A number of DPP-4 inhibitors are currently in late-stage clinical
development, including alogliptin and saxagliptin.
The efficacy and safety
of both agents have been evaluated as monotherapy and as combination
therapy.
Early data suggest that both alogliptin and saxagliptin also
effectively lower glucose and HbA1c as monotherapy in treatment-naïve
patients.
51,52 These agents also appear to be effective as combination
therapy in type 2 diabetes patients inadequately controlled on
monotherapy with currently available antidiabetic agents.
53–56 In addition,
currently available data suggest that they have a similar safety profile to
sitagliptin and vildagliptin.
To date, the clinical outcomes of incretin-based therapies have not been
directly compared in a type 2 diabetes patient population, and can be
attempted only indirectly.
However, comparisons based exclusively on the
HbA1c effect are of little relevance for the purpose of estimating practical
clinical benefit, as populations and designs differ among studies.
Study
participants in the exenatide studies typically had a longer diabetes
A number of DPP-4 inhibitors are currently in late-stage clinical
development, including alogliptin and saxagliptin.
The efficacy and safety
of both agents have been evaluated as monotherapy and as combination
therapy.
Early data suggest that both alogliptin and saxagliptin also
effectively lower glucose and HbA1c as monotherapy in treatment-naïve
patients.
51,52 These agents also appear to be effective as combination
therapy in type 2 diabetes patients inadequately controlled on
monotherapy with currently available antidiabetic agents.
53–56 In addition,
currently available data suggest that they have a similar safety profile to
sitagliptin and vildagliptin.
To date, the clinical outcomes of incretin-based therapies have not been
directly compared in a type 2 diabetes patient population, and can be
attempted only indirectly.
However, comparisons based exclusively on the
HbA1c effect are of little relevance for the purpose of estimating practical
clinical benefit, as populations and designs differ among studies.
Study
participants in the exenatide studies typically had a longer diabetes
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