Advice

following a full submission:

saxagliptin (Onglyza®) is accepted for restricted use within NHS Scotland.

Indication under review: in adult patients aged 18 years and older with type 2 diabetes mellitus to improve glycaemic control as triple oral therapy in combination with metformin plus a sulphonylurea when this regimen alone, with diet and exercise, does not provide adequate glycaemic control.

SMC restriction: as an alternative dipeptidyl peptidase-4 inhibitor option.

Treatment with saxagliptin reduces glycosylated haemoglobin, HbA1c, levels significantly more than placebo when used in combination with metformin and a sulphonylurea.  Indirect comparisons demonstrated similar efficacy to other dipeptidyl peptidase-4 inhibitors.
 

Download detailed advice150KB (PDF)

Download

Medicine details

Medicine name:
saxagliptin (Onglyza)
SMC ID:
918/13
Indication:
In adult patients aged 18 years and older with type 2 diabetes mellitus to improve glycaemic control as triple oral therapy in combination with metformin plus a sulphonylurea when this regimen alone, with diet and exercise, does not provide adequate glycaemic control.
Pharmaceutical company
Bristol-Myers Squibb Pharmaceuticals Ltd / AstraZeneca
BNF chapter
Endocrine system
Submission type
Full
Status
Restricted
Date advice published
09 December 2013