Nateglinide

Type 2 Diabetes

Treatment

2 FDA approvals

20 Active Studies for Nateglinide

What is Nateglinide

Nateglinide

The Generic name of this drug

Treatment Summary

Nateglinide is a prescription medication used to treat non-insulin-dependent diabetes. It is a short-acting insulin secretagogue that helps to lower fasting and postprandial (after meal) blood sugar levels. Nateglinide should be taken with meals and missed doses should be skipped whenever a meal is missed. The medication can take up to a month to start showing effects, such as reducing fasting blood glucose, and may cause a slight increase in weight in people who have not taken other oral antidiabetic medications. Nateglinide may cause hypoglycemia, but this risk is thought to be lower than

Starlix

is the brand name

image of different drug pills on a surface

Nateglinide Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Starlix

Nateglinide

2000

40

Approved as Treatment by the FDA

Nateglinide, also called Starlix, is approved by the FDA for 2 uses including Type 2 Diabetes Mellitus and Type 2 Diabetes .

Type 2 Diabetes Mellitus

Helps manage Type 2 Diabetes Mellitus

Type 2 Diabetes

Helps manage Type 2 Diabetes Mellitus

Effectiveness

How Nateglinide Affects Patients

Insulin is controlled by the electrical activity of cells in the pancreas. When glucose from the blood enters these cells, it is turned into ATP. When there is a lot of ATP, it makes the cell's electrical activity decrease. When there is little glucose, the cell's electrical activity increases. Nateglinide helps to increase insulin release by stopping the electrical activity from decreasing when there is a lot of glucose. This causes more insulin to be released into the body.

How Nateglinide works in the body

Nateglinide is a drug that works by helping your body's beta cells release insulin when you eat. It doesn't work if there is no glucose present, so it won't affect your insulin levels between meals or overnight. It is most effective in reducing blood glucose levels after a meal, but it can take up to a month to see decreases in fasting blood glucose. Nateglinide is only effective at intermediate glucose levels (3-10 mmol/L) and won't work if your glucose levels are too high (over 15 mmol/L). It is also selective for pancreatic beta cells and does not affect other parts of

When to interrupt dosage

The measure of Nateglinide is contingent upon the diagnosed malady. The amount of dosage can be found in the table shown below, depending on the technique of delivery (e.g. Tablet, film coated - Oral or Tablet).

Condition

Dosage

Administration

Type 2 Diabetes

, 60.0 mg, 120.0 mg, 180.0 mg

, Tablet, Tablet - Oral, Oral, Tablet, coated, Tablet, coated - Oral, Tablet, film coated, Tablet, film coated - Oral

Warnings

Nateglinide has two limitations. Using it is not recommended for the conditions enumerated in the following table.

Nateglinide Contraindications

Condition

Risk Level

Notes

Diabetic Ketoacidosis

Do Not Combine

Type 1 Diabetes

Do Not Combine

There are 20 known major drug interactions with Nateglinide.

Common Nateglinide Drug Interactions

Drug Name

Risk Level

Description

Amitriptyline

Major

The metabolism of Amitriptyline can be decreased when combined with Nateglinide.

Amoxapine

Major

The metabolism of Amoxapine can be decreased when combined with Nateglinide.

Astemizole

Major

The metabolism of Astemizole can be decreased when combined with Nateglinide.

Axitinib

Major

The metabolism of Axitinib can be decreased when combined with Nateglinide.

Cabazitaxel

Major

The metabolism of Cabazitaxel can be decreased when combined with Nateglinide.

Nateglinide Toxicity & Overdose Risk

Taking too much of this medication can lead to low blood sugar levels, resulting in symptoms such as dizziness, confusion, sweating, and hunger.

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Nateglinide Novel Uses: Which Conditions Have a Clinical Trial Featuring Nateglinide?

162 active studies are currently investigating the efficacy of Nateglinide in managing Type 2 Diabetes.

Condition

Clinical Trials

Trial Phases

Type 2 Diabetes

167 Actively Recruiting

Not Applicable, Phase 1, Phase 2, Phase 3, Phase 4, Early Phase 1

Nateglinide Reviews: What are patients saying about Nateglinide?

5

Patient Review

8/19/2011

Nateglinide for Type 2 Diabetes Mellitus

I had to stop taking this in 2004 because it caused my blood sugar levels to drop too low. However, it's the only oral diabetic drug that I can take without having bad reactions (I'm part of the 1%). So far, since starting back on it in March, I haven't had any problems.

5

Patient Review

11/4/2009

Nateglinide for Type 2 Diabetes Mellitus

4

Patient Review

9/10/2012

Nateglinide for Type 2 Diabetes Mellitus

I switched to this pill from Actos at my doctor's suggestion, and I'm really happy with it. My readings are better than they were on Actos, and it's cheaper too!

3.7

Patient Review

3/23/2012

Nateglinide for Type 2 Diabetes Mellitus

I unfortunately had to discontinue this medication after only thirteen days due to the extreme constipation it caused me. I was taking laxatives two times a day just to be able to go!

