TheraRadar
Data updated: May 26, 2026

NATEGLINIDE

Potassium Channel Antagonists
Metabolic Approved 2009-09-09

Nateglinide is a glinide medication used for adults with type 2 diabetes to help manage their blood sugar levels alongside diet and exercise. It helps patients with glycemic control by lowering blood glucose, though it is not used to manage type 1 diabetes or diabetic ketoacidosis. This medication is prescribed to improve blood glucose management in the type 2 diabetes population.

Source: FDA Label • ALVOGEN • Glinide

How NATEGLINIDE Works

This drug works by stimulating the pancreas to release insulin, a process that requires functioning beta-cells. It interacts with ATP-sensitive potassium channels on these cells, causing a depolarization that opens calcium channels and triggers insulin secretion. This effect is glucose-dependent, meaning the amount of insulin released decreases as blood sugar levels drop.

6
Indications
--
Phase 3 Trials
16
Years on Market

Details

Status
Discontinued
First Approved
2009-09-09
Routes
ORAL
Dosage Forms
TABLET

NATEGLINIDE Approval History

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
52 FDA actions from 2009 to 2024
Nov 2024 SUPPL
Label · Labeling
Sep 2024 SUPPL
Label · Labeling
Aug 2024 SUPPL
Label · Labeling

What NATEGLINIDE Treats

3 indications

NATEGLINIDE is approved for 3 conditions since its original approval in 2009. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Type 2 Diabetes
  • Diabetic Ketoacidosis
  • Type 1 Diabetes
Source: FDA Label

NATEGLINIDE Competitive Set

Pro

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

Unlock 8 more competitors across all three rings.
Upgrade to Pro

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 NATEGLINIDE's indications

See all emerging drugs →

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

Drugs Similar to NATEGLINIDE

3 of 20

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

BASAGLAR
INSULIN GLARGINE
3 shared
Eli Lilly
Shared indications:
Type 1 DiabetesType 2 DiabetesDiabetic Ketoacidosis
CYCLOSET
BROMOCRIPTINE MESYLATE
3 shared
VEROSCIENCE
Shared indications:
Type 2 DiabetesType 1 DiabetesDiabetic Ketoacidosis
PIOGLITAZONE HYDROCHLORIDE AND GLIMEPIRIDE
GLIMEPIRIDE
3 shared
CHARTWELL RX
Shared indications:
Type 2 DiabetesType 1 DiabetesDiabetic Ketoacidosis
📋

Clinical Trial Registry

4 trials
Trial Sponsor ID Phase Status Title
NCT01316107 1941-CL-0111 Ph 3 completed A Study to Assess Safety and Efficacy of ASP1941 in Combination With Nateglinide in Type 2 Diabetic Patients
NCT00858013 results posted AJIRB-CRO-08-197 Ph 4 completed Study of the Durability of Glycemic Control With Nateglinide
NCT02088918 ID_Fasticmet_1201 Ph 1 completed A Open-label, Single-dose, 2-Sequence, 2-Period, Crossover Study to Assess Safety and Pharmacokinetics of a Nateglinide/Metformin HCl Combined Tablet Compared With a Nateglinide 120 mg Tablet and Metformin HCl 500 mg Tablet Under Fasting Conditions in Healthy Male Subjects
NCT01030952 results posted CDJN608ACN07 Ph 4 completed Effects of Nateglinide on Postprandial Glucose Excursion by Restoring Early Phase Insulin Secretion
🔬

Active Pipeline

Pro

Ongoing clinical trials by development phase

Loading...

Key Completed Trials

Pro

Completed studies with published results, ranked by significance

Loading...
📊

Trial Timeline

Full development history with FDA approval milestones

|
Loading...
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.

NATEGLINIDE FDA Label Details

Indications & Usage

FDA Label (PDF)

NATEGLINIDE is indicated for the treatment of Type 2 Diabetes; Diabetic Ketoacidosis; Type 1 Diabetes.

Looking for the branded version?

STARLIX

Full clinical data, patents, trials, and competitive landscape for nateglinide.

See STARLIX

Data Sources

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