FDA Sees Invokana Amputation Risk
FDA says data from two large clinical trials indicate that canagliflozin (Janssen’s Type 2 diabetes drugs Invokana, Invokamet, and Invokamet XR) causes an increased risk of leg and foot amputations. An agency drug safety communication says that a Boxed Warning will be added to the drugs’ labeling describing the risk.
It recommends that patients taking the drug notify their healthcare professionals right away if they develop new pain or tenderness, sores or ulcers, or infections in their legs or feet.
The notice says that in the CANVAS trial, the risk of amputation was 5.9 out of every 1,000 patients treated with canagliflozin and 2.8 out of every 1,000 treated with placebo, while in the CANVAS-R study, it was 7.5 out of 1,000 treated with canagliflozin and 4.2 out of every 1,000 treated with placebo.