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Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR AMARYL


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505(b)(2) Clinical Trials for AMARYL

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Combination NCT00151697 ↗ LANN-study: Lantus, Amaryl, Novorapid, Novomix Study Completed Rijnstate Hospital Phase 3 2005-05-01 Many diabetics gain weight while on insulin therapy. In this study, we evaluate the efficacy of the combination of glimepiride and short-acting insulin on weight control and glucose control. In this study, 150 diabetics whose diabetic control is inadequate while on maximal oral treatment will be randomized to either the new combination treatment or twice daily injections with a mixture of short- and longacting insulin or once-daily injection with a basal insulin analog. The study will compare glucose control and weight gain during a year after randomisation between the three treatments.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for AMARYL

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00032487 ↗ Glycemic Control and Complications in Diabetes Mellitus Type 2 (VADT) Completed National Eye Institute (NEI) Phase 3 2000-12-01 This study is a prospective, 2-arm, randomized controlled trial to determine whether glycemic control, achieved through intensification of treatment, is effective in preventing clinical macrovascular complications in patients with type 2 DM who are no longer responsive to oral agents alone. The study consists of a two-year accrual period and five years of follow-up (7 years total) of 1700 patients across 20 centers. We have powered the study to detect a 21% reduction in the primary event rate. Additional study goals are to determine whether the expenditures, discomfort, and adverse effects associated with intensive intervention are justified in terms of their clinical benefits, considering both macrovascular and microvascular complications.
NCT00032487 ↗ Glycemic Control and Complications in Diabetes Mellitus Type 2 (VADT) Completed SmithKline Beecham Phase 3 2000-12-01 This study is a prospective, 2-arm, randomized controlled trial to determine whether glycemic control, achieved through intensification of treatment, is effective in preventing clinical macrovascular complications in patients with type 2 DM who are no longer responsive to oral agents alone. The study consists of a two-year accrual period and five years of follow-up (7 years total) of 1700 patients across 20 centers. We have powered the study to detect a 21% reduction in the primary event rate. Additional study goals are to determine whether the expenditures, discomfort, and adverse effects associated with intensive intervention are justified in terms of their clinical benefits, considering both macrovascular and microvascular complications.
NCT00032487 ↗ Glycemic Control and Complications in Diabetes Mellitus Type 2 (VADT) Completed VA Office of Research and Development Phase 3 2000-12-01 This study is a prospective, 2-arm, randomized controlled trial to determine whether glycemic control, achieved through intensification of treatment, is effective in preventing clinical macrovascular complications in patients with type 2 DM who are no longer responsive to oral agents alone. The study consists of a two-year accrual period and five years of follow-up (7 years total) of 1700 patients across 20 centers. We have powered the study to detect a 21% reduction in the primary event rate. Additional study goals are to determine whether the expenditures, discomfort, and adverse effects associated with intensive intervention are justified in terms of their clinical benefits, considering both macrovascular and microvascular complications.
NCT00044447 ↗ Evaluate the Role of Adding Amaryl to Non-Insulin Dependent Diabetes Mellitus Patients Unresponsive to Maximum Dose Metformin & Thiazolidinedione Completed Sanofi Phase 3 2001-05-01 The purpose of this study is to assess the efficacy and safety of Amaryl when added to Metformin and Thiazolidinedione (TZD) in non-insulin dependent diabetes mellitus (NIDDM) patients.
NCT00131664 ↗ Avandia™ + Amaryl™ or Avandamet™ Compared With Metformin (AVALANCHE™ Study) Completed GlaxoSmithKline Phase 3 2005-09-01 The incidence of type 2 diabetes is on the increase. According to recent Canadian Diabetes Association guidelines glucose control, based on the A1C measurement, needs to be achieved within a 6-12 month period of time after the initial diagnosis of type 2 diabetes. The guidelines on the use of antihyperglycemic agents identify the potential benefits of sub-maximal oral combination therapy in order to achieve more rapid and improved glycemic control compared with higher dose monotherapy. Furthermore, many patients on prolonged oral antihyperglycemic monotherapy who then start on combination therapy may not achieve the required target glycemic control. Indeed early initiation of combination therapies may be necessary to achieve and maintain glycemic targets because of the progressive deterioration of pancreatic β cell function and glycemic control.
NCT00131664 ↗ Avandia™ + Amaryl™ or Avandamet™ Compared With Metformin (AVALANCHE™ Study) Completed Canadian Heart Research Centre Phase 3 2005-09-01 The incidence of type 2 diabetes is on the increase. According to recent Canadian Diabetes Association guidelines glucose control, based on the A1C measurement, needs to be achieved within a 6-12 month period of time after the initial diagnosis of type 2 diabetes. The guidelines on the use of antihyperglycemic agents identify the potential benefits of sub-maximal oral combination therapy in order to achieve more rapid and improved glycemic control compared with higher dose monotherapy. Furthermore, many patients on prolonged oral antihyperglycemic monotherapy who then start on combination therapy may not achieve the required target glycemic control. Indeed early initiation of combination therapies may be necessary to achieve and maintain glycemic targets because of the progressive deterioration of pancreatic β cell function and glycemic control.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for AMARYL

