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Alogliptin

Phase 3

Diabetes Mellitus, Type 2 | Small molecule | Metabolic |Takeda Pharmaceutical Company Limited|Last Updated: Jan 29, 2015

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment7,196
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01289119Efficacy and Safety of Alogliptin in Participants With Type 2 DiabetesPHASE3 COMPLETED 506Dec 1, 2010Dec 1, 2011Mar 22, 201321 China, Hong Kong +1
NCT01023581Efficacy and Safety of Alogliptin Plus Metformin in Patients With Type 2 DiabetesPHASE3 COMPLETED 784Nov 1, 2009Jun 1, 2011Mar 26, 2013201 United States, Czechia +11
NCT00968708Cardiovascular Outcomes Study of Alogliptin in Patients With Type 2 Diabetes and Acute Coronary SyndromePHASE3 COMPLETED 5,380Sep 1, 2009Jun 1, 2013May 2, 2014908 United States, Argentina +48
NCT01263470Efficacy and Safety of Alogliptin in Participants With Type 2 Diabetes in JapanPHASE2 COMPLETED 480Jan 1, 2007Dec 1, 2007Feb 3, 20121 Japan
NCT00957268Pharmacokinetics, Pharmacodynamics, and Safety of Alogliptin in Children, Adolescents and Adults With Type 2 Diabetes MellitusPHASE1 COMPLETED 46Sep 1, 2009Nov 1, 2013Jan 29, 20157 United States
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Study Endpoints
Primary Endpoints
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Baseline and Week 16.

The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at Week 16. Least squares means are derived from an analysis of covariance (ANCOVA) model with treatment as a fixed effect, and baseline HbA1c as a covariate for the monotherapy, baseline HbA1c with baseline metformin dose as covariates for the metformin therapy, baseline HbA1c with baseline metformin therapy status and baseline pioglitazone dose as covariates for the pioglitazone therapy.

Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 26
Baseline and Week 26.

The change from Baseline to Week 26 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound).

Percentage of Participants With Primary Major Adverse Cardiac Events (MACE)
From randomization until the adjudication cut-off date of May 31 2013 (maximum time on study was 41 months).

Primary Major Adverse Cardiac Events were defined as a composite of cardiovascular death, nonfatal myocardial infarction and nonfatal stroke; these events were adjudicated by an independent cardiovascular endpoints committee.

Change From Baseline in Glycosylated Hemoglobin (Week 12).
Baseline and Week 12.

The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at week 12 or final visit and glycosylated hemoglobin collected at baseline.

Cmax: Maximum Observed Plasma Concentration for Alogliptin
1 hour pre-dose and 1, 2, 4, 8, 12, 16, 24, 48, and 72 hours post-dose

Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Alogliptin
1 hour pre-dose and 1, 2, 4, 8, 12, 16, 24, 48, and 72 hours post-dose

Tmax: Time to reach the maximum plasma concentration (Cmax), equal to time (hours) to Cmax.

AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Alogliptin
1 hour pre-dose and 1, 2, 4, 8, 12, 16, 24, 48, and 72 hours post-dose

AUC(0-inf) is measure of area under the curve over the dosing interval (tau) (AUC(0-tau\]), where tau is the length of the dosing interval in this study).

