TheraRadar
Data updated: May 26, 2026

LANTUS (insulin glargine recombinant)

Trial Activity: Declining
Metabolic Approved 2000-04-20

Lantus is a long-acting human insulin analog indicated to improve glycemic control in both adult and pediatric patients with diabetes mellitus. As a basal insulin, it provides sustained regulation of blood sugar levels. However, it is not recommended for the treatment of diabetic ketoacidosis.

Source: FDA Label • Sanofi • Insulin Analog

How LANTUS Works

Lantus regulates glucose metabolism by lowering blood glucose levels through multiple pathways. It stimulates peripheral glucose uptake, particularly in skeletal muscle and fat, while simultaneously inhibiting the production of glucose by the liver. Furthermore, the medication inhibits the processes of lipolysis and proteolysis and enhances protein synthesis within the body.

Development Insights

Eli Lilly and Company conducting 10 trials (48%)
11 indications explored (Broad Platform)
diabetes mellitus, type 2 (4 trials)
diabetes mellitus, type 1 (3 trials)
type 2 diabetes mellitus (3 trials)
5
Indications
--
Phase 3 Trials
26
Years on Market

Details

Status
Prescription
First Approved
2000-04-20
Patent Cliff
2016
Revenue
$463M (Q4-2025)

Pro Metrics

Patent cliff and revenue data

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Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: INSULIN GLARGINE RECOMBINANT

LANTUS Approval History

2001
2002
2003
2004
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
29 FDA actions from 2000 to 2023 · 4 indication expansions
Jun 2023 SUPPL
Label · Labeling
Jun 2022 SUPPL
Label · Labeling
Nov 2019 SUPPL
Label · Labeling

What LANTUS Treats

1 indications

LANTUS is approved for 1 conditions since its original approval in 2000. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Diabetes
Source: FDA Label

LANTUS 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 LANTUS's indications

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

Drugs Similar to LANTUS

3 of 20

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

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

10 trials
Trial Sponsor ID Phase Status Title
NCT03555305 results posted 13877 I4L-MC-ABEF Ph 1 completed A Study of Insulin Glargine (LY2963016) in Healthy Chinese Participants
NCT02514850 BC3-CT018 Ph 1 completed A Trial to Compare the Pharmacodynamic and Pharmacokinetic Properties of Biochaperone® Combo With Humalog® Mix25 and With Simultaneous Injections of Humalog® and Lantus® in Subjects With Type 2 Diabetes
NCT00767000 results posted 0941-007 2008_557 Ph 2 terminated Dose Range Finding Study of MK-0941 in Patients With Type 2 Diabetes Mellitus on Insulin (MK-0941-007 AM3 EXT1 AM1)(TERMINATED)
NCT01421459 ELEMENT 2 results posted 13713 I4L-MC-ABEC, 2011-000828-15 Ph 3 completed A Study in Adults With Type 2 Diabetes
NCT01421147 ELEMENT 1 results posted 13712 I4L-MC-ABEB, 2011-000829-73 Ph 3 completed A Study in Adults With Type 1 Diabetes
NCT01600950 results posted 13831 I4L-MC-ABEE Ph 1 completed A Study to Compare LY2963016 to Lantus After a Single Dose to Participants With Type 1 Diabetes Mellitus
NCT01374178 results posted 14094 I4L-MC-ABEI Ph 1 completed A Comparison of LY2963016 to a Basal Insulin After a Single Dose in Healthy Subjects
NCT01476345 results posted 13711 I4L-MC-ABEA Ph 1 completed A Study to Compare the Pharmacokinetics and Pharmacodynamics of LY2963016 to Lantus in Healthy Participants
NCT01634165 results posted 14676 I4L-MC-ABEM Ph 1 completed A Study of LY2963016 in Healthy Participants
NCT00943709 060601 AVENTIS-CINJ-060601, 0220070268 Ph 3 withdrawn Intensive Glycemic Control on Infectious Morbidity In Patients With Acute Leukemia
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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.

LANTUS FDA Label Details

Indications & Usage

FDA Label (PDF)

LANTUS is indicated for the treatment of Diabetes.

Pro Intelligence Preview

Deep insights for LANTUS

Revenue Insights

  • Q4-2025: $463M
  • Historical trend analysis

Patent Timeline

  • Cliff: 2016
  • Generic/biosimilar risk

Trial Analysis

  • 21 total trials
  • Stage: Declining

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