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aleglitazar

Phase 3

Cardiovascular Disease, Diabetes Mellitus Type 2 | Small molecule | Metabolic |Roche Holding AG|Trials Updated: Feb 23, 2017

aleglitazar development status

Highest phase Phase 3
Registered trials 21 across 1 sponsor since Oct 2006

aleglitazar target and mechanism

Molecular targetPPARA, PPARG
Target classAgonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials14
Total Enrollment10,792

FDA Designations

No designations recorded

aleglitazar clinical trials

aleglitazar · 14 trials · 2 indications

Phase 3 7Phase 2 6Phase 1 1
NCT01871428A Study of Aleglitazar in Monotherapy in Patients With Type 2 Diabetes Mellitus Who Are Drug-Naïve to Anti-Hyperglycemic TherapyDiabetes Mellitus Type 2
COMPLETED13 Analytics
NCT01871415A Study of Aleglitazar in Combination With Metformin in Patients With Type 2 Diabetes Mellitus Who Are Inadequately Controlled With Metformin MonotherapyDiabetes Mellitus Type 2
COMPLETED7 Analytics
NCT01691989A Study of Aleglitazar in Combination With Metformin in Patients With Type 2 Diabetes Mellitus Who Are Inadequately Controlled With Sulfonylurea Alone or Sulfonylurea Plus Metformin TherapyDiabetes Mellitus Type 2
COMPLETED197 Analytics
NCT01715818A Study on The Potential of Aleglitazar to Reduce Cardiovascular Risk in Patients With Stable Cardiovascular Disease and Glucose AbnormalitiesCardiovascular Disease, Diabetes Mellitus Type 2
COMPLETED1,999 Analytics
NCT01691755A Study of Aleglitazar in Patients With Type 2 Diabetes Mellitus Who Have Not Previously Received Anti-Hyperglycemic TherapyDiabetes Mellitus Type 2
COMPLETED196 Analytics
NCT01691846A Study of Aleglitazar in Combination With Metformin in Patients With Type 2 Diabetes Mellitus Who Are Inadequately Controlled With Metformin AloneDiabetes Mellitus Type 2
COMPLETED200 Analytics
NCT01042769A Study With Aleglitazar in Patients With a Recent Acute Coronary Syndrome and Type 2 Diabetes MellitusDiabetes Mellitus Type 2
COMPLETED7,226 Analytics
PHASE3COMPLETED
A Study of Aleglitazar in Monotherapy in Patients With Type 2 Diabetes Mellitus Who Are Drug-Naïve to Anti-Hyperglycemic Therapy
Diabetes Mellitus Type 2Unlock trial analytics
PHASE3COMPLETED
A Study of Aleglitazar in Combination With Metformin in Patients With Type 2 Diabetes Mellitus Who Are Inadequately Controlled With Metformin Monotherapy
Diabetes Mellitus Type 2Unlock trial analytics
PHASE3COMPLETED
A Study of Aleglitazar in Combination With Metformin in Patients With Type 2 Diabetes Mellitus Who Are Inadequately Controlled With Sulfonylurea Alone or Sulfonylurea Plus Metformin Therapy
Diabetes Mellitus Type 2Unlock trial analytics
PHASE3COMPLETED
A Study on The Potential of Aleglitazar to Reduce Cardiovascular Risk in Patients With Stable Cardiovascular Disease and Glucose Abnormalities
Cardiovascular Disease, Diabetes Mellitus Type 2Unlock trial analytics
PHASE3COMPLETED
A Study of Aleglitazar in Patients With Type 2 Diabetes Mellitus Who Have Not Previously Received Anti-Hyperglycemic Therapy
Diabetes Mellitus Type 2Unlock trial analytics
PHASE3COMPLETED
A Study of Aleglitazar in Combination With Metformin in Patients With Type 2 Diabetes Mellitus Who Are Inadequately Controlled With Metformin Alone
Diabetes Mellitus Type 2Unlock trial analytics
PHASE3COMPLETED
A Study With Aleglitazar in Patients With a Recent Acute Coronary Syndrome and Type 2 Diabetes Mellitus
Diabetes Mellitus Type 2Unlock trial analytics

