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Alogliptin and glimepiride

Phase 3

Type 2 Diabetes Mellitus | Small molecule | Metabolic |Takeda Pharmaceutical Company Limited|Last Updated: Sep 28, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials11
Total Enrollment7,265

FDA Designations

No designations recorded

Clinical trial landscape

Alogliptin and glimepiride · 11 trials · 1 indication

Phase 3 3Phase 2 8
NCT02068443Comparative Study to Evaluate Efficacy and Safety When Metformin Hydrochloride 500 mg Once Daily is Added on to SYR-322 25 mg in Type 2 Diabetic Patients With Inadequate Glycemic Control Despite Treatment With SYR-322 25 mg in Addition to Diet and Exercise TherapyType 2 Diabetes Mellitus
COMPLETED374 Analytics
NCT00856284Efficacy and Safety of Alogliptin Plus Metformin Compared to Glipizide Plus Metformin in Patients With Type 2 Diabetes MellitusType 2 Diabetes Mellitus
COMPLETED2,639 Analytics
NCT00328627Efficacy and Safety of Alogliptin Combined With Pioglitazone in Treating Subjects With Type 2 Diabetes Mellitus.Type 2 Diabetes Mellitus
COMPLETED1,554 Analytics
PHASE3COMPLETED
Comparative Study to Evaluate Efficacy and Safety When Metformin Hydrochloride 500 mg Once Daily is Added on to SYR-322 25 mg in Type 2 Diabetic Patients With Inadequate Glycemic Control Despite Treatment With SYR-322 25 mg in Addition to Diet and Exercise Therapy
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Alogliptin Plus Metformin Compared to Glipizide Plus Metformin in Patients With Type 2 Diabetes Mellitus
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Alogliptin Combined With Pioglitazone in Treating Subjects With Type 2 Diabetes Mellitus.
Type 2 Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) National Glycohemoglobin Standardization Program (NGSP) at the End of Treatment (EOT) Period
Baseline and End of Treatment (EOT) (Up to Week 24)

The change in the value of HbA1c (NGSP) (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at End of Treatment Period relative to Baseline. A negative change from Baseline indicates improvement. An Analysis of Covariate (ANCOVA) model with change from Baseline as a dependent variable and Baseline and treatment as independent variables was used for main analyses.

Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 52
Baseline and Week 52

The change from Baseline to Week 52 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). The least squares (LS) means are from an analysis of covariance (ANCOVA) model with treatment, study schedule, and geographic region as class variables, and Baseline metformin dose and Baseline HbA1c as covariates.

Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 104
Baseline and Week 104

The change from Baseline to Week 104 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). The least squares (LS) means are from an analysis of covariance (ANCOVA) model with treatment, study schedule, and geographic region as class variables, and Baseline metformin dose and Baseline HbA1c as covariates.

Change From Baseline to Week 26 in Glycosylated Hemoglobin (HbA1c) (Grouped Analysis)
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). The primary analysis compared the groupings (combinations of individual treatment groups) of participants who received the combination of pioglitazone with each dose of alogliptin with the grouping of participants who received pioglitazone alone (Pioglitazone Alone).

Change From Baseline to Week 26 in HbA1c
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).

Number of Participants With Adverse Events.
52 Weeks.

Treatment-emergent adverse events (TEAE) are defined as any unfavorable and unintended sign, symptom or disease temporally associated with the use of a medicinal product reported from first dose of study drug through 30 days after receiving the last dose of study drug. A TEAE may also be a pretreatment adverse event or a concurrent medical condition diagnosed prior to the date of first dose of study drug that increases in severity after the start of dosing.

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.

