Will CV Verdicts For Onglyza, Nesina Cause FDA To Change Its Tune On Antidiabetic Safety?

Large outcomes studies showed neither cardiovascular harm nor benefit with BMS/AstraZeneca’s saxagliptin or Takeda’s alogliptin, prompting some commenters to question whether FDA’s blanket approach to CV safety for all antidiabetic agents needs adjustment.

Two large studies finding neutral cardiovascular impacts with DPP-4 inhibitors have invigorated debate over FDA’s nearly five-year-old requirement for CV outcomes data for all new type 2 diabetes drugs.

Given CV safety findings from the SAVOR study of Bristol-Myers Squibb Co./AstraZeneca PLC’s Onglyza (saxagliptin) and the EXAMINE trial of Takeda Pharmaceutical Co. Ltd.’s Nesina (alogliptin), FDA...

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