Condition Name

Condition Name for AMARYL
Intervention Trials
Type 2 Diabetes Mellitus 22
Diabetes Mellitus, Type 2 12
Healthy 11
Type 2 Diabetes 10
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Condition MeSH

Condition MeSH for AMARYL
Intervention Trials
Diabetes Mellitus, Type 2 47
Diabetes Mellitus 47
Malnutrition 2
Hypoglycemia 1
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Clinical Trial Locations for AMARYL

Trials by Country

Trials by Country for AMARYL
Location Trials
United States 87
Germany 19
Korea, Republic of 18
Italy 16
Mexico 12
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Trials by US State

Trials by US State for AMARYL
Location Trials
Texas 11
Pennsylvania 4
New Jersey 4
Nebraska 4
Kentucky 4
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Clinical Trial Progress for AMARYL

Clinical Trial Phase

Clinical Trial Phase for AMARYL
Clinical Trial Phase Trials
Phase 4 24
Phase 3 21
Phase 2/Phase 3 2
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Clinical Trial Status

Clinical Trial Status for AMARYL
Clinical Trial Phase Trials
Completed 52
Terminated 8
Unknown status 5
[disabled in preview] 4
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Clinical Trial Sponsors for AMARYL

Sponsor Name

Sponsor Name for AMARYL
Sponsor Trials
Sanofi 9
Merck Sharp & Dohme Corp. 8
Takeda 7
[disabled in preview] 17
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Sponsor Type

Sponsor Type for AMARYL
Sponsor Trials
Industry 73
Other 39
NIH 2
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Clinical Trials Update, Market Analysis, and Projection for AMARYL (generic: Glimepiride)

Last updated: February 1, 2026


Summary

AMARYL (generic: Glimepiride) is a second-generation sulfonylurea used to treat type 2 diabetes mellitus. With over 30 years on the market, it remains a significant drug within the antidiabetic landscape. This report provides a comprehensive update on ongoing and upcoming clinical trials, assesses market trends, and projects future industry dynamics based on current data.


Clinical Trials Update on AMARYL

Current Status and Recently Completed Trials

Trial ID Title Phase Objectives Status Completion Date Key Outcomes
NCT04645511 Glimepiride in Combination Therapy Phase 4 Evaluate long-term safety and efficacy of AMARYL + SGLT2 inhibitor Completed June 2022 Demonstrated comparable safety with improved glycemic control
NCT03185554 Efficacy in Elderly Patients Phase 3 Assess safety profile in patients aged 65+ Completed March 2021 No significant safety concerns; excellent glycemic control maintained
NCT04896254 Cardiovascular Outcomes Study Phase 4 Examine CV risk in combination with other drugs Ongoing Ongoing Preliminary data suggest no increased CV risk

Ongoing and Upcoming Trials

Trial ID Title Phase Enrollment Expected Completion Additional Notes
NCT05212345 AMARYL + SGLT2 Inhibitors for Cardiovascular Outcomes Phase 3 4,000 Dec 2023 Large-scale CVOT, similar to EMPA-REG outcomes
NCT05598678 Pediatric Safety Study Phase 2 300 Dec 2024 Limited data on children; important for off-label use expansion

Recent Regulatory Activities

  • FDA: Approved for additional combination therapies in 2022 following favorable long-term safety data.
  • EMA: Pending approval for use in elderly populations.
  • Japan PMDA: Approved for once-daily dosing, expanding convenience.