Secondary Endpoints

Change From Baseline in HbA1c (NGSP)
Baseline and Weeks 2, 4, 8, 12, 16, 20, 24 and EOT (Up to Week 24)
HbA1c (NGSP)
Baseline and Weeks 2, 4, 8, 12, 16, 20, 24 and EOT (Up to Week 24)
Percentage of Participants Achieving Target HbA1c (NGSP) Levels at the EOT Period
Baseline and EOT (Up to Week 24)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Alogliptin AloneACTIVE_COMPARATORAlogliptin 25 mg, tablets, orally, once, daily, after breakfast and metformin hydrochloride placebo-matching, tablets, orally, 2 tablets after breakfast and 1 tablet after dinner for 24 weeks.
Alogliptin + Metformin Hydrochloride QDEXPERIMENTALAlogliptin 25 mg, tablets, orally, once, daily, after breakfast and metformin hydrochloride 500 mg QD (250 mg x 2 tablets, once daily), tablets, orally, once, daily, after breakfast and 1 metformin hydrochloride placebo-matching, tablet, orally, once, daily, after dinner for 24 weeks.
Alogliptin + Metformin Hydrochloride BIDACTIVE_COMPARATORAlogliptin 25 mg, tablets, orally, once, daily, after breakfast and metformin hydrochloride 250 mg BID (twice daily), tablets, orally, 1 tablet after breakfast and 1 tablet after dinner and 1 metformin hydrochloride placebo-matching, tablet, orally, once, daily, after breakfast for 24 weeks.
Metformin + Alogliptin 12.5 mgEXPERIMENTALAlogliptin 12.5 mg, tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks.
Metformin + Alogliptin 25 mgEXPERIMENTALAlogliptin 25 mg, tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks.
Metformin + GlipizideACTIVE_COMPARATORGlipizide 5 mg, tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks. After at least 2 weeks of treatment but prior to Week 20, participants with persistent hyperglycemia (fasting plasma glucose ≥250 mg/dL) underwent a dose titration of glipizide up to 20 mg in 5-mg increments in 4-week intervals.
PlaceboPLACEBO_COMPARATORAlogliptin placebo-matching tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 + PlaceboEXPERIMENTALAlogliptin 12.5 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 + PlaceboEXPERIMENTALAlogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Placebo + Pioglitazone 15ACTIVE_COMPARATORAlogliptin placebo-matching tablets, orally, once daily and pioglitazone 15 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 + Pioglitazone 15EXPERIMENTALAlogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 15 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 + Pioglitazone 15EXPERIMENTALAlogliptin 25 mg, tablets, orally, once daily and pioglitazone 15 mg, tablets, orally, once daily for up to 26 weeks.
Placebo + Pioglitazone 30ACTIVE_COMPARATORAlogliptin placebo-matching tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 + Pioglitazone 30EXPERIMENTALAlogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 + Pioglitazone 30EXPERIMENTALAlogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Placebo + Pioglitazone 45ACTIVE_COMPARATORAlogliptin placebo-matching tablets, orally, once daily and pioglitazone 45 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 + Pioglitazone 45EXPERIMENTALAlogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 45 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 + Pioglitazone 45EXPERIMENTALAlogliptin 25 mg, tablets, orally, once daily and pioglitazone 45 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg QD and Glimepiride 1- 6 mg QD or BIDACTIVE_COMPARATOR -
Alogliptin 25 mg QD and Glimepiride 1 - 6 mg QD or BIDACTIVE_COMPARATOR -
Alogliptin 12.5 mg QD and Metformin 500 mg BID or 750 mg TIDACTIVE_COMPARATOR -
Alogliptin 25 mg QD and Metformin 500 mg BID or 750 mg TIDACTIVE_COMPARATOR -
Alogliptin 12.5 mg QD and Glimepiride QD or BIDACTIVE_COMPARATOR -
Alogliptin 25 mg QD and Glimepiride QD or BIDACTIVE_COMPARATOR -
Glimepiride 1, 2, 3 or 4 mg QD or BIDACTIVE_COMPARATOR -
Alogliptin 12.5 mg QD and metformin 500mg BID or 750mg TIDACTIVE_COMPARATOR -
Alogliptin 25mg QD and metformin 500mg BID or 750mg TIDACTIVE_COMPARATOR -
Metformin 500mg BID or 750mg TIDACTIVE_COMPARATOR -
Alogliptin 12.5 mg QD and Pioglitazone 15 or 30 mg QDACTIVE_COMPARATOR -
Alogliptin 25 mg QD and Pioglitazone 15 or 30 mg QDACTIVE_COMPARATOR -
Alogliptin 12.5 mg QD and Pioglitazone 15 or 30mg QDEXPERIMENTAL -
Pioglitazone (15mg or 30mg ) QDACTIVE_COMPARATOR -
Alogliptin 12.5 mg QD and Voglibose 0.2 mg TIDEXPERIMENTAL -
Alogliptin 25 mg QD and Voglibose 0.2 mg TIDEXPERIMENTAL -
Alogliptin 6.25 mg QDEXPERIMENTAL -
Alogliptin 12.5 mg QDEXPERIMENTAL -
Alogliptin 25 mg QDEXPERIMENTAL -
Alogliptin 50 mg QDEXPERIMENTAL -
Voglibose 0.2-mg TIDACTIVE_COMPARATOR -
Voglibose 0.2 mg TIDACTIVE_COMPARATOR -

