PMID- 26607297 OWN - NLM STAT- MEDLINE DCOM- 20161007 LR - 20161230 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 15 IP - 2 DP - 2016 TI - Alogliptin for the treatment of type 2 diabetes: a drug safety evaluation. PG - 249-64 LID - 10.1517/14740338.2016.1125467 [doi] AB - INTRODUCTION: Dipeptidyl peptidase-4 (DPP-4) inhibitors such as alogliptin are becoming more widely established as treatment options for patients with type 2 diabetes (T2DM) because of their ability to improve glycemic control without increasing the risk of hypoglycemia or weight gain. New therapies with improved safety profiles are needed, especially because of the chronic and progressive nature of T2DM. AREAS COVERED: In this article, the overall safety and tolerability of alogliptin are evaluated based upon a review of the literature. In particular, adverse events (AEs) that have been of interest for the DPP-4 class of drugs, such as the risk of major cardiovascular (CV) events and acute pancreatitis, will be investigated in detail. EXPERT OPINION: Alogliptin is generally well-tolerated in a broad range of patient populations including different ethnic groups and the elderly. In the pivotal EXAMINE clinical trial, alogliptin was found not to be associated with an increased risk of major CV events or acute pancreatitis/pancreatic cancer. FAU - Yabe, Daisuke AU - Yabe D AD - a Yutaka Seino Distinguished Center for Diabetes Research , Kansai Electric Power Medical Research Institute , Kobe , Japan. AD - b Center for Diabetes, Endocrinology and Metabolism , Kansai Electric Power Hospital , Osaka , Japan. AD - c Center for Clinical Nutrition and Metabolism , Kansai Electric Power Hospital , Osaka , Japan. FAU - Seino, Yutaka AU - Seino Y AD - a Yutaka Seino Distinguished Center for Diabetes Research , Kansai Electric Power Medical Research Institute , Kobe , Japan. AD - b Center for Diabetes, Endocrinology and Metabolism , Kansai Electric Power Hospital , Osaka , Japan. LA - eng PT - Journal Article PT - Review PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 0 (Piperidines) RN - 56HH86ZVCT (Uracil) RN - JHC049LO86 (alogliptin) SB - IM MH - Aged MH - Animals MH - Diabetes Mellitus, Type 2/drug therapy/physiopathology MH - Dipeptidyl-Peptidase IV Inhibitors/*adverse effects/therapeutic use MH - Humans MH - Hypoglycemia/chemically induced MH - Hypoglycemic Agents/*adverse effects/therapeutic use MH - Piperidines/*adverse effects/therapeutic use MH - Uracil/adverse effects/*analogs & derivatives/therapeutic use OTO - NOTNLM OT - Alogliptin OT - dipeptidyl peptidase-4 inhibitors OT - safety OT - tolerability OT - type 2 diabetes EDAT- 2015/11/27 06:00 MHDA- 2016/10/08 06:00 CRDT- 2015/11/27 06:00 PHST- 2015/11/27 06:00 [entrez] PHST- 2015/11/27 06:00 [pubmed] PHST- 2016/10/08 06:00 [medline] AID - 10.1517/14740338.2016.1125467 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2016;15(2):249-64. doi: 10.1517/14740338.2016.1125467.