A Study to Investigate the Efficacy and Safety of Canagliflozin in Children and Adolescents (>=10 to <18 Years) With Type 2 Diabetes Mellitus
Diabetes Mellitus, Type 2
About this trial
This is an interventional treatment trial for Diabetes Mellitus, Type 2
Eligibility Criteria
Inclusion Criteria:
- Participants with a diagnosis of type 2 diabetes mellitus (T2DM)
- Random C-peptide at screening greater than (>)0.6 nanogram/milliliter (ng/mL) (>0.2 nanomole/liter [nmol]/L])
HbA1c of greater than or equal to (>=)6.5 percent (%) to less than or equal to (<=)11.0% and meets 1 of the inclusion criteria below:
- On diet and exercise only for at least 4 weeks prior to screening
- On diet and exercise and a stable dose of metformin monotherapy >=1,000 mg per day or MTD per day for at least 8 weeks prior to screening
- On diet and exercise and a stable insulin monotherapy regimen for at least 8 weeks prior to screening (stable dose is defined as no change in the insulin regimen [that is, type{s} of insulin] and <=15% change in the total daily dose of insulin [averaged over 1 week to account for day to day variability])
- On diet and exercise and a stable combination therapy with metformin and insulin for at least 8 weeks prior to screening
Exclusion Criteria:
- History of diabetic ketoacidosis (DKA), type 1 diabetes mellitus (T1DM), pancreas or cell transplantation, or diabetes secondary to pancreatitis or pancreatectomy or maturity onset diabetes of the young (MODY)
- Participants on any antihyperglycemic agents (AHAs) other than metformin, or injectable insulin within 8 weeks of the first dose of study drug (that is Day 1)
- Repeated (2 or more over a 1-week period) fasting self-monitoring of blood glucose (SMBG) measurements >270 milligram/deciliter (mg/dL) (>15 millimole/liter [mmol/L]) during the pretreatment phase, despite reinforcement of diet and exercise counseling
- Severe hypoglycemia within 6 months prior to Day 1
- History of hereditary glucose-galactose malabsorption or primary renal glucosuria
- Alanine aminotransferase level >5.0 times the upper limit of normal (ULN) or total bilirubin >1.5 times the ULN at screening (for elevations in bilirubin: if, in the opinion of the investigator and agreed upon by the sponsor's medical officer, the elevation in bilirubin is consistent with Gilbert's disease, the subject may participate)
Sites / Locations
- Arkansas Childrens Hospital
- Center of Excellence for Diabetes and Endocrinology (CEDE)
- American Institute of Research
- University of Colorado School of Medicine/Children's Hospital Colorado
- Nemours DuPont Hospital for Children
- TOPAZ Clinical Research
- Columbus Clinical Services LLC
- Medical Research Center of Miami II Inc
- Nicklaus Children's Hospital
- Nemours Children's Hospital/Endocrinology
- Johns Hopkins All Children's Hospital
- Asclepes Research
- Appalachian Clinical Research
- Endocrine Consultants Research
- University of Iowa Hospitals and Clinics
- Capital Diabetes and Endocrine Associates
- Floating Hospital For Children at Tufts Medical Center
- Alas Viable Research
- University of New Mexico
- SUNY Downstate Medical Center
- Icahn School of Medicine at Mount Sinai
- Carolinas Research Center, LLC
- WakeMed Clinical Research Institute
- PMG Research of Wilmington, LLC
- Cleveland Clinic Center for Pediatric Endocrinology
- Buckeye Health and Research, LLC
- Children's Hospital of Philadelphia
- AM Diabetes & Endocrinology Center
- LifeDoc Research, PLLC
- Avant Research Associates, LLC
- Driscoll Children's Hospital
- Amir Ali Hassan, MD, PA
- Sante Clinical Research
- Texas Institute for Kidney and Endocrine Disorders
- Sun Research Institute
- MultiCare Health System
- Hospital Universitário João de Barros Barreto - UFPA
- Santa Casa de Misericordia de Belo Horizonte
- Condominio Centro Clinico do Lago