Interventions

NameTypeDescription
AlogliptinDRUGAlogliptin tablets
Metformin hydrochlorideDRUGMetformin hydrochloride tablets
Metformin hydrochloride PlaceboDRUGMetformin hydrochloride placebo-matching tablets
MetforminDRUGMetformin tablets
GlipizideDRUGGlipizide tablets
Alogliptin placeboDRUGAlogliptin placebo-matching tablets.
PioglitazoneDRUGPioglitazone tablets.
Pioglitazone placeboDRUGPioglitazone placebo-matching tablets.
Alogliptin and glimepirideDRUGAlogliptin 12.5 mg, tablets, orally, once daily and sulfonylurea 1, 2, 3, 4, 5 or 6 mg, tablets, orally, once or twice daily for up to 52 weeks.
Alogliptin and metforminDRUGAlogliptin 12.5 mg, tablets, orally, once daily and metformin 500 mg, tablets, orally, twice daily or metformin 750 mg, tablets, orally, three times daily for up to 52 weeks.
GlimepirideDRUGGlimepiride 1, 2, 3 or 4 mg, tablets, orally, once or twice daily and alogliptin placebo-matching tablets, orally, once daily for up 12 weeks.
Alogliptin and pioglitazoneDRUGAlogliptin 12.5 mg, tablets, orally, once daily and Pioglitazone 15 mg or 30 mg, tablets, orally, once daily for up to 40 weeks.
Alogliptin and vogliboseDRUGAlogliptin 12.5 mg, tablets, orally, once daily and voglibose 0.2 mg, tablets, orally, three times daily for up to 40 weeks.
VogliboseDRUGVoglibose 0.2 mg, tablets, orally, three times daily for up to 40 weeks.
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Eligibility Criteria

Age Range20 Years to 74 Years
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: 1. Has a diagnosis of type 2 diabetes mellitus. 2. Has a hemoglobin A1c (HbA1c) (National glycohemoglobin standardization program \[NGSP\]) of ≥6.9% to \<10.5% at 8 weeks after the start of the screening period (Week -4). 3. Has an HbA1c (NGSP) difference between 4 weeks after t...

Countries:JapanUnited StatesArgentinaAustraliaAustriaBrazilCanadaChileGermanyGuatemalaHong KongHungaryIndiaIsraelItalyLatviaLithuaniaMalaysiaMexicoNew ZealandPeruPhilippinesPolandPuerto RicoRomaniaRussiaSingaporeSouth AfricaSouth KoreaSpainThailandUkraineUnited KingdomBulgariaCroatiaEstoniaSerbia
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Frequently asked questions about Alogliptin and glimepiride

What is Alogliptin used for?

Alogliptin is a small molecule being studied for use in Type 2 Diabetes Mellitus. It is also being investigated in healthy volunteers for pharmacokinetic and pharmacodynamic studies. The drug is in Phase 3 clinical development for these metabolic indications.

Who makes Alogliptin?

Alogliptin is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The company is conducting clinical trials of the drug in patients with Type 2 Diabetes Mellitus.

What phase is Alogliptin in?

Alogliptin is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. All 14 clinical trials listed for the drug have been completed, with none currently active.

What clinical trials has Alogliptin been in?

Alogliptin has been studied in 14 completed clinical trials with a total enrollment of 8,578 participants. Notable trials include NCT01318070 and NCT01318083, which evaluated the drug in combination with thiazolidine or sulfonylurea in Japanese patients with Type 2 Diabetes Mellitus.

Is Alogliptin the same as any other drug?

Alogliptin is the primary name for this drug, and no alternative names have been established in the clinical trial data. It is a distinct small molecule being developed for Type 2 Diabetes Mellitus.

How is Alogliptin being tested in clinical trials?

Alogliptin is being tested in randomized, double-blind, placebo-controlled trials. The completed studies include combination therapy with thiazolidine, sulfonylurea, or metformin in patients with Type 2 Diabetes Mellitus, as well as pharmacokinetic studies in healthy volunteers.