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vildagliptin

Phase 3

Type-2 Diabetes | Small molecule | Metabolic |Novartis AG|Last Updated: Dec 29, 2020

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment159

FDA Designations

No designations recorded

Clinical trial landscape

vildagliptin · 71 trials · 12 indications

Phase 3 62Phase 2 4Phase 1 5
NCT01871558Vildagliptin/Metformin in T2DM Patients Starting Basal InsulinType 2 Diabetes Mellitus (T2DM)
COMPLETED42 Analytics
NCT01582230Efficacy and Safety of Vildagliptin 50mg Bid as an add-on Therapy to Insulin With or Without Metformin, in Patients With Type 2 Diabetes MellitusType 2 Diabetes Mellitus
COMPLETED293 Analytics
NCT01497522Efficacy and Safety of Vildagliptin as add-on Therapy to Metformin in Patients With Type 2 DiabetesDiabetes Mellitus, Type 2
COMPLETED183 Analytics
NCT01357252Vildagliptin add-on to Glimepiride Versus Placebo Added to Glimepiride in Type 2 DiabetesType 2 Diabetes Mellitus
COMPLETED279 Analytics
NCT01257451Safety and Efficacy of Galvus in Elderly Type 2 Diabetes PatientsType 2 Diabetes Mellitus
COMPLETED431 Analytics
NCT01262586Vildagliptin Glycemic Profiles Assessment Using a Continuous Glucose Monitoring Device.Type II Diabetes Mellitus
COMPLETED24 Analytics
NCT01233622Safety and Efficacy of Galvus as add-on Therapy to Metformin Plus GlimepirideType 2 Diabetes Mellitus
COMPLETED317 Analytics
NCT01224366Efficacy and Safety of Vildagliptin as add-on Therapy to Insulin in Patients With Type 2 Diabetes MellitusType 2 Diabetes Mellitus
COMPLETED448 Analytics
NCT01159249Long-term Safety Study of Vildagliptin in Patients With Type 2 DiabetesType 2 Diabetes
COMPLETED245 Analytics
NCT00822211Efficacy of add-on Therapy With Vildagliptin in Chinese Patients With Type 2 Diabetes Inadequately Controlled With Prior Metformin MonotherapyType 2 Diabetes Mellitus
COMPLETED404 Analytics
PHASE3COMPLETED
Vildagliptin/Metformin in T2DM Patients Starting Basal Insulin
Type 2 Diabetes Mellitus (T2DM)Unlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Vildagliptin 50mg Bid as an add-on Therapy to Insulin With or Without Metformin, in Patients With Type 2 Diabetes Mellitus
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Vildagliptin as add-on Therapy to Metformin in Patients With Type 2 Diabetes
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3COMPLETED
Vildagliptin add-on to Glimepiride Versus Placebo Added to Glimepiride in Type 2 Diabetes
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Galvus in Elderly Type 2 Diabetes Patients
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Vildagliptin Glycemic Profiles Assessment Using a Continuous Glucose Monitoring Device.
Type II Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Galvus as add-on Therapy to Metformin Plus Glimepiride
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Vildagliptin as add-on Therapy to Insulin in Patients With Type 2 Diabetes Mellitus
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Long-term Safety Study of Vildagliptin in Patients With Type 2 Diabetes
Type 2 DiabetesUnlock trial analytics
PHASE3COMPLETED
Efficacy of add-on Therapy With Vildagliptin in Chinese Patients With Type 2 Diabetes Inadequately Controlled With Prior Metformin Monotherapy
Type 2 Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Patients Who Reported at Least One Symptomatic Hypoglycemic Event During the 24 Week Randomized Period in Both Treatment Arms
24 weeks
Change from baseline in glycosylated hemoglobin (HbA1c) at study endpoint, assessed in overall study population
Baseline and every study visit up to 24 weeks

HbA1c analysis will be performed on a blood sample obtained by study personnel at every visit and measured by ion exchange HPLC. Study endpoint is defined as final available post- randomization assessment obtained at any visit prior to or at the start of major change in insulin use, up to final scheduled study visit (week 24 visit) inclusive.

