Head-to-head evidence

Alogliptin vs SYR-472

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Type 2 Diabetes

Shared mechanism: DPP-4 · full Type 2 Diabetes pipeline

Alogliptin · Nesina

Marketed by Takeda Pharmaceutical Company

Approved in Type 2 Diabetessmall molecule
Partial signal

NCT00286429 · Phase 3 · completed

The 390-participant trial was randomized, quadruple-blind, and placebo-controlled, with 130, 131, and 129 participants assigned to placebo, alogliptin 12.5 mg, and alogliptin 25 mg, respectively. Both primary HbA1c comparisons were statistically significant in favor of alogliptin, but HbA1c is a surrogate measure, so the evidence does not establish a strong clinical-outcome grade.

Next expected readout: December 2026 · NCT07093476 (registry estimate)

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SYR-472

Developed by Takeda Pharmaceutical Company

Phase 3 in Type 2 Diabetessmall molecule
Partial signal

NCT02324569 · Phase 3 · completed

The 12-week comparison randomized 240 participants and used quadruple blinding with placebo control. The primary HbA1c endpoint was met, with a statistically significant treatment difference, but HbA1c is a surrogate laboratory measure rather than a hard clinical endpoint; the subsequent long-term period was open-label.

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: Alogliptin's landscape · SYR-472's landscape