Vildagliptin

Clinical trials investigating Vildagliptin are studying how it performs in specific patient groups, including people after kidney transplant and people with type 2 diabetes. These studies look at outcomes such as blood sugar control, prevention of new diabetes, and treatment success in tailored care plans.

Table of Contents

Clinical trial overview

The trial data show that Vildagliptin is being studied in interventional clinical trials, which means researchers give a treatment and measure the results.[1] The listed studies are in Phase 2 and Phase 3, which are stages used to test how well a treatment works in people and to collect more safety and outcome data.[1][2]

Kidney transplant study

The PRODIG study, NCT02849899, is a Phase 3 trial in people after renal transplant, which means kidney transplant.[1] It is authorised and plans to enroll 186 participants.[1]

This study is testing whether a short-term course of Vildagliptin in the early post-transplant period can prevent new onset diabetes after transplantation, meaning diabetes that starts after the transplant.[1] The main result is the proportion of patients who have diabetes 1 year after transplantation, based on diabetes treatment use, fasting glucose above 7 mmol/L, or an abnormal oral glucose tolerance test (OGTT).[1]

Type 2 diabetes studies

One authorised Phase 3 study, 2025-520686-46-00, is in adults with Type 2 Diabetes Mellitus and plans to enroll 504 participants.[2] It is studying whether treatment guided by genetics, called pharmacogenetic-guided treatment, works better than optimized standard treatment for people whose diabetes is not well controlled.[2]

In this study, Vildagliptin appears among the treatment options used in the trial plan.[2] The main endpoint is the proportion of patients who reach HbA1c ≤7% at Week 24 in the experimental arm compared with the control arm.[2]

Another large Phase 3 study, NCT05433584, is also in adults with Type 2 Diabetes and has an enrollment of 781 participants.[4] Vildagliptin is listed among many treatment options in this study, which compares tirzepatide with intensified conventional care.[4] The main endpoint is change from baseline in HbA1c, a blood test that shows average blood sugar over time.[4]

Other trial use

A completed Phase 2 study, 2024-511295-33-00, looked at people with advanced breast cancer treated with alpelisib plus endocrine therapy.[3] Vildagliptin was listed among the trial treatments, along with other medicines used in the study.[3]

This trial focused on hyperglycemia, which means high blood sugar, during the first 8 weeks of alpelisib treatment.[3] One main endpoint was the rate of grade 3-4 hyperglycemia in cohorts A and B, and another was permanent discontinuation of alpelisib due to related adverse events in cohort C.[3]

Main endpoints and what they mean

Clinical trials use endpoints, which are the main results they want to measure.[1][2][3][4]

  • Diabetes prevention after transplant: the study checks how many patients have diabetes 1 year after kidney transplantation.[1]

  • HbA1c target: the study checks how many people reach HbA1c ≤7% at Week 24.[2]

  • Change in HbA1c: the study measures how blood sugar control changes from the start of the study to later time points.[4]

  • Hyperglycemia during cancer treatment: the study measures how often severe high blood sugar happens in the first 8 weeks.[3]

Who the studies are for

The trial data show that Vildagliptin is being studied in different patient groups, not just one disease area.[1][2][3][4]

  • People after kidney transplant, where the study asks if early treatment can lower later diabetes risk.[1]

  • Adults with type 2 diabetes, where the study looks at better blood sugar control with tailored treatment.[2]

  • People in a cancer treatment setting, where the study examined blood sugar problems during alpelisib therapy.[3]

Trial ID Phase Condition studied Status Enrollment
NCT02849899 Phase 3 Renal transplant; prevention of new onset diabetes after transplantation Authorised 186
2025-520686-46-00 Phase 3 Type 2 Diabetes Mellitus Authorised 504
2024-511295-33-00 Phase 2 Advanced breast cancer with alpelisib-related hyperglycemia prevention Completed 88
NCT05433584 Phase 3 Type 2 Diabetes Authorised 781

Ongoing Clinical Trials on Vildagliptin

  • A Study of Vildagliptin to Prevent Diabetes in Kidney Transplant Recipients During Early Post-Transplant Period

    Recruiting

    3 1 1 1
    Investigated drugs:
    France
  • Evaluation of Long-Term Efficacy and Safety of Tirzepatide Versus Intensified Conventional Care in Early Treatment of Type 2 Diabetes in Adults

    Not yet recruiting

    3 1 1 1
    Investigated diseases:
    Czechia Germany Italy Romania Slovakia
  • Study on Personalized Treatment Using Dapagliflozin, Dulaglutide, and Metformin for Patients with Uncontrolled Type 2 Diabetes

    Not recruiting

    3 1 1 1
    Investigated diseases:
    Spain
  • Study on Metformin to Prevent High Blood Sugar in Advanced Breast Cancer Patients with Alpelisib and Endocrine Therapy

    Not recruiting

    2 1 1 1
    Spain

Glossary

  • Phase 2: A mid-stage clinical trial that looks at whether a treatment works and continues to gather safety information.
  • Phase 3: A later-stage trial with more participants that compares how well a treatment works in real patient groups.
  • Renal transplant: A kidney transplant. This means a person receives a new kidney from a donor.
  • Type 2 diabetes mellitus: A long-term condition where the body does not control blood sugar well.
  • HbA1c: A blood test that shows average blood sugar over the past 2 to 3 months.
  • Fasting glucose: Blood sugar measured after not eating for a period of time.
  • Oral glucose tolerance test (OGTT): A test that checks how the body handles sugar after drinking a glucose solution.
  • Interventional study: A study where researchers give a treatment and then measure the results.
  • Enrollment: The number of people planned or included in a study.
  • Primary outcome: The main result the study is designed to measure.

References