Japan-based drugmaker Takeda has received an additional domestic indication, of concomitant type 2 diabetes therapy with biguanides, for its Actos (pioglitazone hydrochloride).
In a randomized, double-blind, comparative study, in which biguanides monotherapy was compared with Actos plus biguanides concomitant therapy, the latter showed a statistically-significant difference in improving glycemic control without increasing the risk of hypoglycemia.
Actos directly targets insulin resistance by improving sensitivity to insulin mainly in muscles, fat cells and the liver. Biguanides act primarily by reducing the amount of glucose produced by the liver. The drug is currently authorized for concomitant therapy with sulfonylurea or alpha-GI.
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