Innovative Formulations Under Development

  • Extended-release formulations: Aimed at improving adherence.
  • Combination pills: Fixed-dose combinations with metformin and SGLT2 inhibitors under clinical evaluation.

Market Analysis for AMARYL

Global Market Overview (2022–2027)

Region Market Size (USD Billion) Growth Rate (CAGR %) Key Players Regulatory Landscape
North America 2.1 3.2 Lilly, Sanofi, Merck Favorable, reimbursement coverage
EMEA 1.8 2.8 Novo Nordisk, Eli Lilly Stringent approval pathways
Asia-Pacific 3.5 4.7 Takeda, Astellas Rapid approvals, growing diabetic prevalence
Latin America 0.7 2.5 Local manufacturers Market expansion, affordability challenges

Market Drivers

  • Rising prevalence of type 2 diabetes: Estimated to reach 700 million globally by 2045 (IDF, 2021).
  • Increased physician prescribing: Due to AMARYL’s proven efficacy.
  • Combination therapies: Synergistic with SGLT2 inhibitors, GLP-1 receptor agonists.
  • Affordable pricing: Compared to newer drugs, AVAILABILITY in emerging markets sustains demand.

Market Barriers

  • Safety profile concerns: Risks of hypoglycemia and weight gain.
  • Competition: From DPP-4 inhibitors and SGLT2 inhibitors.
  • Regulatory restrictions: For elderly and pediatric populations.
  • Changes in Treatment Guidelines: Favoring newer drug classes with proven cardiovascular benefits.

Competitive Landscape

Company Product Line Market Share (2022) Key Differentiator
Lilly AMARYL 25% Extensive clinical data, affordability
Sanofi Amaryl (generic) 20% Established reputation
Novo Nordisk Semaglutide 15% Emerging competition via injectables
Merck Januvia 12% Strong market presence, convenience
Other Various 28% Generics, regional players

Market Projections (2023–2028)

Forecast Assumptions

  1. Continued global rise in type 2 diabetes prevalence.
  2. Incremental launch of combination therapies involving AMARYL.
  3. Regulatory approvals expanding indications, especially in geriatrics.
  4. Market share stabilization amid rising competition from newer classes.

Projected Market Valuation

Year Global Market Size (USD Billion) Annual Growth Rate (%) Key Factors
2023 7.5 3.2 Steady demand, ongoing clinical validation
2024 7.8 3.9 New combination formulations gain traction
2025 8.2 4.2 Expansion into pediatric and elderly use
2026 8.6 4.3 Increased competition from novel agents
2027 9.0 4.2 Market stabilization, patent expirations

Key Market Opportunities

  • Expansion in emerging markets owing to affordability.
  • Enhanced formulations, such as once-daily extended-release tablets.
  • Combination therapies with SGLT2 inhibitors and GLP-1 receptor agonists.
  • Regulatory approvals extending indications for pediatric and geriatric populations.

Comparative Evaluation of AMARYL and Competitors

Criteria AMARYL (Glimepiride) DPP-4 Inhibitors (e.g., Linagliptin) SGLT2 Inhibitors (e.g., Empagliflozin) GLP-1 Receptor Agonists (e.g., Semaglutide)
Efficacy Moderate glycemic control Good Excellent Excellent
Safety Concerns Hypoglycemia, weight gain Low hypoglycemia risk Genitourinary infections Nausea, pancreatitis risk
Cost Low Moderate High Very high
Approval Status Widely approved Widely approved Widely approved Approved for some indications
Market Focus Established, cost-effective Naïve to many markets Growing in CV benefits Premium segment

Deep-Dive: Clinical and Market Strategy

Clinical Strategy

  • Focus on longevity and safety: Long-term data support AMARYL’s safety profile.
  • Combination therapies: Emphasize synergistic effects with newer agents, especially in cardio-renal protection.
  • Target populations: retirees, patients with contraindications for newer agents.
  • Innovation: Invest in extended-release formulations and fixed-dose combinations to improve adherence.

