Type 2 & other diabetes

Treatment With Canagliflozin Versus Placebo in Children and Adolescents With Type 2 Diabetes : A Randomized Clinical Trial

Ann Intern MedPublished Randomised controlled trial

Primary result · HbA1c reduction from baselineResult — go to the resultDifference in least-squares means −0.76 % 95% CI −1.25% to −0.27%

Authors' conclusion

In children and adolescents with T2DM, canagliflozin provided a clinically meaningful reduction in HbA1c, with a safety profile similar to that seen in adults.

Study context

Population
Children and adolescents aged ≥10 years with T2D (HbA1c ≥6.5% to ≤11%)
Participants
171 children
Comparison
Canagliflozin once daily vs placebo
  • Canagliflozinn = 84
  • Placebon = 87reference
Primary endpoint
Change in HbA1c from baseline
Follow-up
Week 26
Methodological detailsphase 3, double-blind, placebo-controlled, parallel-group, multicentre (104 sites in 10 countries), re-randomization at week 13 to 100 mg or uptitration to 300 mg (or placebo), Treatment period 52 weeks
  • Phase 3
  • Double-blind
  • Placebo-controlled
  • Parallel-group
  • Multicentre (104 sites in 10 countries)
  • Re-randomization at week 13 to 100 mg or uptitration to 300 mg (or placebo)
  • Treatment period 52 weeks

Primary result

HbA1c reduction from baseline

Difference in least-squares means

−0.76 %

95% CI −1.25% to −0.27%

P = 0.002

Canagliflozinvs Placebo
difference in least-squares means −0.76 % (95% CI −1.25% to −0.27%); P = 0.002

As reported in the abstract

Secondary outcomes

OutcomeCanagliflozinPlaceboDifference (percentage points) (CI)
HbA1c <6.5%36.3%14.0%22.3 (10.5–34.1)

Safety

Treatment-emergent AEs

Serious treatment-emergent AEs

Hypoglycemia

Serious treatment-emergent adverse events (AEs)

Common AEs with canagliflozin similar to those in adults

Original publication

Treatment With Canagliflozin Versus Placebo in Children and Adolescents With Type 2 Diabetes : A Randomized Clinical Trial. Ann Intern Med. Published 5 August 2025. doi:10.7326/annals-24-04017

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