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Use of INVOKANA in Patients with Kidney Transplant

Last Updated: 05/18/2023

CLINICAL STUDIES

  • The safety and efficacy of INVOKANAwas not evaluated in patients with a history of kidney transplant.
  • In the CREDENCE trial1 (N=4,401), a randomized, double-blind, parallel group, placebo-controlled study assessing the effects of INVOKANA (100mg) compared to placebo (PBO) in albuminuric diabetic nephropathy, patients with renal disease requiring treatment with immunosuppressive therapy and patients with a history of chronic dialysis or renal transplant were excluded.2
  • The CANVAS Program3 (N=10,142), a pre-specified integrated analysis of the phase 3 trial CANVAS4 and the phase 4 trial CANVAS-R5, assessed the cardiovascular safety and efficacy of INVOKANA compared to placebo and excluded patients with renal disease requiring treatment with immunosuppressive therapy and patients with a history of dialysis or renal transplant.6
  • Patients with renal disease requiring treatment with immunosuppressive therapy and patients with a history of dialysis or renal transplant were excluded from INVOKANAphase 3 studies.7, 8

Case Series

Case studies reporting the use of INVOKANA in kidney transplant patients are listed in the REFERENCES section.9, 10

LITERATURE SEARCH

A literature search of MEDLINE®, EMBASE®, BIOSIS Previews®, DERWENT® (and/or other resources, including internal/external databases) was conducted on 11 May 2023.

References

1 Perkovic V,  Jardine M,  Neal B, et al. Canagliflozin and renal outcomes in type 2 diabetes and nephropathy. N Engl J Med. 2019;380:2295-2306.
2 Perkovic V,  Jardine MJ,  Neal B, et al. Canagliflozin and Renal Outcomes in Type 2 Diabetes and Nephropathy: Protocol and Statistical Analysis Plan. N Eng J Med. 2019;380:2295-2306.
3 Neal B,  Perkovic V,  Mahaffey KW, et al. Canagliflozin and cardiovascular and renal events in type 2 diabetes. N Engl J Med. 2017;377(7):644-657.
4 Neal B, et al. Rationale, design, and baseline characteristics of the Canagliflozin Cardiovascular Assessment Study (CANVAS)--a randomized placebo-controlled trial. Am Heart J. 2013;166(2):217-223.
5 B Neal,  V Perkovic,  D Matthews, et al. Rationale, design and baseline characteristics of the CANagliflozin cardioVascular Assessment Study-Renal (CANVAS-R):  a randomized, placebo-controlled trial. Diabetes Obes Metab. 2017;19(3):387-393.
6 Neal B,  Perkovic V,  Mahaffey KW, et al. Canagliflozin and cardiovascular and renal events in type 2 diabetes [Protocol]. N Engl J Med. 2017;377(7):644-657.
7 Invokana (canagliflozin) Tablets - Medical Review(s). Food and Drug Administration (FDA).Center for Drug Evaluation and Research (CDER). http://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/204042Orig1s000TOC.cfm. Accessed May 31, 2013.
8 Neal B,  Perkovic V, de Zeeuw, D. Rationale, design, and baseline characteristics of the Canagliflozin Cardiovascular Assessment Study (CANVAS)-A randomized placebo-controlled trial. 2013;166:217-223.e211.
9 H Rajasekeran,  SJ Kim,  CJ Cardella, et al. Use of canagliflozin in kidney transplant recipients for the treatment of type 2 diabetes: a case series. Diabetes Care. 2017;40(7):e75-e76.
10 Shah M,  Virani Z,  Rajput P, et al. Efficacy and Safety of Canagliflozin in Kidney Transplant Patients. Indian J Nephrol. 2019;29(4):278-281.