European Commission Approves Oral Medicine for Adjunct Use in Type 1 Diabetes

The European Commission has approved AstraZeneca’s oral diabetes drug[1] dapagliflozin (brand name Farxiga; Forxiga outside the United States) for use as a adjunct therapy in certain adults with Type 1 diabetes[2]. The medicine is a member of a class of drugs known as SGLT2 inhibitors[3].

Those with Type 1 and a body-mass index[4] of 27 or more who have not been able to manage their blood sugar levels on insulin alone can now use the medicine as an oral supplement to insulin. This is the first oral medicine approved in Europe for use as an adjunct to insulin in those with Type 1. The approval was based on data from two trials showing that 5 milligrams of the medicine given daily in addition to adjustable insulin in patients with Type 1 diabetes who weren’t reaching target blood glucose levels resulted in clinically significant A1C[5] reductions at 24 and 52 weeks.


According to Elisabeth Björk, Senior Vice President, Head of late Cardiovascular, Renal and Metabolism, R&D BioPharmaceuticals, said: “Forxiga is the first oral medicine approved in Europe as an adjunct to insulin for people living with Type 1 diabetes whose glucose levels are not adequately controlled with insulin alone. We look forward to bringing Forxiga to a patient population that has not had any approved oral medicines available before.”

The medicine is currently under review in the United States for use as an adjunct treatment to insulin in adults with Type 1 diabetes, with a decision expected in the second half of 2019.

Want to learn more about SGLT2 inhbitors? Read “Diabetes Medicine: SGLT2 Inhbitors.”[6]

  1. approved AstraZeneca’s oral diabetes drug:
  2. Type 1 diabetes:
  3. SGLT2 inhibitors:
  4. body-mass index:
  5. A1C:
  6. “Diabetes Medicine: SGLT2 Inhbitors.”:

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Diane Fennell: Diane Fennell has been an editor at Diabetes Self-Management magazine since 2003. She is currently the Editorial Director. (Diane Fennell is not a medical professional.)

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