Change from baseline in glycosylated hemoglobin (HbA1c) at study endpoint, assessed in Chinese study population
Baseline and every study visit up to 24 weeks

HbA1c analysis will be performed on a blood sample obtained by study personnel at every visit and measured by ion exchange HPLC. Study endpoint is defined as final available post- randomization assessment obtained at any visit prior to or at the start of major change in insulin use, up to final scheduled study visit (week 24 visit) inclusive.

Change from baseline in glycosylated hemoglobin (HbA1c) at 12 weeks between treatment groups
Baseline to 12 weeks

HbA1c will be performed on a blood sample obtained by study personnel and measured by high-performance liquid chromatography (HPLC) performed at a central laboratory.

Change from baseline in HbA1c
24 weeks
To evaluate the proportion of vildagliptin treated patients achieving HbA1c reduction and/or proportion reaching investigator defined target HbA1c relative to placebo
24 weeks
Change in Glycemic profiles between vildagliptin and glimepiride
Baseline and treatment Day 5, 24hr continuous glucose measurements
HbA1c Reduction
24 weeks
Measure AEs, vital signs, laboratory evaluations
52 weeks
Change from baseline in HbA1c after 24 weeks
24 weeks
Assessment of treatment emergent adverse events (including hypoglycemia events and other events of special interest)
52 weeks
To evaluate the safety and tolerability in patients with T2DM and moderate or severe renal insufficiency over 52 weeks of treatment
52 weeks
HbA1c reduction after 24 weeks of treatment in patients with T2DM inadequately controlled with metformin monotherapy
24 weeks
GLP-1 and non GLP-1 effects of LAF237 on glucagon secretion in patients with Type-2 diabetes and matching healthy subjects
from baseline to Day 10
Safety and tolerability in patients with T2DM and severe renal insufficiency over 24 weeks of treatment
24 weeks
glycosylated hemoglobin (HbA1c)at Baseline and week 24
24 weeks
Change from baseline in hemoglobin A 1 c (HbA1c) after 24 weeks of treatment
24 weeks
Change from baseline in HemoglobinA1c (HbA1c)
after 12 weeks of treatment
Change in C-peptide IAUC (0-4hr)
2 weeks after treatment
Adverse events profile after 52 weeks of treatment
Glucagon counterregulatory response to hypoglycemia of the last 30 min of the 2.5 mM hypoglycemic clamp after 4 weeks treatment
Change in HbA1c after 12 weeks
Change from baseline on HbA1c at 12 weeks
Change from baseline to endpoint on HbA1c at 12 weeks
Change from baseline in HbA1c at 108 weeks
Evaluate the effects of acute effects of vildagliptin on gastric emptying
To explore whether vildagliptin augments insulin mediated inhibition of adipose tissue lipid mobilization following a mixed meal in patients with type 2 diabetes
Change from baseline in hyperglycemia and arginine-stimulated first phase insulin secretion at 52 weeks
52 weeks
Change in area under the 0-2 hour prandial glucose curve at 12 weeks
Change from baseline in HbA1c at 52 weeks
Change from baseline in HbA1c at 24 weeks
Effect on gastric emptying
Change from baseline in acute insulin response to an iv glucose load at 6 weeks
Time to HbA1c >8%
2 year
To evaluate the safety and tolerability in patients with T2DM and moderate or severe renal insufficiency over 24 weeks of treatment
24 weeks
Effect on insulin sensitivity at 6 weeks
Safety of vildagliptin in combination with insulin during 52 weeks of treatment
Change from baseline in HbA1c at 104 weeks
104 weeks
Safety during 104 weeks of treatment
Safety of vildagliptin in combination with glimepiride during 52 weeks of treatment
Safety of vildagliptin in combination with pioglitazone during 52 weeks of treatment
Safety of vildagliptin in combination with metformin during 52 weeks of treatment
Safety of vildagliptin during 52 weeks of treatment
Change from baseline in maximal insulin secretory capacity at 12 weeks
Durability of this effect after a 2-week washout
Safety in combination with pioglitizone after 52 weeks of treatment
Change from baseline in HbA1c at 12 weeks
To evaluate the efficacy of vildagliptin as add-on therapy to metformin in patients with T2DM by assessing changes in HbA1c with vildagliptin added to metformin to that of placebo added to metformin after 24 weeks of treatment
24 weeks
Measure: To evaluate the efficacy of vildagliptin as monotherapy in patients with T2DM by assessing changes in HbA1c from baseline to 24 weeks.
24 weeks
Postprandial serum total triglycerides at 4 weeks
Measure: pharmacokinetics of vildagliptin and its metabolites
14 days
Pharmacokinetic measures
throughout the study
• Pharmacokinetic measures
throughout the study
Rate and extent of absorption of vildagliptin tablet manufactured by Beijing Novartis Pharma Ltd. to imported vildagliptin tablet in Chinese healthy subjects
Safety and tolerability of single dose of vildagliptin in healthy Chinese volunteers at four sequentially ascending dose levels
Safety and tolerability of repeated doses of vildagliptin in healthy Chinese volunteers at five sequentially ascending dose levels
Pharmacokinetics and pharmacodynamics of vildagliptin in healthy Chinese volunteers at five sequentially ascending dose levels

