PMID- 26305874 OWN - NLM STAT- MEDLINE DCOM- 20160523 LR - 20220317 IS - 1749-6632 (Electronic) IS - 0077-8923 (Linking) VI - 1358 DP - 2015 Nov TI - Canagliflozin: a sodium glucose co-transporter 2 inhibitor for the treatment of type 2 diabetes mellitus. PG - 28-43 LID - 10.1111/nyas.12852 [doi] AB - The sodium glucose co-transporter 2 (SGLT2) inhibitor canagliflozin is a novel treatment option for adults with type 2 diabetes mellitus (T2DM). In patients with hyperglycemia, SGLT2 inhibition lowers plasma glucose levels by reducing the renal threshold for glucose (RTG ) and increasing urinary glucose excretion (UGE). Increased UGE is also associated with a mild osmotic diuresis and net caloric loss, which can lead to reductions in body weight and blood pressure (BP). After promising results from preclinical and phase I/II studies, the efficacy and safety of canagliflozin was evaluated in a comprehensive phase III development program in over 10,000 patients with T2DM on various background therapies. Canagliflozin improved glycemic control and provided reductions in body weight and BP versus placebo and active comparators in studies of up to 2 years' duration. Canagliflozin was generally well tolerated, with higher incidences of adverse events (AEs) related to the mechanism of action, including genital mycotic infections and AEs related to osmotic diuresis. Results from the preclinical and clinical studies led canagliflozin to be the first-in-class SGLT2 inhibitor approved in the United States, and support canagliflozin as a safe and effective therapeutic option across a broad range of patients with T2DM. CI - (c) 2015 The Authors. Annals of the New York Academy of Sciences published by Wiley Periodicals Inc. on behalf of The New York Academy of Sciences. FAU - Rosenthal, Norm AU - Rosenthal N AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Meininger, Gary AU - Meininger G AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Ways, Kirk AU - Ways K AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Polidori, David AU - Polidori D AD - Janssen Research & Development, LLC, San Diego, California. FAU - Desai, Mehul AU - Desai M AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Qiu, Rong AU - Qiu R AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Alba, Maria AU - Alba M AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Vercruysse, Frank AU - Vercruysse F AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Balis, Dainius AU - Balis D AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Shaw, Wayne AU - Shaw W AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Edwards, Robert AU - Edwards R AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Bull, Scott AU - Bull S AD - Janssen Research & Development, LLC, Fremont, California. FAU - Di Prospero, Nicholas AU - Di Prospero N AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Sha, Sue AU - Sha S AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Rothenberg, Paul AU - Rothenberg P AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Canovatchel, William AU - Canovatchel W AD - Janssen Research & Development, LLC, Raritan, New Jersey. FAU - Demarest, Keith AU - Demarest K AD - Janssen Research & Development, LLC, Raritan, New Jersey. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150825 PL - United States TA - Ann N Y Acad Sci JT - Annals of the New York Academy of Sciences JID - 7506858 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0SAC974Z85 (Canagliflozin) SB - IM MH - Animals MH - Blood Glucose/drug effects MH - Body Weight/drug effects MH - Canagliflozin/pharmacology/*therapeutic use MH - Diabetes Mellitus, Type 2/*drug therapy MH - Humans MH - Hypoglycemic Agents/pharmacology/*therapeutic use MH - *Sodium-Glucose Transporter 2 Inhibitors OTO - NOTNLM OT - SGLT2 inhibitor OT - antihyperglycemic agent OT - canagliflozin OT - type 2 diabetes EDAT- 2015/08/26 06:00 MHDA- 2016/05/24 06:00 CRDT- 2015/08/26 06:00 PHST- 2015/08/26 06:00 [entrez] PHST- 2015/08/26 06:00 [pubmed] PHST- 2016/05/24 06:00 [medline] AID - 10.1111/nyas.12852 [doi] PST - ppublish SO - Ann N Y Acad Sci. 2015 Nov;1358:28-43. doi: 10.1111/nyas.12852. Epub 2015 Aug 25.