Secondary Endpoints
Change From Baseline in HbA1c Over Time
Baseline and Weeks 4, 8 and 12.
Change From Baseline in Fasting Plasma Glucose Over Time
Baseline and Weeks 4, 8, 12 and 16.
Percentage of Participants With Marked Hyperglycemia
Randomization to Week 16.
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORParticipants received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks.
Alogliptin MonotherapyEXPERIMENTALParticipants received alogliptin 25 mg tablets, orally, once daily for up to 16 weeks.
MetforminOTHERParticipants continued to receive their stable dose of metformin (≥1000 mg/day) and also received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks.
Metformin + Alogliptin Add-on TherapyEXPERIMENTALParticipants continued to receive their stable dose of metformin (≥1000 mg/day) and also received alogliptin 25 mg tablets, orally, once daily for up to 16 weeks.
PioglitazoneOTHERParticipants continued to receive their stable dose of pioglitazone with or without metformin, and also received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks.
Pioglitazone + Alogliptin Add-on TherapyEXPERIMENTALParticipants continued to receive their stable dose of pioglitazone with or without metformin and also received alogliptin, 25 mg tablets orally once daily for up to 16 weeks.
Alogliptin 25 QDEXPERIMENTALAlogliptin 25 mg, tablets, orally, once daily (QD) and Metformin placebo-matching capsules, orally, twice daily for up to 26 weeks.
Alogliptin 12.5 BIDEXPERIMENTALAlogliptin 12.5 mg, tablets, orally, twice daily (BID) and Metformin placebo-matching capsules, orally, twice daily for up to 26 weeks.
Metformin 500 BIDACTIVE_COMPARATORAlogliptin placebo-matching tablets, orally, twice daily and Metformin 500 mg capsules, orally, twice daily for up to 26 weeks.
Metformin 1000 BIDACTIVE_COMPARATORAlogliptin placebo-matching tablets, orally, twice daily and Metformin 1000 mg capsules, orally, twice daily for up to 26 weeks.
Alogliptin 12.5 BID + Metformin 500 BIDEXPERIMENTALAlogliptin 12.5mg, tablets, orally, twice daily and Metformin 500 mg, capsules, orally, twice daily for up to 26 weeks.
Alogliptin 12.5 BID + Metformin 1000 BIDEXPERIMENTALAlogliptin 12.5 mg, tablets, orally, twice daily and Metformin 1000 mg, capsules, orally, twice daily for up to 26 weeks.
AlogliptinEXPERIMENTALAlogliptin 25 mg, tablets, orally, once daily for participants with normal or mildly impaired renal function as defined by estimated glomerular filtration rate (eGFR) ≥ 60 mL/min). Alogliptin 12.5 mg, tablets, orally, once daily for participants with moderately impaired renal function (eGFR ≥30 and \<60 mL/min). Alogliptin 6.25 mg, tablets, orally, once daily for participants with severely impaired renal function or end stage renal disease (eGFR \<30 mL/min). Participants continued to receive standard of care for cardiovascular disease and diabetes according to regional guidelines.
Alogliptin 6.25 mg QDEXPERIMENTAL -
Alogliptin 12.5 mg QDEXPERIMENTAL -
Alogliptin 25 mg QDEXPERIMENTAL -
Alogliptin 50 mg QDEXPERIMENTAL -
Voglibose 0.2 mg TIDACTIVE_COMPARATOR -
Alogliptin 12.5 mg (age 10 to < 14 years)EXPERIMENTALAlogliptin 12.5 mg, tablets, orally, 1 dose only.
Alogliptin 25 mg (age 10 to < 14 years)EXPERIMENTALAlogliptin 25 mg, tablets, orally, 1 dose only.
Alogliptin 12.5 mg (age 14 to < 18 years)EXPERIMENTALAlogliptin 12.5 mg, tablets, orally, 1 dose only.
Alogliptin 25 mg (age 14 to < 18 years)EXPERIMENTALAlogliptin 25 mg, tablets, orally, 1 dose only.
Alogliptin 25 mg (age 18 to 65 years)EXPERIMENTALAlogliptin 25 mg, tablets, orally, 1 dose only.
Interventions
NameTypeDescription
AlogliptinDRUGAlogliptin tablets
Placebo to alogliptinDRUGAlogliptin placebo-matching tablets.
MetforminDRUGStable metformin dose
PioglitazoneDRUGStable pioglitazone dose
Alogliptin PlaceboDRUGAlogliptin placebo-matching tablets.
Metformin PlaceboDRUGMetformin placebo-matching capsules.
PlaceboDRUGAlogliptin placebo matching tablets
VogliboseDRUGVoglibose 0.2 mg, tablets, orally, three times daily for up to 12 weeks.
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites21

Inclusion Criteria: * Has a historical diagnosis of Type 2 Diabetes Mellitus. * Has a body mass index between acceptable range. * Is experiencing inadequate glycemic control. * Body weight keeps constant. * Females of childbearing potential and males who are sexually active agree to use routinely a...

Countries:ChinaHong KongTaiwanUnited StatesCzechiaHungaryIsraelLithuaniaMexicoPolandPuerto RicoRomaniaRussiaSlovakiaSouth AfricaUkraineArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChileColombiaCroatiaDenmarkEgyptFinlandFranceGermanyGreeceGuatemalaIndiaItalyJapanKuwaitLatviaMalaysiaNew ZealandPeruPhilippinesPortugalSerbiaSouth KoreaSpainSwedenThailandTurkey (Türkiye)United Arab EmiratesUnited Kingdom
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