FDA is requiring a boxed warning on Johnson & Johnson's Invokana (canagliflozin), Invokamet (canagliflozin/metformin) and Invokamet XR labeling about the increased risk of leg and foot amputations in patients taking the diabetes medicines.
The agency issued a safety announcement May 16 confirming the risk based on new data from J&J's two cardiovascular outcomes trials, which showed leg and foot amputations occurred about twice as often in patients treated with the SGLT-2 inhibitor canagliflozin compared to those treated with placebo
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