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FDA NEWS RELEASE

For Immediate Release:Jan. 25, 2013

Media Inquiries:Morgan Liscinsky, 301-796-0397;morgan.liscinsky@fda.hhs.gov

Consumer Inquiries: 888-INFO-FDA

En Espaol

FDA approves three new drug treatments for type 2 diabetes

The U.S. Food and Drug Administration today approved three new related products for use with

diet and exercise to improve blood sugar control in adults with type 2 diabetes: Nesina (alogliptin)

tablets, Kazano (alogliptin and metformin hydrochloride) tablets, and Oseni (alogliptin and

pioglitazone) tablets.

Alogliptin is a new active ingredient, while metformin hydrochloride and pioglitazone are alreadyFDA-approved for the management of type 2 diabetes. As the most common form of the disease,

type 2 diabetes affects about 24 million people and accounts for more than 90 percent of

diabetes cases diagnosed in the United States.

People with type 2 diabetes are either resistant to insulin or do not produce enough insulin,

resulting in high blood sugar levels. Over time, high blood sugar levels can increase the risk for

serious complications, including heart disease, blindness, and nerve and kidney damage.

"Controlling blood sugar levels is very important in the overall treatment and care of diabetes,"

said Mary Parks, M.D., director of the Division of Metabolism and Endocrinology Products in the

FDAs Centerfor Drug Evaluation and Research. Alogliptin helps stimulate the release of insulin

after a meal, which leads to better blood sugar control.

Nesina, Kazano, and Oseni were studied as stand-alone therapies (monotherapies) and in

combination with other type 2 diabetes therapies, including sulfonylureas and insulin. They

should not be used to treat people with type 1 diabetes or those who have increased ketones in

their blood or urine (diabetic ketoacidosis).

Nesina was demonstrated to be safe and effective in 14 clinical trials involving about 8,500

patients with type 2 diabetes.

Nesina resulted in reductions in glycosylated hemoglobin (HbA1c), a measure of blood sugarcontrol, of 0.4 percent to 0.6 percent compared with placebo after 26 weeks of use.

The FDA is requiring five postmarketing studies for Nesina: a cardiovascular outcomes trial;an enhanced pharmacovigilance program to monitor for liver abnormalities, serious cases of

pancreatitis, and severe hypersensitivity reactions; and three pediatric studies under the

Pediatric Research Equity Act (PREA), including a dose finding study and two safety and

efficacy studies, one with Nesina as a monotherapy and one with Nesina and metformin.

The most common side effects of Nesina are stuffy or runny nose, headache, and upperrespiratory tract infection.

mailto:morgan.liscinsky@fda.hhs.govmailto:morgan.liscinsky@fda.hhs.govmailto:morgan.liscinsky@fda.hhs.govhttp://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm337136.htmhttp://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm337136.htmhttp://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm337136.htmmailto:morgan.liscinsky@fda.hhs.gov

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The safety and efficacy of Kazano were demonstrated in four clinical trials involving more than

2,500 patients with type 2 diabetes.

Kazano resulted in additional reductions in HbA1c of 1.1 percent over Nesina and 0.5 percentover metformin after 26 weeks of use.

The FDA is requiring two postmarketing studies for Kazano: an enhanced pharmacovigilanceprogram to monitor for liver abnormalities, serious cases of pancreatitis, and severe

hypersensitivity reactions; and a pediatric safety and efficacy study under PREA.

Kazano carries a Boxed Warning for lactic acidosis, a build-up of lactic acid in thebloodstream, associated with metformin use.

The most common side effects of Kazano are upper respiratory tract infection, stuffy or runnynose and sore throat, diarrhea, headache, high blood pressure, back pain, and urinary tract

infection.

Oseni was demonstrated to be safe and effective in four clinical trials involving more than 1,500

patients with type 2 diabetes. Oseni resulted in additional reductions in HbA1c of 0.4 percent to 0.6 percent over

pioglitazone monotherapy and 0.4 percent to 0.9 percent over alogliptin monotherapy.

The FDA is requiring an enhanced pharmacovigilance program for Oseni to monitor for liverabnormalities, serious cases of pancreatitis, and severe hypersensitivity reactions.

Oseni carries a Boxed Warning for heart failure associated with pioglitazone use. The most common side effects of Oseni are stuffy or runny nose and sore throat, back pain,

and upper respiratory infection.

Nesina, Kazano, and Oseni are distributed by Takeda Pharmaceuticals America, Inc., Deerfield,Ill.

For more information:

FDA Approved Drugs FDA: Drug Innovation FDA: Diabetes InformationThe FDA, an agency within the U.S. Department of Health and Human Services, protects the

public health by assuring the safety, effectiveness, and security of human and veterinary drugs,vaccines and other biological products for human use, and medical devices. The agency also is

responsible for the safety and security of our nations food supply, cosmetics, dietary

supplements, products that give off electronic radiation, and for regulating tobacco products.

http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm054420.htmhttp://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm054420.htmhttp://www.fda.gov/Drugs/DevelopmentApprovalProcess/DrugInnovation/default.htmhttp://www.fda.gov/Drugs/DevelopmentApprovalProcess/DrugInnovation/default.htmhttp://www.fda.gov/ForConsumers/ByAudience/ForPatientAdvocates/DiabetesInfo/default.htmhttp://www.fda.gov/ForConsumers/ByAudience/ForPatientAdvocates/DiabetesInfo/default.htmhttp://www.fda.gov/ForConsumers/ByAudience/ForPatientAdvocates/DiabetesInfo/default.htmhttp://www.fda.gov/Drugs/DevelopmentApprovalProcess/DrugInnovation/default.htmhttp://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm054420.htm