Canada
Canada
Hamilton, Canada
Canada
Pointe-Claire, Canada
Canada
Toronto, Canada
Denmark
Ballerup, Denmark
Denmark
Gentofte, Denmark
Denmark
Roskilde, Denmark
Denmark
Vejle, Denmark
Denmark
Vipperoed, Denmark
France
Bondy Cedex, France
France
Dijon, France
France
Marseille, France
France
Nantes, France
France
Narbonne Cedex, France
France
Paris, France
France
Pessac N/A, France
France
St Etienne, France
Germany
Berlin, Germany
Germany
Dresden, Germany
Germany
Eisenach, Germany
Germany
Großheirath, Germany
Germany
Meißen, Germany
India
Bangalore, India
India
Coimbatore, India
India
Hyderabad, India
India
Jaipur, India
India
Nagpur, India
India
Nashik, India
India
Pune, India
Israel
Beer Sheba, Israel
Israel
Jerusalem, Israel
Israel
Kfar Saba, Israel
Israel
Nazareth, Israel
Israel
Rishon Lezion, Israel
Israel
Tel-Aviv, Israel
Korea, Republic of
Busan, Korea, Republic of
Korea, Republic of
Daegu, Korea, Republic of
Korea, Republic of
Jeonju-Si, Korea, Republic of
Korea, Republic of
Seognam-Si, Kyungki-Do, Korea, Republic of
Korea, Republic of
Seoul, Korea, Republic of
Korea, Republic of
Sungnam Kyungki, Korea, Republic of
Malaysia
Ipoh, Malaysia
Malaysia
Johor Bahru, Malaysia
Malaysia
Kelantan, Malaysia
Malaysia
Selangor, Malaysia
Netherlands
Breda, Netherlands
Netherlands
Eindhoven, Netherlands
Netherlands
Groningen, Netherlands
Netherlands
Leiderdorp, Netherlands
Netherlands
Rotterdam, Netherlands
Netherlands
Velp Gld, Netherlands
Netherlands
Zoetermeer, Netherlands
New Zealand
Christchurch, New Zealand
New Zealand
Dunedin, New Zealand
New Zealand
Rotorua, New Zealand
New Zealand
Tauranga, New Zealand
New Zealand
Wellington, New Zealand
Poland
Bialystok, Poland
Poland
Chrzanow, Poland
Poland
Kamieniec Zabkowicki, Poland
Poland
Krakow, Poland
Poland
Lublin, Poland
Poland
Sobotka, Poland
Poland
Sopot, Poland
Poland
Torun, Poland
Poland
Wroclaw, Poland
Poland
Zabrze, Poland
Singapore
Singapore, Singapore
Ukraine
Dnepropetrovsk, Ukraine
Ukraine
Ivano Frankivsk, Ukraine
Ukraine
Kharkov, Ukraine
Ukraine
Kiev, Ukraine
Ukraine
Odessa, Ukraine
Ukraine
Poltava, Ukraine
Ukraine
Sumy, Ukraine
Ukraine
Ternopil, Ukraine
Ukraine
Vinnitsa, Ukraine
Ukraine
Zaporozhye, Ukraine