The purpose of this survey is to evaluate the safety and efficacy of long-term use of alogliptin tablets (Nesina Tablets) in type 2 diabetic patients who have had an inadequate response to hypoglycemic agents (e.g., insulin preparations or rapid-acting insulin secretagogues)\* in addition to dietary/exercise therapy. Participants will receive alogliptin as part of routine medical care. \* Patients receiving these hypoglycemic agents (excluding α-glucosidase inhibitors, thiazolidines, sulfonylureas, and biguanides) were excluded from existing specified drug-use surveys for alogliptin tablets.
This survey was designed to evaluate the safety and efficacy of long-term use of alogliptin tablets (Nesina Tablets) in type 2 diabetic patients who have had an inadequate response to hypoglycemic agents (e.g., insulin preparations or rapid-acting insulin secretagogues) in addition to dietary/exercise therapy. Participants will receive alogliptin as part of routine medical care. For adults, 25 mg of alogliptin is usually administered orally once daily.
Study Type
OBSERVATIONAL
Enrollment
964
Alogliptin tablets
Unnamed facility
Osaka, Japan
Unnamed facility
Tokyo, Japan
Percentage of Participants Who Had One or More Adverse Reactions
Adverse drug reactions are defined as adverse events (AEs) which are in the investigator's opinion of causal relationship to the study treatment. AEs are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug.
Time frame: Up to Month 12
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at final assessment point (up to Month 12) relative to baseline.
Time frame: Baseline, and final assessment point (up to Month 12)
Number of Participants Achieving Specified HbA1c Level (< 7.0% and <6.0%)
The reported data were number of participants who achieved specified HbA1c Level (\< 7.0% and \<6.0%) during this study.
Time frame: Baseline, and final assessment point (up to Month 12)
Change From Baseline in Laboratory Test Values (Fasting Blood Glucose Level)
The reported data were change from baseline in fasting blood glucose level.
Time frame: Baseline, and final assessment point (up to Month 12)
Change From Baseline in Laboratory Test Values (Fasting Insulin Level)
The reported data were change from baseline in fasting insulin level.
Time frame: Baseline, and final assessment point (up to Month 12)
Change From Baseline in Laboratory Test Values (Homeostasis Model Assessment Ratio [HOMA-R])
The reported data were change from baseline in HOMA-R. HOMA-R measures insulin resistance, calculated by fasting insulin (μU/mL) multiplied by fasting glucose (mg/dL), and divided by a constant (405). A higher score indicates higher insulin resistance.
Time frame: Baseline, and final assessment point (up to Month 12)
Change From Baseline in Laboratory Test Values (Homeostasis Model Assessment of Beta-cell Function [HOMA-β])
The reported data were change from baseline in HOMA-β. HOMA-β measures as following; HOMA-β = fasting insulin (μU/mL) ×360/{fasting glucose (mg/dL) - 63}.
Time frame: Baseline, and final assessment point (up to Month 12)
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