PMID- 26530268 OWN - NLM STAT- MEDLINE DCOM- 20160712 LR - 20231111 IS - 1865-8652 (Electronic) IS - 0741-238X (Print) IS - 0741-238X (Linking) VI - 32 IP - 11 DP - 2015 Nov TI - Effects of Baseline Blood Pressure and Low-Density Lipoprotein Cholesterol on Safety and Efficacy of Canagliflozin in Japanese Patients with Type 2 Diabetes Mellitus. PG - 1085-103 LID - 10.1007/s12325-015-0255-8 [doi] AB - INTRODUCTION: Sodium glucose co-transporter 2 inhibitors decrease hemoglobin A1c (HbA1c) and blood pressure (BP) and slightly increase low-density lipoprotein cholesterol (LDL-C) in patients with type 2 diabetes mellitus (T2DM). The effects of baseline BP and LDL-C on the safety and efficacy of canagliflozin in patients were analyzed post hoc in a phase III study. METHODS: Japanese patients with T2DM were classified by baseline systolic BP (SBP) of <130 or >/=130 mmHg, diastolic BP (DBP) of <80 or >/=80 mmHg, and LDL-C of <120 or >/=120 mg/dL. Canagliflozin was administered daily to patients for 52 weeks at doses of either 100 mg (n = 584) or 200 mg (n = 715). The effects of canagliflozin on the incidence of adverse events (AEs), BP, and LDL-C were evaluated. RESULTS: No clear differences were observed in overall safety among the subgroups classified by baseline SBP, DBP, or LDL-C, except for a slight imbalance in AEs associated with volume depletion with 200 mg of canagliflozin. The decrease in mean SBP and DBP was evident in subgroups with baseline SBP >/=130 mmHg and DBP >/=80 mmHg. Mean LDL-C was decreased in subgroups with baseline LDL-C >/=120 mg/dL at both canagliflozin doses, and they were slightly increased, but did not exceed 120 mg/dL in subgroups with baseline LDL-C <120 mg/dL. The changes in HbA1c and body weight from those observed at baseline were not different between subgroups classified by SBP, DBP, and LDL-C at either dose. CONCLUSION: The present post hoc analysis indicates that canagliflozin is well tolerated irrespective of baseline BP and LDL-C in patients with T2DM. TRIAL REGISTRATION: ClinicalTrials.gov identifier, NCT01387737. FUNDING: Mitsubishi Tanabe Pharma Corporation. FAU - Inagaki, Nobuya AU - Inagaki N AD - Department of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Kyoto, Japan. FAU - Goda, Maki AU - Goda M AD - Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan. gouda.maki@mm.mt-pharma.co.jp. FAU - Yokota, Shoko AU - Yokota S AD - Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan. FAU - Maruyama, Nobuko AU - Maruyama N AD - Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan. FAU - Iijima, Hiroaki AU - Iijima H AD - Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan. LA - eng SI - ClinicalTrials.gov/NCT01387737 PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20151103 PL - United States TA - Adv Ther JT - Advances in therapy JID - 8611864 RN - 0 (Cholesterol, LDL) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2) RN - 0SAC974Z85 (Canagliflozin) MH - Aged MH - Asian People MH - *Blood Pressure MH - Body Weight MH - Canagliflozin/administration & dosage/adverse effects/*therapeutic use MH - Cholesterol, LDL/*blood MH - Diabetes Mellitus, Type 2/*drug therapy MH - Female MH - Glycated Hemoglobin MH - Humans MH - Hypoglycemic Agents/administration & dosage/adverse effects/*therapeutic use MH - Incidence MH - Japan MH - Male MH - Middle Aged MH - Sodium-Glucose Transporter 2 PMC - PMC4662712 OTO - NOTNLM OT - Blood pressure OT - Canagliflozin OT - Low-density lipoprotein cholesterol (LDL-C) OT - Sodium glucose co-transporter 2 (SGLT2) inhibitor OT - Type 2 diabetes mellitus OT - Volume depletion EDAT- 2015/11/05 06:00 MHDA- 2016/07/13 06:00 PMCR- 2015/11/03 CRDT- 2015/11/05 06:00 PHST- 2015/09/14 00:00 [received] PHST- 2015/11/05 06:00 [entrez] PHST- 2015/11/05 06:00 [pubmed] PHST- 2016/07/13 06:00 [medline] PHST- 2015/11/03 00:00 [pmc-release] AID - 10.1007/s12325-015-0255-8 [pii] AID - 255 [pii] AID - 10.1007/s12325-015-0255-8 [doi] PST - ppublish SO - Adv Ther. 2015 Nov;32(11):1085-103. doi: 10.1007/s12325-015-0255-8. Epub 2015 Nov 3.