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Chiglitazar · Bilessglu

Small molecule

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Reliablesignal

Evidence outlook · lead readout

RECAM (NCT04807348) · Type 2 Diabetes

The completed lead evidence has the design features that historically survive confirmatory trials: randomized, controlled, and adequately powered against a prespecified clinically accepted endpoint.

RECAM (NCT04807348): In this randomized, quadruple-blind, placebo-controlled Phase 3 trial, 533 patients on background metformin were randomized to chiglitazar 32mg, 48mg, or placebo. At 24 weeks, both chiglitazar doses reduced HbA1c significantly more than placebo (p<0.001 for each dose vs placebo).

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Competitive landscape

61 competitors in this universe: 1 direct rival (same mechanism and indication), 0 same-class, 60 same-indication; 33 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Chiglitazar (Bilessglu): this drugPhase 3Small moleculePPAR (pan-agonist)
LanifibranorPhase 3Small moleculePeroxisome proliferator-activated receptors (PPARs), PPAR (pan-agonist)
AfrezzaApprovedPeptideInsulin receptor (basal), Insulin
Alogliptin (Nesina)ApprovedSmall moleculeDPP-4
Bexagliflozin (Brenzavvy)ApprovedSmall moleculeSGLT2
Canagliflozin (Invokana)ApprovedSmall moleculeSGLT2
Dapagliflozin (Farxiga / Forxiga)ApprovedSmall moleculeSGLT2
Dulaglutide (Trulicity)ApprovedPeptideGLP-1 receptor
Empagliflozin (Jardiance)ApprovedSmall moleculeSGLT2
Ertugliflozin (Steglatro)ApprovedSmall moleculeSGLT2
Glipizide (Glucotrol)ApprovedSmall moleculeSulfonylurea receptor (SUR1)
Glyburide (Diabeta / Micronase)ApprovedSmall moleculeSulfonylurea receptor (SUR1)
Insulin Aspart (NovoLog / Fiasp)ApprovedPeptideInsulin receptor
Insulin Degludec (Tresiba)ApprovedPeptideInsulin receptor (basal)
Insulin Detemir (Levemir)ApprovedPeptideInsulin receptor (basal)
Insulin Glargine (Lantus / Toujeo)ApprovedPeptideInsulin receptor (basal)

…and 46 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(5 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (1)
October 2026 (1)
Phase 1Type 2 DiabetesNot yet recruiting
Est. primary completion 2026-10-26 · NCT07511010 · CT.gov ↗
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2028 (3)
January 2028 (1)
Early phase / not applicableMetabolic Dysfunction Associated Fatty Liver Disease, Compensated Liver CirrhosisNot yet recruiting
Est. primary completion 2028-01-31 · NCT06773221 · CT.gov ↗
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March 2028 (1)
Phase 2Relapsed or Refractory Acute Myeloid LeukemiaRecruiting
Est. primary completion 2028-03-31 · NCT07783100 · CT.gov ↗
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December 2028 (1)
Early phase / not applicablePrediabetesNot yet recruiting
Est. primary completion 2028-12-31 · NCT07558525 · CT.gov ↗
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2030 (1)
December 2030 (1)
Phase 2Type 2 DiabetesRecruiting
Est. primary completion 2030-12-01 · NCT07303803 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (3)
Phase 2/3 (1)
Phase 2 (3)
Phase 1 (6)
Early phase / not applicable (6)