Pulse.

a daily field guide to health research that matters

◆ Console

‹ Mon · 18 May 2026
Near-term implementable finding

Genetics of Response to Canagliflozin (GRC) Study: Rationale, Design, and Pharmacodynamic Responses.

A genetic study identified which people respond best to a common diabetes drug, laying groundwork for personalized medication selection.

The GRC study enrolled 402 Amish participants to identify genetic predictors of SGLT2 inhibitor response, revealing 34% heritability of canagliflozin-induced glucosuria and quantifying significant variability in bone, cardiovascular, and metabolic biomarkers. Baseline eGFR was the strongest predictor of glucosuria response, and the study sets the foundation for pharmacogenomics-guided SGLT2 inhibitor prescribing.

What the study was

Study design
Prospective pharmacogenomic study
Population
Healthy Amish adults (n=402) receiving canagliflozin 300mg/day for 5 days
Sample size
402
Category
Genomics/Precision Medicine
Maturity
Validated
Journal
Clinical and Translational Science

Why it surfaced

Well-powered pharmacogenomic study (n=402) with prospective design in carefully characterized cohort; heritability data and pharmacodynamic characterization of bone/CVD/metabolic biomarkers directly relevant to SGLT2 prescribing precision.

A plain-language summary of published research — not medical advice. Talk to a clinician about your own care.