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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

SGLT-2 Inhibitor Effects on Cardiac and Hepatic Metabolic Profiles for the Diabetes Patients Combined With Obesity

Not Applicable
Completed
Conditions
Fatty Liver Disease
Interventions
First Posted Date
2023-03-13
Last Posted Date
2023-03-13
Lead Sponsor
National Cheng-Kung University Hospital
Target Recruit Count
40
Registration Number
NCT05764811
Locations
🇨🇳

National Cheng Kung University Hospital, Tainan, Taiwan

Effect of Canagliflozin on Liver Inflammation Damage in Type 2 Diabetes Patients With Nonalcoholic Fatty Liver Disease

Conditions
Type 2 Diabetes Mellitus With Complication
Interventions
First Posted Date
2022-08-24
Last Posted Date
2022-08-24
Lead Sponsor
First Affiliated Hospital Xi'an Jiaotong University
Target Recruit Count
80
Registration Number
NCT05513729
Locations
🇨🇳

First Affiliated Hospital Xi'an Jiaotong University, Xi'an, Shannxi, China

Renal Mechanism of SGLT2 Inhibition

Phase 2
Recruiting
Conditions
Type 2 Diabetes
Diabetic Kidney Disease
Interventions
First Posted Date
2022-08-19
Last Posted Date
2022-11-03
Lead Sponsor
University of Colorado, Denver
Target Recruit Count
40
Registration Number
NCT05507892
Locations
🇺🇸

University of Colorado Denver, Aurora, Colorado, United States

🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

🇺🇸

University of Michigan, Ann Arbor, Michigan, United States

and more 1 locations

Canagliflozin Targeting Vascular Inflammation

Phase 2
Recruiting
Conditions
Diabetes Type 2
Coronary Artery Disease
Interventions
Drug: Placebo
First Posted Date
2022-06-22
Last Posted Date
2024-12-11
Lead Sponsor
Ottawa Heart Institute Research Corporation
Target Recruit Count
24
Registration Number
NCT05427084
Locations
🇨🇦

University of Ottawa Heart Institute, Ottawa, Ontario, Canada

Canagliflozin on Liver Inflammation Damage in Type 2 Diabetes Patients With Nonalcoholic Fatty Liver Disease

Not Applicable
Conditions
Type 2 Diabetes Mellitus With Complication
Interventions
First Posted Date
2022-06-16
Last Posted Date
2022-09-21
Lead Sponsor
First Affiliated Hospital Xi'an Jiaotong University
Target Recruit Count
80
Registration Number
NCT05422092

Canagliflozin and Myocardial Fibrosis

Phase 4
Completed
Conditions
Type 2 Diabetes
Cardiovascular Diseases
Cardiac Perfusion Defect
Interventions
First Posted Date
2022-05-10
Last Posted Date
2025-04-15
Lead Sponsor
Shanghai Zhongshan Hospital
Target Recruit Count
54
Registration Number
NCT05367063
Locations
🇨🇳

Zhongshan Hospital, Fudan University, Shanghai, Shanghai, China

Canagliflozin in Patients With Acute Decompansted Heart Failure

Phase 3
Completed
Conditions
Chronic Heart Failure
Acute Heart Failure
Diabetes Mellitus
Interventions
First Posted Date
2022-05-06
Last Posted Date
2024-07-11
Lead Sponsor
October 6 University
Target Recruit Count
142
Registration Number
NCT05364190
Locations
🇪🇬

National heart institute, Giza, Egypt

Cognitive Protective Effect of Newer Antidiabetic Drugs

First Posted Date
2022-04-26
Last Posted Date
2022-07-26
Lead Sponsor
Alexandria University
Target Recruit Count
100
Registration Number
NCT05347459
Locations
🇪🇬

Alexandria University, Alexandria, Egypt

Safety and Efficacy of Canagliflozin in Advanced CKD

Phase 4
Recruiting
Conditions
CKD Stage 4
ESRD
CKD Stage 5
First Posted Date
2022-04-04
Last Posted Date
2025-01-08
Lead Sponsor
McGill University Health Centre/Research Institute of the McGill University Health Centre
Target Recruit Count
44
Registration Number
NCT05309785
Locations
🇨🇦

McGill University Health Center, Montreal, Quebec, Canada

Intervention Effect of Canagliflozin on Prediabetes in Patients With HIV.

Not Applicable
Recruiting
Conditions
Hiv
PreDiabetes
Interventions
Drug: Placebo
First Posted Date
2021-11-26
Last Posted Date
2022-03-08
Lead Sponsor
xiaolong zhao
Target Recruit Count
218
Registration Number
NCT05135039
Locations
🇨🇳

Intervention Effect of Canagliflozin on Prediabetes in Patients With HIV: A Randomized Controlled Trial., Shanghai, Shanghai, China

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