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Boehringer and Lilly’s type 2 diabetes combination drug Glyxambi gets FDA approval

Boehringer Ingelheim Pharmaceuticals (BIPI) and Eli Lilly and Company have received approval from the US Food and Drug Administration (FDA) for Glyxambi tablets to treat adults with type 2 diabetes (T2D).

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Glyxambi is approved as an adjunct to diet and exercise to improve glycemic control in these adults when both empagliflozin and linagliptin are appropriate treatments.

The drug is a combination of 10mg or 25mg of empagliflozin and 5mg of linagliptin and it has not been examined in patients with a history of pancreatitis.

Claimed to be the first and only diabetes treatment in the US, Glyxambi combines the dual mechanisms of action of a sodium glucose co-transporter-2 (SGLT2) inhibitor and a dipeptidyl peptidase-4 (DPP-4) inhibitor in a once-daily tablet taken in the morning.

Lilly Diabetes vice-president Mike Mason said: "Half of people with type 2 diabetes do not achieve recommended blood sugar control, making new treatment options more important than ever.

BIPI president and CEO Paul Fonteyne said: "With Glyxambi, the dual inhibition of DPP-4 and SGLT2 — two proven targets in the treatment of type 2 diabetes — now provides U.S. physicians and patients with an option to simultaneously address multiple pathways to improve glycemic control."

The approval was based on a Phase III trial that evaluated the efficacy and safety of Glyxambi (10/5mg and 25/5mg) compared with the individual components of empagliflozin (10mg or 25mg) or linagliptin (5mg) in adults with T2D who were also taking high-dose metformin.

Around 686 adults with T2D and hemoglobin A1C between 7% and 10.5% were randomized in the trial, which examined the change from baseline in A1C at 24 weeks.

A1C is a measure of average blood glucose over the past two to three months.

The company said that the combination drug is not recommended in patients with type 1 diabetes or to treat diabetic ketoacidosis.


Image: The FDA approval was based on data from the Phase III trial that evaluated the efficacy and safety of Glyxambi. Photo: courtesy of Michelle Meiklejohn/ freedigitalphotos.net.