Alogliptin

Alogliptin has been studied in 9 papers since 2012: 2 trials and 3 observational studies in people, 2 in animals, 2 reviews; 5 in the past year. The newest paper, Oct 26, 2026: “Incremental cardiovascular benefit of GLP-1RA added to SGLT2i in type 2 diabetes: a target trial emulation in the US veterans health administration”.

Intervention

9 papers study it3 more mention it8 findingsUpdated

PubChemChEBIMeSH

2 new papers in 30 daysSee all 12

“and was associated with a lower incidence of gastrointestinal AEs (8.9% vs. 33.6%, respectively; P < 0.0001)”
Efficacy and safety of alogliptin versus acarbose in Chinese type 2 diabetes patients with high cardiovascular risk or coronary heart disease treated with aspirin and inadequately controlled with metformin monotherapy or drug-naive: A multicentre, randomized, open-label, prospective study (ACADEMIC)Diabetes, obesity & metabolism2022doi:10.1111/dom.14661

None of its findings points the other way.

  • 3 independent labs in 2 countries
  • 2 trials, none about aging
  • Funders: National Key Research and Development Program of China and 3 more
  • 4 of 8 findings with company ties
  • 1 of 2 trials sponsored by its developers
  • Human trial2
  • Humans3
  • Animals2

Studies in people

1 study gave alogliptin to people and measured what changed.

What did studies of Alogliptin find?

6

Studies of Alogliptin measured 6 outcomes; the most studied are gastrointestinal adverse events (1 study), 2-hour postprandial glucose (1) and oxidative stress and ROS signaling (1).

Gastrointestinal adverse events

downin humans1

1 study
  1. Alogliptin decreases gastrointestinal adverse events in humans (8.9% vs. 33.6%).

    “The proportion of participants with ≥1 gastrointestinal AE was significantly lower with alogliptin (64/723; 8.9%) than with acarbose (122/363; 33.6%; P < 0.0001).”

    Human trial16 weeksn = 1,086

    Efficacy and safety of alogliptin versus acarbose in Chinese type 2 diabetes patients with high cardiovascular risk or coronary heart disease treated with aspirin and inadequately controlled with metformin monotherapy or drug-naive: A multicentre, randomized, open-label, prospective study (ACADEMIC)

    Diabetes, obesity & metabolism

  2. Alogliptin decreases gastrointestinal adverse events in humans (8.9% vs. 33.6%, P < 0.0001).

    “and was associated with a lower incidence of gastrointestinal AEs (8.9% vs. 33.6%, respectively; P < 0.0001)”

    Human trialin adults with uncontrolled T2D and high cardiovascular risk or coronary heart disease25 mg once daily vs. acarbose 100 mg three times daily16 weeksn = 1,088

    Efficacy and safety of alogliptin versus acarbose in Chinese type 2 diabetes patients with high cardiovascular risk or coronary heart disease treated with aspirin and inadequately controlled with metformin monotherapy or drug-naive: A multicentre, randomized, open-label, prospective study (ACADEMIC)

    Diabetes, obesity & metabolism

2-hour postprandial glucose

upin humans1

1 study
  1. Alogliptin increases 2-hour postprandial glucose in humans (0.52 mmol/L).

    “However, acarbose was significantly more efficacious than alogliptin in reducing 2‐hour PPG (LSM [SE] change from baseline: −0.91 [0.09] mmol/L with alogliptin vs. −1.42 [0.13] mmol/L with acarbose; difference 0.52 [0.16] mmol/L; 95% CI 0.20–0.84; P = 0.0016).”

    Human trial16 weeksn = 1,072

    Efficacy and safety of alogliptin versus acarbose in Chinese type 2 diabetes patients with high cardiovascular risk or coronary heart disease treated with aspirin and inadequately controlled with metformin monotherapy or drug-naive: A multicentre, randomized, open-label, prospective study (ACADEMIC)

    Diabetes, obesity & metabolism

More on 2-hour postprandial glucose

Oxidative stress and ROS signaling

downin mice1

1 study
  1. Alogliptin decreases oxidative stress and ROS signaling in mice.

    “decreased organ pathology, preserved mitochondrial function, and reduced oxidative stress.”

    Animalsin mice on a high-fat diet0.03% w/w in diet

    Alogliptin improves survival and health of mice on a high-fat diet

    Aging cell

More on Oxidative stress and ROS signaling

Organ pathology

downin mice1

1 study
  1. Alogliptin decreases organ pathology in mice.

    “decreased organ pathology, preserved mitochondrial function, and reduced oxidative stress.”

    Animalsin mice on a high-fat diet0.03% w/w in diet

    Alogliptin improves survival and health of mice on a high-fat diet

    Aging cell

Insulin sensitivity

upin mice1

1 study
  1. Alogliptin increases insulin sensitivity in mice.

    “Alogliptin intervention takes beneficial effects associated with longevity, including increased insulin sensitivity”

    Animalsin mice on a high-fat diet0.03% w/w in diet

    Alogliptin improves survival and health of mice on a high-fat diet

    Aging cell

Survival

upin mice1

1 study
  1. Alogliptin improves survival in mice.

    “long-term intervention with alogliptin (0.03% w/w in diet) improves survival and health of mice on a high-fat diet.”

    Animalsin mice on a high-fat diet0.03% w/w in diet

    Alogliptin improves survival and health of mice on a high-fat diet

    Aging cell

What is Alogliptin linked with?

1

Studies link Alogliptin with 1 measure, most often stage 3 or worse chronic kidney disease (1 study).

Stage 3 or worse chronic kidney disease

downin humans1HR 0.5

1 study
  1. Alogliptin is associated with stage 3 or worse chronic kidney disease in humans (HR 0.50; 95% CI 0.37-0.69 versus linagliptin).

    “Alogliptin was associated with lower risk of stage 3 or worse CKD than linagliptin (hazard ratio [HR] 0.50; 95% CI 0.37-0.69)”

    HumansType 2 diabetes with moderate cardiovascular risk and without baseline stage 3 or worse chronic kidney disease; compared with linagliptin

    Comparative Effectiveness of Individual DPP-4 Inhibitors on Kidney Outcomes in Type 2 Diabetes With Moderate Cardiovascular Risk: A Target Trial Emulation

    Diabetes, obesity, and cardiometabolic CARE

More on Stage 3 or worse chronic kidney disease

Trial sponsors

  • Sanofi

    Company1 trialPhase 41,293 people

  • Takeda

    Company1 trialPhase 172 people

Latest

Nov 2025: 1Dec 2025: 0Jan 2026: 0Feb 2026: 1Mar 2026: 1Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 1Aug 2026: 0Sep 2026: 0Oct 2026: 15 papers in 12 months

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