Study Endpoints

Primary Endpoints

Change in HbA1c
from baseline to Week 26
Change from baseline in hemoglobin HbA1c
From baseline to week 26
Time to first occurrence of any component of the composite event (cardiovascular death, non-fatal myocardial infarction (MI), non-fatal stroke) as adjudicated by the Clinical Events Committee (CEC)
5 years
Effect on cardiovascular death, non-fatal myocardial infarction and non-fatal stroke
Throughout study, approximately 4.5 years
Change in whole-body insulin sensitivity as assessed by M-value (Insulin-stimulated glucose disposal rate)
from baseline to Week 16
Cardiac energetics: Change in PCr/ATP ratio using phosphorus magnetic resonance spectroscopy (MRS)
from baseline to Week 6
Renal function: estimated glomerular filtration rate
Week 60
Relative change from baseline in glomerular filtration rate
26 weeks
Incidence of cardiovascular death, hospitalization or clinic visit for heart failure with i.v. administration of diuretics during 26 week treatment period.
26 week
Absolute change from baseline in Hemoglobin A1c (HbA1c)
16 weeks
Glomerular filtration rate (mGFR), measured as iohexol clearance
4 weeks

Secondary Endpoints

Change in lipids
from baseline to Week 26
Change in fasting plasma glucose (FPG)
from baseline to Week 26
Responder rates, defined as target HbA1c: < 7.0%, < 6.5% at Week 26
26 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AleglitazarEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Aleglitazar + metforminEXPERIMENTAL -
Placebo + metforminACTIVE_COMPARATOR -
pioglitazoneACTIVE_COMPARATOR -
ActosACTIVE_COMPARATOR -
Aleglitazar 1EXPERIMENTAL -
Aleglitazar 2EXPERIMENTAL -
Aleglitazar 3EXPERIMENTAL -
Aleglitazar 4EXPERIMENTAL -
1EXPERIMENTAL -
2PLACEBO_COMPARATOR -

Interventions

NameTypeDescription
aleglitazarDRUG150 mcg orally daily
placeboDRUGmatching aleglitazar placebo orally daily
metforminDRUGpre-existing background regimen and dose
aleglitazar+metforminDRUG150 mcg aleglitazar given orally once a day for 26 weeks. Patients will continue on their existing dose and regimen of metformin (≥ 1500 mg/day or individual maximally tolerated dose)
placebo+metforminDRUGOral doses of matching placebo once a day for 26 weeks. Patients will continue on their existing dose and regimen of metformin (≥ 1500 mg/day or individual maximally tolerated dose)
pioglitazoneDRUGPioglitazone 45 mg po daily for 52 weeks
ActosDRUG45mg po daily
lisinoprilDRUG20 mg orally daily, 6 weeks (Day 1 to Day 43)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Adult patient, \>/= 18 years of age * Diagnosis of Type 2 diabetes mellitus within 12 months prior to screening * Drug-naïve (defined as no anti-hyperglycemic medication for at least 12 weeks prior to screening and for not longer than 3 consecutive months at any time in the pa...

Countries:ChinaHong KongMalaysiaSouth KoreaUnited StatesArgentinaColombiaGuatemalaMexicoAustraliaAustriaCanadaChileCzechiaEstoniaGermanyHungaryIsraelItalyJapanLatviaLithuaniaPolandRomaniaRussiaSouth AfricaSpainSwedenThailandUnited KingdomBrazilDenmarkFranceGrenadaIndiaIrelandNetherlandsNew ZealandEl SalvadorPeruSlovakiaPuerto RicoUkraineGreeceSerbia
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Frequently asked questions about aleglitazar

What is aleglitazar used for?

Aleglitazar was developed for the treatment of type 2 diabetes mellitus and for reducing cardiovascular risk in patients with stable cardiovascular disease and glucose abnormalities. It was studied both as monotherapy in drug-naive patients and in combination with metformin in patients inadequately controlled on metformin alone.

What does aleglitazar target?

Aleglitazar targets PPARA and PPARG, acting as an agonist at both receptors. This dual agonist activity was designed to address glucose control and lipid parameters in type 2 diabetes. The compound is a small molecule and is catalogued in ChEMBL under the identifier CHEMBL519504.

Who makes aleglitazar?

Aleglitazar was developed by Roche Holding AG, which trades over the counter under the ticker RHHBY. Roche sponsored the clinical trial program for the drug across type 2 diabetes and cardiovascular risk indications.

What phase is aleglitazar in?

Aleglitazar reached Phase 3 clinical development. Across its program, 13 trials were conducted, all of which are completed, and none are currently active. The studies enrolled a total of 8,793 participants and included randomized, double-blind, placebo-controlled designs.

What clinical trials is aleglitazar in?

Aleglitazar was evaluated in completed trials including NCT01715818, a Phase 3 study of cardiovascular risk reduction in patients with stable cardiovascular disease and glucose abnormalities, NCT01871428, a Phase 3 monotherapy study in drug-naive type 2 diabetes patients, and NCT01871415, a Phase 3 study combining aleglitazar with metformin.