TheraRadar
Data updated: May 26, 2026

APIDRA (insulin glulisine recombinant)

Trial Activity: Mature
Metabolic Approved 2004-04-16

APIDRA (insulin glulisine recombinant) is a rapid-acting human insulin analog. It is indicated to improve glycemic control in both adult and pediatric patients with diabetes mellitus. The medication serves as a therapeutic intervention for managing blood sugar levels in these patient populations.

Source: FDA Label • Sanofi • Insulin Analog

How APIDRA Works

APIDRA regulates glucose metabolism by lowering blood glucose levels through multiple pathways. It stimulates peripheral glucose uptake in skeletal muscle and fat while simultaneously inhibiting hepatic glucose production. Additionally, the drug inhibits the processes of lipolysis and proteolysis and enhances protein synthesis.

Development Insights

Kinderkrankenhaus auf der Bult conducting 1 trials (33%)
4 indications explored (Focused)
type 1 diabetes (1 trials)
lipoatrophy (1 trials)
patient with type 2 diabetes treated with insulin using a baseline/bolus strategy (1 trials)
3
Indications
--
Phase 3 Trials
22
Years on Market

Details

Status
Prescription
First Approved
2004-04-16
Revenue
$91M (Q4-2020)

Pro Metrics

Patent cliff and revenue data

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Routes
INTRAVENOUS, SUBCUTANEOUS
Dosage Forms
INJECTABLE

Companies

Active Ingredient: INSULIN GLULISINE RECOMBINANT

APIDRA Approval History

2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
36 FDA actions from 2004 to 2022 · 2 indication expansions
Nov 2022 SUPPL
Label · Labeling
Nov 2019 SUPPL
Label · Labeling
Dec 2018 SUPPL
Label · Labeling

What APIDRA Treats

1 indications

APIDRA is approved for 1 conditions since its original approval in 2004. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Diabetes
Source: FDA Label

APIDRA Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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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 APIDRA's indications

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

Drugs Similar to APIDRA

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SANOFI-AVENTIS US
Shared indications:
ADMELOG SOLOSTAR
INSULIN LISPRO
1 shared
SANOFI-AVENTIS US
Shared indications:
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INSULIN RECOMBINANT HUMAN
1 shared
MANNKIND
Shared indications:
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Clinical Trial Registry

3 trials
Trial Sponsor ID Phase Status Title
NCT02914886 LAS IIT-14652 Ph 4 completed Beneficial Effect of Insulin Glulisine by Lipoatrophy and Type 1 Diabetes (LAS)
NCT02048189 TRICIDIA RUDONI PARI 2011 Ph 4 terminated Treatment With Continuous Sub-cutaneous Insulin Infusion Via a Portable Pump Versus Discontinuous Insulin Infusion Via Multiple-injections in Type 2 Diabetes
NCT03328845 INEOX FIM-EOX-2016-01 Ph 4 completed Impact on the Oxidative Stress of the Different Analogues of Insulin in People With Type 1 Diabetes. (Ineox Study)
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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.

APIDRA FDA Label Details

Indications & Usage

FDA Label (PDF)

APIDRA is indicated for the treatment of Diabetes.

Pro Intelligence Preview

Deep insights for APIDRA

Revenue Insights

  • Q4-2020: $91M
  • Historical trend analysis

Patent Timeline

  • Patent expiration dates
  • Generic/biosimilar risk

Trial Analysis

  • 3 total trials
  • Stage: Mature

Competitive Landscape

  • 20 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

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