Sanofi Type 2 Diabetes Drug Adlyxin Approved

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FDA has approved a Sanofi-Aventis NDA for Adlyxin (lixisenatide), a once-daily injection to improve glycemic control in adults with Type 2 diabetes. The glucagon-like peptide-1 receptor agonist was approved based on data from 10 clinical trials that enrolled 5,400 patients with Type 2 diabetes. It was evaluated both as a standalone therapy and in combination with other FDA-approved diabetic medications, including metformin, sulfonylureas, pioglitazone and basal insulin, according to an agency news release. “Use of Adlyxin improved hemoglobin A1c levels (a measure of blood sugar levels) in these trials,” it says. “In addition, more than 6,000 patients with type 2 diabetes at risk for atherosclerotic cardiovascular disease were treated with either Adlyxin or a placebo in a cardiovascular outcomes trial. Use of Adlyxin did not increase the risk of cardiovascular adverse events in these patients.”

FDA says that Adlyxin should not be used to treat patients with Type 1 diabetes or patients with increased ketones in their blood or urine (diabetic ketoacidosis). The most common side effects observed in the trials were nausea, vomiting, headache, diarrhea and dizziness. Hypoglycemia in patients treated with both Adlyxin and other antidiabetic drugs such as sulfonylurea or basal insulin is another common side effect.

The agency is also requiring post-marketing studies to evaluate dosing, efficacy and safety in pediatric patients, and lixisenatide’s immunogenicity.

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