TheraRadar
Data updated: May 26, 2026

ADLYXIN (lixisenatide)

Glucagon-like Peptide-1 (GLP-1) Agonists Genetically Validated Trial Activity: Mature
Priority Review
Metabolic Approved 2016-07-27

SOLIQUA 100/33 is a combination of insulin glargine, a basal insulin analog, and lixisenatide, a glucagon-like peptide-1 (GLP-1) receptor agonist. It is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. This medication is not recommended for the treatment of diabetic ketoacidosis or for use in combination with other GLP-1 receptor agonists. Additionally, the product has not been studied in combination with prandial insulin.

Source: FDA Label • SANOFI-AVENTIS US • Insulin Analog

How ADLYXIN Works

The medication regulates glucose metabolism through the complementary actions of its two components. Insulin glargine lowers blood glucose by stimulating peripheral glucose uptake in skeletal muscle and fat while inhibiting hepatic glucose production. Lixisenatide acts as a GLP-1 receptor agonist that increases glucose-dependent insulin release, decreases glucagon secretion, and slows gastric emptying. Together, these mechanisms facilitate glycemic control by managing how the body produces and utilizes glucose.

Development Insights

University Hospital, Toulouse conducting 1 trials (14%)
10 indications explored (Broad Platform)
diabetes mellitus (2 trials)
parkinson disease (1 trials)
type 2 diabetes mellitus (1 trials)
2
Indications
--
Phase 3 Trials
9
Years on Market

Details

Status
Prescription
First Approved
2016-07-27
Routes
SUBCUTANEOUS
Dosage Forms
SOLUTION

Companies

Active Ingredient: LIXISENATIDE

ADLYXIN Approval History

2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
14 FDA actions from 2016 to 2026 · 1 indication expansions
Mar 2026 SUPPL
Label · Labeling
May 2025 SUPPL
Label · Labeling
Nov 2024 SUPPL
Label · Labeling

What ADLYXIN Treats

2 indications

ADLYXIN is approved for 2 conditions since its original approval in 2016. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Type 2 Diabetes
  • Diabetic Ketoacidosis
Source: FDA Label

ADLYXIN Target & Pathway

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Target

GLP-1 (Glucagon-Like Peptide-1) Incretin Receptor

A hormone released after eating that stimulates insulin secretion, suppresses glucagon, slows gastric emptying, and promotes satiety. GLP-1 receptor agonists mimic these effects, improving blood sugar control and promoting weight loss in diabetes and obesity.

ADLYXIN Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in ADLYXIN's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications ADLYXIN treats. First-in-class if their pivotal trials read out positive.

Drugs Similar to ADLYXIN

3 of 20

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

BASAGLAR
INSULIN GLARGINE
2 shared
Eli Lilly
Shared indications:
Type 2 DiabetesDiabetic Ketoacidosis
CYCLOSET
BROMOCRIPTINE MESYLATE
2 shared
VEROSCIENCE
Shared indications:
Type 2 DiabetesDiabetic Ketoacidosis
NATEGLINIDE
NATEGLINIDE
2 shared
ALVOGEN
Shared indications:
Type 2 DiabetesDiabetic Ketoacidosis
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Clinical Trial Registry

7 trials
Trial Sponsor ID Phase Status Title
NCT03439943 LixiPark RC31/16/8912 Ph 2 completed Study to Evaluate the Effect of Lixisenatide in Patient With Parkinson's Disease
NCT02231658 GI-Motil Ph 1 terminated Effects of Victoza® Versus Lyxumia® on Gastroesophageal Reflux, Gastric Emptying and Gastric Acid Secretion
NCT02168491 LixiBIT results posted LixiBIT_V3 2013-005334-37 Ph 3 completed Feasibility of Once/Daily Administered GLP/1 Receptoragonist (Lixisenatide) in Combination With Basal Insulin
NCT02767596 LIX001 Ph 4 terminated Evaluation of Lixisenatide Efficacy in Diabetes Mellitus Type 2 With Failure of Other GLP-1 Analog
NCT01973231 LIRA-LIXI™ results posted NN2211-3867 2012-004984-27, U1111-1136-3644 Ph 4 completed Efficacy and Safety of Liraglutide Versus Lixisenatide as add-on to Metformin in Subjects With Type 2 Diabetes
NCT02276196 ELIXIRS DC2014ELIX001 Ph 4 completed Effect of LIXIsenatide on the Renal System
NCT02020629 16 2012-004959-36 Ph 4 completed Study on Lixisenatide and Counterregulation to Hypoglycemia
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ADLYXIN FDA Label Details

Indications & Usage

FDA Label (PDF)

ADLYXIN is indicated for the treatment of Type 2 Diabetes; Diabetic Ketoacidosis.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment