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Canagliflozin

Generic Name
Canagliflozin
Brand Names
Invokamet, Invokana
Drug Type
Small Molecule
Chemical Formula
C24H25FO5S
CAS Number
842133-18-0
Unique Ingredient Identifier
6S49DGR869
Background

Canagliflozin, also known as Invokana, is a sodium-glucose cotransporter 2 (SGLT2) inhibitor used in the management of type 2 diabetes mellitus along with lifestyle changes including diet and exercise .

It was initially approved by the FDA in 2013 for the management of diabetes and later approved in 2018 for a second indication of reducing the risk of cardiovascular events in patients diagnosed with type 2 diabetes mellitus , .

Canagliflozin is the first oral antidiabetic drug approved for the prevention of cardiovascular events in patients with type 2 diabetes . Cardiovascular disease is the most common cause of death in these patients .

Indication

This drug is used in conjunction with diet and exercise to increase glycemic control in adults diagnosed with type 2 diabetes mellitus .

Another indication for canagliflozin is the prevention of major cardiovascular events (myocardial infarction, stroke, or death due to a cardiovascular cause) in patients with type 2 diabetes, as well as hospitalization for heart failure in patients with type 2 diabetes.

In addition to the above, canagliflozin can be used to lower the risk of end-stage kidney disease and major increases in serum creatinine and cardiovascular death for patients with a combination of type 2 diabetes mellitus, diabetic nephropathy, and albuminuria.

It is important to note that this drug is not indicated for the treatment of type 1 diabetes mellitus or diabetic ketoacidosis .

Associated Conditions
Cardiovascular Mortality, End Stage Renal Disease (ESRD), Hospitalizations, Major Adverse Cardiac Events, Type 2 Diabetes Mellitus, Doubling of serum creatinine

Effect of Canagliflozin on Ultrafiltration & Fibrosis in Patients on Peritoneal Dialysis

Phase 2
Not yet recruiting
Conditions
ESRD
CKD (Chronic Kidney Disease) Stage 5D
Interventions
First Posted Date
2025-04-06
Last Posted Date
2025-04-06
Lead Sponsor
McGill University Health Centre/Research Institute of the McGill University Health Centre
Target Recruit Count
30
Registration Number
NCT06913647
Locations
🇨🇦

Research Institute-McGill University Health Center, Montreal, Quebec, Canada

SGLT2 Inhibitor Utilization Re-perfusion Therapy

Phase 4
Not yet recruiting
Conditions
Acute Ischemic Stroke From Large Vessel Occlusion
Interventions
First Posted Date
2025-03-05
Last Posted Date
2025-04-09
Lead Sponsor
Taichung Veterans General Hospital
Target Recruit Count
150
Registration Number
NCT06858436

Impact of Pharmacogenetic-Guided Treatment on Type 2 Diabetes Clinical Trial

First Posted Date
2025-02-28
Last Posted Date
2025-03-04
Lead Sponsor
Fundación para la Investigación del Hospital Clínico de Valencia
Target Recruit Count
504
Registration Number
NCT06851962
Locations
🇪🇸

Hospital Universitario Regional de Málaga, Málaga, Spain

🇪🇸

Hospital Clínico Universitario de Valencia, Valencia, Spain

🇪🇸

Hospital General Universitario de Valencia (HGUV), Valencia, Spain

and more 1 locations

The Efficacy and Safety of Sodium-glucose Cotransporter 2 Inhibitors in Patients With Acute Kidney Disease

Phase 2
Recruiting
Conditions
Acute Kidney Injury
Interventions
Other: Other anti-diabetic drug or no anti-diabetic drug
First Posted Date
2024-07-30
Last Posted Date
2024-12-04
Lead Sponsor
National Taiwan University Hospital
Target Recruit Count
264
Registration Number
NCT06528405
Locations
🇨🇳

National Taiwan University Hospital, Taipei, Taiwan

The Efficacy and Tolerability of Canagliflozin in Healthy Individual

Phase 4
Completed
Conditions
Healthy Aging
Interventions
First Posted Date
2024-03-08
Last Posted Date
2024-07-19
Lead Sponsor
AgelessRx
Target Recruit Count
30
Registration Number
NCT06301529
Locations
🇺🇸

AgelessRx, Ann Arbor, Michigan, United States

Efficacy of Canagliflozin Versus Metformin in Women With Polycystic Ovary Syndrome

Phase 4
Not yet recruiting
Conditions
Polycystic Ovary Syndrome
Non-Alcoholic Fatty Liver Disease
Interventions
First Posted Date
2024-02-13
Last Posted Date
2024-02-13
Lead Sponsor
Ping Li,MD
Target Recruit Count
50
Registration Number
NCT06256289

Canagliflozin in Advanced Renal Disease With MRI Endpoints

Phase 2
Recruiting
Conditions
ESRD, CKD Stage 4, CKD Stage 5
Interventions
First Posted Date
2023-12-27
Last Posted Date
2024-06-04
Lead Sponsor
McGill University Health Centre/Research Institute of the McGill University Health Centre
Target Recruit Count
92
Registration Number
NCT06182839
Locations
🇨🇦

McGill University Health Center, Montreal, Quebec, Canada

Harmonizing RCT-Duplicate Emulations In A Real World Replication Program (HARRP)

Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: DPP4 inhibitor
Drug: 2nd generation Sulfonylurea
First Posted Date
2023-10-25
Last Posted Date
2023-10-25
Lead Sponsor
AstraZeneca
Target Recruit Count
239990
Registration Number
NCT06099067
Locations
🇸🇪

Research Site, Gothenburg, Sweden

Canagliflozin With Gemcitabine in Pancreatic Carcinoma

Not Applicable
Not yet recruiting
Conditions
Pancreatic Cancer
Interventions
First Posted Date
2023-06-15
Last Posted Date
2023-06-15
Lead Sponsor
Zhang Xiaofeng,MD
Target Recruit Count
20
Registration Number
NCT05903703
Locations
🇨🇳

Hangzhou first people's Hospital, Hangzhou, Zhejiang, China

Comparing the Efficacy of Mulberry Twig Alkaloid Tablet and Canagliflozin in Patients With Type 2 Diabetes

Phase 4
Active, not recruiting
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: Mulberry Twig Alkaloid Tablet
First Posted Date
2023-05-12
Last Posted Date
2023-05-12
Lead Sponsor
Nanjing First Hospital, Nanjing Medical University
Target Recruit Count
60
Registration Number
NCT05856578
Locations
🇨🇳

Jianhua Ma, Nanjing, China

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