- Centro de Diabetes Curitiba Ltda
- Núcleo de Pesquisa Clinica
- Instituto da Criança com Diabetes do Rio Grande do Sul - ICDRS
- Ruschel Medicina e Pesquisa Clínica Ltda
- Hospital e Maternidade Dr Christovao da Gama S.A
- Hospital Das Clinicas Da Faculdade De Medicina Da USP
- IPEC - Instituto de Pesquisa Clínica Ltda
- Santa Casa de Misericórdia de Votuporanga
- Capital Institute of Pediatrics
- Xiangya Hospital, Central South University
- The Children's Hospital, Zhejiang University School Of Medicine
- Jiangxi Provincial Children's Hospital
- Jiangsu Province Hospital
- Wuhan Union Hospital
- Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology
- Chidren's Hospital of Zhengzhou
- General Children's Hospital 'P. and A. Kyriakou'
- Athens Medical Center
- Diacon Hospital
- Post Graduate Institute of Medical Education & Research (PGIMER)
- Kovai Diabetes Specialty Centre & Hospital
- Thumbay Hospital New life / Endocrinology
- P.D. Hinduja National Hospital and - Medical Research Center
- Sir Ganga Ram Hospital
- Jehangir Clinical Development Center Pvt Ltd
- Jothydev's Diabetes Research Centre
- Hospital Sultanah Bahiyah
- Hospital Pulau Pinang
- Hospital Raja Permaisuri Bainun
- Hospital Tuanku Fauziah
- Hospital University Sains Malaysia
- Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V.
- Bio Investigación AMARC, S.C.
- Instituto Nacional de Pediatría
- Desarrollo Ético en Investigación Clínica S.C .
- Centro de Estudios de Investigación Metabólicos y Cardiovasculares S.C.
- St Lucas Clinical Research Center
- UBAM Unidad Biomédica Avanzada Monterrey
- Consultorio Medico
- Centro Integral Medico SJR, SC
- Centro De Investigacion Medica De Occidente, S.C.
- Chong Hua Hospital
- Norzel MedicaL and Diagnostic Clinic
- De La Salle Health Sciences Institute- DLSUMC
- Davao Doctors Hospital
- Docbebet Diabetes Clinic
- Gornoslaskie Centrum Zdrowia, SPSK nr 6 Slaskiego Uniwersytetu Medycznego w Katowicach
- WSS Dzieciecy prof.dr S.Popowskiego w Olsztynie,Od.Pediatryczny VI Reumatologiczno-Endokrynologiczny
- Gabinet Pediatryczny Artur Mazur
- Instytut 'Pomnik-Centrum Zdrowia Dziecka', Klinika Endokrynologii i Diabetologii
- Specjalistyczna Praktyka Lekarska Aspiro
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu
- Regional Pediatric Clinical Hospital No.1
- Republic Children Clinical Hospital of the Ministry of Health of Udmurtskaya Republic
- Kirov Clinical Hospital #7 named after V.I. Yurlova
- Krasnoyarsk State Medical University
- Natiolal Medical Research Center of Endocrinology
- Russian National Research Medical University named after N.I.Pirogov
- Children City Clinical Hospital #1
- Omsk Regional Childrens Clinical Hospital
- City Children Clinical Outpatient Clinic #5
- SBHI Children's City Multi-Profile Clinical Center named after K. A. Rauhfus
- Saint-Petersburg State Pediatric Medical Academy of RosZdrav, Clinical Diagnostic Center
- Samara Regional Children Clinical Hospital named after N.N. Ivanova
- Children Outpatient Clinic 45 Of Nevskiy Region
- Siberian State Medical University
- Tver Regional Clinical Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Single-blind run-in Period: Placebo
Double-blind Treatment Phase: Canagliflozin or Placebo
Participants will receive 1 placebo tablet matching canagliflozin 100 milligram (mg) once-daily during the 2-week single-blind placebo run-in period.
Canagliflozin 100 mg/matching placebo once-daily during first 12 weeks. At Week 13, participants who have glycated hemoglobin (HbA1c) of greater than or equal to (>=)7.0 percent (%), estimated glomerular filtration rate (eGFR) >=60 milliliter/minute/1.73 meter square (mL/min/1.73 m^2) will be re-randomized to either remain on canagliflozin 100 mg/matching placebo or up-titrate to canagliflozin 300 mg/matching placebo till Week 52.