Suliqua (EU), Soliqua (US)Type 2 diabetes mellitus in adults
Suliqua (EU), Soliqua (US)
Development and Regulatory status
Jan 20EU positive opinion for a licence change to clarify which concomitant treatments it may be used with. The proposed new indication is treatment of adults with insufficiently controlled type 2 diabetes mellitus to improve glycaemic control as an adjunct to diet and exercise in addition to metformin with or without SGLT-2 inhibitors. Suliqua was previously indicated for use in combination with metformin for treatment of adults with type 2 diabetes mellitus to improve glycaemic control when this has not been provided by metformin alone or metformin combined with another oral glucose lowering medicinal product or with basal insulin [27,28].
May 19Launched in the UK. Price: 100iu/33 microgram per ml, 3 x 3ml SoloStar pre-filled pen=£51.30. 100iu/50 microgram per ml, 3 x 3ml SoloStar pre-filled pen=£67.50 .
May 17Launched in Netherlands and Austria .
Jan 17Approved in the EU .
Jan 17Launched in the US at a list price of $127 for a 300-unit pen .
Nov 16Approved in US .
Nov 16EU positive opinion for use in combination with metformin for treatment of adults with type 2 diabetes mellitus to improve glycaemic control when this has not been provided by metformin alone or metformin combined with another oral glucose lowering medicinal product or with basal insulin .
Nov 16Soliqua will be priced on par with solo GLP1s in the US .
Aug 16FDA demands more information on the drug delivery device, pushing back the PDUFA date by 3 months to end of November and nearly wiping out the time Sanofi saved by redeeming a $245 million (€216 million) priority review voucher .
May 16FDA panel votes 12 to 2 in favour of approving iGlarLixi .
Apr 16Filed in the EU via the centralised procedure .
Mar 16EU filing expected Q1 16 .
Dec 15Sanofi redeemed an outstanding priority review voucher, which shortens the standard FDA review time for submitted drugs from 10 months to 6 months and will begin once the agency accepts the application .
Dec 15Filed in the US .
Jul 15Regulatory submissions are planned for Q4 2015 in the United States and Q1 2016 in the European Union .
Glucagon like peptide 1 receptor agonist + long acting insulin
ECurrently 3.8 million people in the UK are diagnosed with diabetes (90% type 2), and it is estimated that a further 1 million people with type 2 diabetes have not yet been diagnosed .
Type 2 diabetes mellitus in adults
Trial or other data
Sep 19PIII LixiLan-G RCT (n=514) is published; the study found that switching to insulin glargine plus lixisenatide (IG+LX) improves HbA1c vs continued GLP-1 monotherapy (-0.6%, p<0.0001). More IG+LX patients achieved HbA1c <7% (62% vs 26%, p<0.0001). Nausea, vomiting and hypoglycaemia rates were higher with IG+LX .
Jun 19Positive outcome data from PIII LixiLan-G study (n=514) showed that pts switched to Soliqua demonstrated a statistically superior reduction of HbA1c after 26 weeks [- 1.02%] vs. continuing a daily or weekly GLP-1 treatment plus metformin (with or without pioglitazone and an SGLT2 inhibitor) [-0.38%, p<0.0001]. Pts were randomised to either switch to Soliqua or continue their previous GLP-1 treatment, while maintaining their other pre-trial anti-diabetic medication. The PIII study evaluated adults with type 2 diabetes inadequately controlled by GLP-1 treatments. The study showed a safety profile consistent with the established profiles of the treatments studied: the most common classes of adverse event were gastrointestinal events (i.e., nausea, diarrhea and or vomiting) and hypoglycemia .
Sep 16Results of LixiLAN-L published online in Diabetes Care. Study (n=736) found combination insulin glargine+lixisenatide showed greater reductions in HbA1c vs insulin glargine alone at 30 weeks (–1.1% vs –0.6%, p<0.0001). Mean body weight decreased by 0.7kg with combination and increased by 0.7kg with insulin glargine (p< 0.0001) .
Aug 16Results of LixiLan published online in Diabetes Care. Study (n= 323) found at week 24, mean HbA1c was reduced from 8% to 6.3% and 6.5% with LixiLan and insulin glargine, respectively, establishing noninferiority and superiority of LixiLan. Body weight reduced with LixiLan (–1 kg) and increased with insulin (+0.5 kg; p< 0.0001) .
Aug 16In 1,170 diabetic people (LixiLan-O study) on metformin randomised to fixed-ratio combination of insulin glargine (iGlar) and lixisenatide (Lixi) vs. individual components alone, more subjects reached target HbA1c <7% with iGlarLixi (74%) versus iGlar (59%) or Lixi (33%) (P<0.0001 for all) .
Jun 16Sanofi announces pivotal PIII LixiLan-O and LixiLan-L trials both met their primary endpoints, demonstrating statistically superior reduction of HbA1c with the titratable fixed-ratio combination versus comparators (lixisenatide and insulin glargine 100 Units/mL, respectively). The most frequent adverse events were nausea, vomiting and diarrhoea .
Sep 15Sanofi announced today that the LixiLan-L PIII clinical trial (NCT02058160) met its primary endpoint (change in HbA1c from baseline to wk 30) in 736 pts with type 2 diabetes treated with insulin glargine with or without metformin. LixiLan demonstrated statistically superior reduction in HbA1c vs. insulin glargine 100 Units/mL. The safety profile of LixiLan reflects that of insulin glargine 100 Units/mL and lixisenatide .
Jul 15LixiLan-O trial has met its primary endpoint; LixiLan showed a statistically superior reduction in HbA1c (three months average blood glucose) compared with lixisenatide and compared with insulin glargine 100 units/mL. Overall, LixiLan had a safety profile similar to those of lixisenatide and insulin glargine 100 units/mL .
Feb 14NCT02058147 (LixiLan-O) is a PIII randomized, 30 week, active-controlled, open-label, 3-treatment arm, multicentre study comparing insulin glargine/ lixisenatide fixed ratio combination to insulin glargine and to lixisenatide alone on top of metformin in 1125 patients with T2DM. The primary outcome is change in HbA1c from baseline to week 30. The study starts Feb 14 and is due to complete Aug 15 .
Feb 14NCT02058160 (LixiLan-L) is a PIII randomized, 30-week, active-controlled, open label, 2- treatment arm, multicentre study insulin glargine/lixisenatide fixed ratio combination to insulin glargine with or without metformin in 700 patients with T2DM. The primary outcome is change in HbA1c from baseline to week 30. The study starts Feb 14 and is due to complete Aug 15 .
Feb 14Clinical Phase III development programme for LixiLan has been started .
Oct 13LixLan is a fixed-ratio combination of lixisenatide/insulin glargine, administered via the Tactipen® device .
Sep 13Phase III clinical development of lixisenatide/insulin glargine will begin in the first half of 2014 .