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‹ Mon · 1 Jun 2026
Near-term implementable finding

The Effect of Canagliflozin Dose on Renal and Cardiovascular Outcomes in Type 2 Diabetes and High Cardiovascular Risk

Both standard and high doses of a diabetes drug protect kidneys equally well, giving doctors more flexibility in treating patients.

Post-hoc analysis of 4,330 CANVAS trial participants found that both canagliflozin 100mg and 300mg doses provided equivalent and statistically significant renal protection vs placebo (HR 0.49 and 0.41), with no meaningful difference between doses on any renal, CV, or safety outcome. These findings support clinical flexibility in canagliflozin dosing and may reduce dose-escalation anxiety in practice.

What the study was

Study design
Post-hoc analysis of RCT (CANVAS trial; participant-level data)
Population
T2DM adults with high CV risk from CANVAS trial; 4,330 participants (100mg and 300mg canagliflozin arms + placebo)
Sample size
4330
Category
Treatment Innovation
Maturity
Validated
Journal
Diabetes Obes Metab

Why it surfaced

Post-hoc RCT analysis (n=4,330) clarifying dose equivalence for canagliflozin renal outcomes; directly applicable to prescribing decisions in T2DM with CKD.

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