Secondary Endpoints

Percentage of Patients Reaching Their Glycemic Target Without Hypoglycemic Events
24 weeks
Change From Baseline in HbA1c to Week 24 in Both Treatment Arms
Baseline, Week 24
Change From Baseline in Body Weight in Both Treatment Arms
Baseline, Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SU+metformin + Basal InsulinACTIVE_COMPARATORRandomized patient will remain on their previous dual therapy by SU+metformin, which will be kept unchanged, + start of Basal Insulin up-titrated as per usual algorithms primarily based on FPG
Metformin/vildagliptin + Basal InsulinEXPERIMENTALRandomized patient will receive Vildagliptin 50 mg twice daily (b.i.d) + continued therapy with Metformin, + start of Basal Insulin up-titrated as per usual algorithms primarily based on FPG
VildagliptinEXPERIMENTALEligible patients will receive vildagliptin 50 mg in addition to their stable dose of insulin with or without metformin. One tablet should be taken twice daily as one tablet before breakfast meal and one tablet before the evening meal for 24 weeks.
PlaceboPLACEBO_COMPARATOREligible patients will receive matching placebo in addition to their stable dose of insulin with or without metformin. One tablet should be taken twice daily as one tablet before breakfast meal and one tablet before the evening meal for 24 weeks.
GlimepirideACTIVE_COMPARATOR -
Vildagliptin (metformin + glimepiride)EXPERIMENTAL -
Placebo (metformin + glimepiride)PLACEBO_COMPARATOR -
Open Met add-on vildagliptinOTHER -
Open TZD add-on vildagliptinOTHER -
Open α-GI add-on vildagliptinOTHER -
Glinides add-on vildagliptinOTHER -
Vildagliptin Dose 1EXPERIMENTAL -
Vildagliptin Dose 2EXPERIMENTAL -
1EXPERIMENTAL50mg qd vildagliptin
2ACTIVE_COMPARATORsitagliptin (25mg qd)
vildagliptin + metforminEXPERIMENTAL -
metforminACTIVE_COMPARATOR -
SitagliptinACTIVE_COMPARATOR -
TZDACTIVE_COMPARATORTZD + metformin
Vildagliptin + Metformin Dose 1EXPERIMENTAL -
Vildagliptin + Metformin Dose 2EXPERIMENTAL -
GliclazideACTIVE_COMPARATOR -
vildagliptin 50 mg qd + pioglitazone 45 mg qdEXPERIMENTALvildagliptin 50 mg qd + pioglitazone 45 mg qd for 28 weeks
vildagliptin 50 mg bd+ pioglitazone 45 mg qdEXPERIMENTALvildagliptin 50 mg bd + pioglitazone 45 mg qd for 28 weeks
Vildagliptin 50 mg bid + pioglitazone 45 mg qdEXPERIMENTALVildagliptin 50 mg bid + pioglitazone 45 mg qd for 24 weeks
Vildagliptin placebo + pioglitazone 45 mg qdPLACEBO_COMPARATORVildagliptin placebo + pioglitazone 45 mg qd for 24 weeks
LAF237 50 mg qd + glimepiride 4 mg qdEXPERIMENTALLAF237 50 mg qd + glimepiride 4 mg qd
LAF237 50 mg bid + glimepiride 4 mg qdEXPERIMENTALLAF237 50 mg bid + glimepiride 4 mg qd
LAF237 placebo + glimepiride 4 mg qdPLACEBO_COMPARATORLAF237 placebo + glimepiride 4 mg qd
Vildagliptin 25 mg qd in Renal Impaired (RI) patientsEXPERIMENTAL -
Vildagliptin 50 mg qd in RI PatientsEXPERIMENTAL -
Vildagliptin 25 mg qd in matched Healthy Volunteer (HV)EXPERIMENTAL -
Vildagliptin 50 mg qd in matched HVEXPERIMENTAL -

