Sanofi's (SNY) Soliqua 100/33 Approved by FDA as T2D Treatment
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Sanofi (NYSE: SNY) announced that the U.S. Food and Drug Administration (FDA) approved once-daily Soliqua 100/33 (insulin glargine & lixisenatide injection) 100 Units/mL & 33 mcg/mL for the treatment of adults with type 2 diabetes inadequately controlled on basal insulin (less than 60 Units daily) or lixisenatide*.
Soliqua 100/33 is the combination of Lantus® (insulin glargine 100 Units/mL) and lixisenatide, a GLP-1 receptor agonist, in a once-daily injection, studied in a Phase 3 program of more than 1,900 patients. In an insulin intensification study, Soliqua 100/33 showed better HbA1c (average blood sugar over time) lowering versus Lantus with a majority of the 736 patients (55% vs. 30%) achieving the American Diabetes Association target of less than 7% at 30 weeks. Patients treated with Soliqua 100/33 experienced similar rates of documented (less than or equal to 70 mg/dL) hypoglycemia compared to Lantus-treated patients. The most frequently reported adverse events included hypoglycemia, as well as nausea (10%), nasopharyngitis (7%), diarrhea (7%) and upper respiratory tract infection (5%).1
Soliqua 100/33 will be delivered in a single pre-filled pen for once-daily dosing covering 15 to 60 Units of insulin glargine 100 Units/mL and 5 to 20 mcg of lixisenatide using SoloStar technology, the most frequently used disposable insulin injection pen platform in the world.2 Soliqua 100/33 will be available in U.S. retail pharmacies in January 2017.
"Sanofi continues to be a pioneer in developing diabetes therapies and in bringing forward new treatment options for the approximately 50 percent of patients whose blood sugar levels remain uncontrolled on daily basal insulin. Soliqua 100/33 is an alternate new approach that can help adults living with type 2 diabetes uncontrolled on basal insulin or lixisenatide to reach their treatment goal," said Elias Zerhouni, M.D., President, Global R&D, Sanofi.
The combination was submitted for regulatory review in a total of 10 markets, including the EU, where the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) adopted a positive opinion for the marketing authorization of the product on November 11, 2016. It has not yet been approved for use by any health authority outside the U.S.
What is SOLIQUA™ 100/33 (insulin glargine and lixisenatide injection) 100 Units/mL and 33 mcg/mL?
SOLIQUA 100/33 is an injectable prescription medicine that contains 2 diabetes medicines, insulin glargine and lixisenatide, that may improve blood sugar (glucose) control in adults with type 2 diabetes, when used with diet and exercise in people who are not controlled with long-acting (basal) insulin (less than 60 units daily) or lixisenatide.
- It has not been studied in people with a history of pancreatitis.
- It is not recommended for people who also take lixisenatide or other medicines called GLP-1 receptor agonists.
- It is not for use in people with type 1 diabetes, diabetic ketoacidosis, or who have a stomach problem that causes slow emptying (gastroparesis).
- It has not been studied together with short-acting insulin.
- It is not known if SOLIQUA 100/33 is safe and effective in children under 18 years of age.
Important Safety Information for SOLIQUA™ 100/33 (insulin glargine and lixisenatide injection) 100 Units/mL and 33 mcg/mL
What is the most important information I should know about SOLIQUA 100/33?Do not share your SOLIQUA 100/33 pen with other people, even if the needle has been changed.SOLIQUA 100/33 can cause serious side effects, including inflammation of the pancreas, which may be life-threatening.
Before using SOLIQUA 100/33, tell your doctor if you have had:
- stones in your gallbladder (cholelithiasis)
- a history of alcoholism
These medical problems may make you more likely to get pancreatitis. Stop taking SOLIQUA 100/33 and call your healthcare provider right away if you have pain in your stomach area (abdomen) that is severe, and will not go away. The pain may be felt in the back area. The pain may happen with or without vomiting.
Who should not use SOLIQUA 100/33? Do not use SOLIQUA 100/33 if you are having an episode of low blood sugar (hypoglycemia) or if you are allergic to insulin glargine, lixisenatide, or any of the other ingredients in SOLIQUA 100/33.
Tell your healthcare provider about all your medical conditions, including if you:
- have or have had symptoms of acute pancreatitis, stones in your gallbladder, or a history of alcoholism.
- have or have had liver or kidney problems.
- have heart failure or other heart problems. If you have heart failure, it may get worse while you take TZD (thiazolidinediones).
- have severe problems with your stomach, such as slowed emptying of your stomach or problems digesting food.
- are pregnant or plan to become pregnant. It is not known if SOLIQUA 100/33 will harm your unborn baby.
- are breastfeeding or plan to breastfeed. It is not known if SOLIQUA 100/33 passes into your breast milk.
Tell your healthcare provider about all the medicines you take, including all prescription and over-the-counter medicines, vitamins, and herbal supplements. SOLIQUA 100/33 may affect the way some medicines work
How should I use SOLIQUA 100/33?
- Do not take more than 60 units of SOLIQUA 100/33 each day. If you take too much, it can cause severe nausea and vomiting. Do not take SOLIQUA 100/33 with other GLP-1 receptor agonists. If you take too much SOLIQUA 100/33, call your healthcare provider or go to the nearest hospital emergency room right away.
- Only use SOLIQUA 100/33 that is clear, colorless to almost colorless. If you see small particles, return it to your pharmacy for replacement.
- Do not mix SOLIQUA 100/33 in any other type of insulin or liquid medicine prior to injection.
- Do not remove SOLIQUA 100/33 from the pen with a syringe.
- Do not re-use or share needles with other people. You may give other people a serious infection, or get a serious infection from them.
- Check your blood sugar levels. Ask your healthcare provider what your blood sugar should be and when you should check.
SOLIQUA 100/33 may cause serious side effects, including:
- Serious allergic reactions. Severe allergic reactions can happen with SOLIQUA 100/33. Stop taking it and get help right away if you have any symptoms of a severe allergic reaction. Symptoms may include swelling of your face, problems breathing or swallowing, severe rash or itching, fainting or feeling dizzy, and very rapid heartbeat.
- Low blood sugar (hypoglycemia). Your risk for getting low blood sugar is higher if you take another medicine that can cause low blood sugar. Signs and symptoms of low blood sugar may include:
- fast heartbeat
- feeling jittery
- Kidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may worsen kidney problems.
- Low potassium in your blood (hypokalemia).
- Heart failure. Taking certain diabetes pills called TZDs (thiazolidinediones) with SOLIQUA 100/33 may cause heart failure in some people. This can happen even if you have never had heart failure or heart problems before. If you already have heart failure, it may get worse while you take TZDs with SOLIQUA 100/33. Tell your healthcare provider if you have any new or worse symptoms of heart failure, including shortness of breath, swelling of your ankles or feet, sudden weight gain.
The most common side effects of SOLIQUA 100/33 may include:
- low blood sugar (hypoglycemia)
- stuffy or runny nose and sore throat
- allergic reactions
- upper respiratory tract infection
Nausea and diarrhea usually happen more often when you start using SOLIQUA 100/33.
Please click here for full Prescribing Information for SOLIQUA 100/33 (insulin glargine & lixisenatide injection) 100 Units/mL & 33 mcg/mL: http://products.sanofi.us/Soliqua100-33/Soliqua100-33.pdf.
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