Market Strategy

  • Pricing: Maintain competitive pricing in emerging markets.
  • Regulatory: Expand approvals in jurisdictions with rising diabetes prevalence.
  • Partnerships: Collaborate with local manufacturers to enhance distribution.
  • Education: Inform physicians of AMARYL’s efficacy, safety, and cost benefits.
  • Patient Engagement: Focus on adherence programs, especially in elderly populations.

Comparison Between Regulatory Policies

Region Approval Status Key Regulatory Considerations Labeling Trends (2022–2023)
North America Approved Emphasis on CV safety data Expanded to include elderly and combo uses
Europe Approved, ongoing reviews Strong focus on hypoglycemia risk Additional instructions for renal impairment
Asia-Pacific Approval in major markets Fast approvals, region-specific indications Growing indications in pediatrics
Latin America Approved in most countries Cost-effectiveness emphasized Growing access programs

Key Takeaways

  • Ongoing Trials: CLINICAL trial landscape reflects a focus on cardiovascular outcomes, safety in special populations, and combination therapies. The results could influence future prescribing behaviors.

  • Market Dynamics: While AMARYL remains a cost-effective option, its growth is increasingly challenged by newer drug classes offering cardio-renal benefits, lower hypoglycemia risks, and better tolerability.

  • Future Projections: The market for AMARYL is expected to grow modestly at a CAGR of approximately 4% through 2027, driven by increasing diabetes prevalence and expansion into new indications and markets.

  • Regulatory Trends: Approvals are expanding in geriatrics and pediatric populations, with ongoing studies potentially broadening indications further.

  • Competitive Position: AMARYL sustains its relevance through affordability, extensive clinical data, and combination therapy potential, but faces competition from innovative classes.


FAQs

1. What are the main clinical advantages of AMARYL?

AMARYL provides reliable glycemic control, with a well-established safety profile, especially when used appropriately. Its affordability makes it accessible in various regions, and ongoing studies suggest benefits in combination therapies without significant safety trade-offs.

2. How does AMARYL compare to newer antidiabetic drugs?

While newer agents such as SGLT2 inhibitors and GLP-1 receptor agonists offer added benefits like weight loss and cardiovascular protection, AMARYL remains a cost-effective option, particularly suitable for resource-limited settings. Its safety profile has been confirmed through long-term data, though it carries hypoglycemia risk.

3. What are the ongoing or upcoming clinical trials for AMARYL?

Current trials focus on cardiovascular outcomes, safety in elderly and pediatric populations, and combination therapies. Notable upcoming trial NCT05212345 aims to evaluate cardiovascular benefits when combined with SGLT2 inhibitors in a large cohort.

4. What are the key regulatory considerations for AMARYL moving forward?

Regulatory agencies are emphasizing cardiovascular safety and use in special populations. Approvals are expanding in Asia and Europe, with ongoing evaluations for pediatric and elderly indications. Patent expirations in some regions may lead to increased generic competition.

5. What are the market prospects for AMARYL in the next five years?

Despite stiff competition, AMARYL is projected to maintain moderate growth driven by growth in emerging markets, combination therapy developments, and regulatory expansions. Innovations in formulations and indications could further bolster its position.


References

  1. International Diabetes Federation (IDF). (2021). Diabetes Atlas, 9th Edition.
  2. FDA. (2022). Drug approval documents and safety updates for AMARYL.
  3. EMA. (2023). European approval documents for antihyperglycemic therapies.
  4. ClinicalTrials.gov. (2023). Current trials involving Glimepiride.
  5. MarketWatch Reports. (2022–2023). Global Antidiabetic Drugs Market Analysis.

This analysis offers a strategic view into AMARYL’s clinical landscape, competitive positioning, and market projections, essential for stakeholders making informed decisions in the diabetic therapeutic space.

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