Interventions

NameTypeDescription
VildagliptinDRUG50 mg b.i.d
MetforminDRUGmetformin is to be kept unchanged
sulfonylurea (SU)DRUG -
Basal InsulinDRUG -
PlaceboDRUGPatient will receive matching placebo to vildagliptin in addition to their stable dose of insulin with or without metformin for 24 weeks
GlimepirideDRUG -
Vildagliptin 50 mg bidDRUG -
Vildagliptin 50 mg qdDRUG -
sitagliptinDRUG25mg qd
vildagliptin + metforminDRUG -
thiazolidinedione (TZD)DRUGTZD add-on to metformin
Vildagliptin 100 mg qdDRUG -
Metformin 1500 mg dailyDRUG -
Vildagliptin matching placeboDRUG -
Glimepiride matching placeboDRUG -
GliclazideDRUG -
pioglitazoneDRUGpioglitazone 45 mg qd
Vildagliptin PlaceboDRUG -
LAF237 placeboDRUG -
Metformin ComparatorDRUG -
Vildagliptin (LAF237)DRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: * T2DM patients inadequately controlled with metformin+ SU combination therapy at max tolerated doses and in whom the decision to start basal insulin has been taken * with stable metformin+ SU combination therapy for at least 12 weeks prior to randomization * with a glycemic tar...

Countries:FranceChinaPhilippinesSingaporeThailandJapanBelgiumBulgariaFinlandGermanySlovakiaSpainUnited KingdomAustraliaHungaryItalyMexicoRomaniaSouth KoreaTaiwanCzechiaGuatemalaHong KongIndiaUnited StatesArgentinaCanadaCosta RicaNorwayRussiaSwedenPolandSwitzerlandAustriaGreeceIsraelLatviaLithuaniaPeruVenezuelaMalaysiaPuerto Rico
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Competitive Landscape -Diabetes Complications 6 trials (matched to "Type-2 Diabetes")

Frequently asked questions about vildagliptin

What is Vildagliptin used for?

Vildagliptin is an investigational small molecule being developed for prediabetic state, healthy individuals, renal impairment, and Type 2 Diabetes Mellitus (T2DM). It is studied in conditions including Type 2 Diabetes and is currently in Phase 1 clinical development.

Who makes Vildagliptin?

Vildagliptin is developed by Novartis AG, a pharmaceutical company traded on the stock exchange under the ticker symbol NVS. The drug is an investigational small molecule being studied for use in Type 2 Diabetes and related metabolic conditions.

What phase is Vildagliptin in?

Vildagliptin is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The drug is being studied for Type 2 Diabetes Mellitus and other conditions, with all 54 clinical trials completed to date.

What clinical trials is Vildagliptin in?

Vildagliptin has completed 54 clinical trials, including NCT00414947, a bioequivalence study in healthy Chinese volunteers, and NCT00567047, a pharmacokinetic study in patients with renal impairment. These trials have enrolled over 25,000 participants across various conditions.

Is Vildagliptin the same as LAF237?

Vildagliptin is also known as LAF237. Clinical trials such as NCT00651105, which studied the effect of LAF237 on glucagon secretion in patients with Type 2 Diabetes and healthy subjects, refer to Vildagliptin by this alternative name.