3.3

Patient Review

2/21/2013

Nateglinide for Type 2 Diabetes Mellitus

I've been taking it for about 6 months and it tends to bring my blood sugar down too much. I also take metoformin with it. I have to watch my sugar every 2 hours to be sure I havent dropped too low after a meal.

3.3

Patient Review

9/29/2009

Nateglinide for Type 2 Diabetes Mellitus

3

Patient Review

12/15/2009

Nateglinide for Type 2 Diabetes Mellitus

I'm still seeing high glucose readings after meals, even though I take Janumet twice daily and try to eat a low-glycemic diet.

2.3

Patient Review

1/8/2012

Nateglinide for Type 2 Diabetes Mellitus

This item did not lower my readings as anticipated. My readings remained constantly above 250.

1.7

Patient Review

5/30/2011

Nateglinide for Type 2 Diabetes Mellitus

Despite taking this medication and following a healthy diet, my post-meal blood sugar levels are still too high.

1.3

Patient Review

3/27/2010

Nateglinide for Type 2 Diabetes Mellitus

This drug has been working well for me. I take Starlix (Nateglinide), Januvia, and Metformin.

1.3

Patient Review

3/31/2011

Nateglinide for Type 2 Diabetes Mellitus

The taste of this drug is really bad and lingers for a while.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about nateglinide

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

When should nateglinide be given?

"It is important to take nateglinide exactly as your doctor tells you to. The usual dose is one tablet three times daily, before your main meals (usually breakfast, lunch and dinner), taken either immediately before or up to 30 minutes before a meal."

Answered by AI

What class is nateglinide?

"Nateglinide is a meglitinide, a class of drug that helps the body regulate the amount of glucose in the blood. It does this by stimulating the pancreas to release insulin, decreasing the amount of glucose in the blood."

Answered by AI

Is nateglinide the same as metformin?

"The study showed that nateglinide and metformin monotherapy can both improve glycemic control, although they do so in different ways. Nateglinide decreases the fluctuations in blood sugar levels that occur after meals, while metformin primarily affects fasting blood sugar levels."

Answered by AI

What is the medication nateglinide used for?

"Nateglinide is used to help control blood sugar levels in patients with type 2 diabetes, when combined with diet and exercise. It works by causing your pancreas to release more insulin into the blood stream. Patients who have insulin-dependent or type 1 diabetes will not see any benefits from this medicine."

Answered by AI

Clinical Trials for Nateglinide

Image of NYU Langone Health in New York, United States.

Adaptive Dietary Intervention for Type 2 Diabetes

18+
All Sexes
New York, NY

The investigators will examine the feasibility, acceptability, and effect of an adaptive dietary intervention over 24 weeks (12-week intervention, 12-week follow-up) among Asian Americans with Type 2 diabetes. Participants (N=120; 60 Chinese Americans and 60 Vietnamese Americans) will be 2:1 randomized to one of two arms: adaptive dietary intervention or standard of care (SC). The intervention will begin with continued glucose monitoring (CGM) use only during weeks 0-4. At week 4, participants who achieve the glycemic control goal (at least an 8% increase in time in range \[TIR\] from baseline) will continue with the CGM alone during weeks 4-12 ("CGM Alone"); otherwise, culturally and linguistically adapted glucose excursion minimization (GEM) will be augmented with CGM ("CGM-GEM").

Waitlist Available
Has No Placebo

NYU Langone Health

Yaguang Zheng, PhD, RN

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Image of University of California, Los Angeles in Los Angeles, United States.

Tailored DPP for Prediabetes

17 - 25
All Sexes
Los Angeles, CA

The goal of this study is to enhance reach and uptake of diabetes prevention among young adults, with a focus on recruiting underserved and high-need students who face additional challenges, including food and financial insecurity. The specific aims are: Aim 1 - Evaluate the efficacy of an AYA-tailored version of the UC DPP for mitigating type 2 diabetes risk (i.e., weight change) in a pre/post pilot trial. The investigators hypothesize that the AYA-tailored intervention will be effective at producing 5% weight loss from baseline to program completion (at 9-months). Aim 2 - Assess the feasibility and acceptability of an AYA-tailored version of the UC DPP program. The investigators hypothesize that it will be feasible to recruit the desired number of participants given proposed innovative outreach strategies, and that the AYA-tailored intervention will be deemed acceptable to participants both qualitatively and in regards to their retention in the program at rates similar to the larger UC DPP. The investigators will recruit 80 UCLA undergraduate students. Participants will be asked to complete a brief screening online form to assess eligibility and to collect contact information. The PI and/or Research Assistants (RAs) will reach out to eligible participants to obtain informed consent and enroll them in the pilot trial. The investigators will randomize participants to the tailored DPP cohort vs control cohort. Control participants will be offered the opportunity to participate in the tailored DPP in the following academic year. The tailored DPP intervention will be online and asynchronously. Participants will be asked to complete the intervention lessons on their own time. Each lesson typically takes on average 15 minutes to complete. Control group will receive each intervention materials via e-mail for participants to review on their own time and will receive acceptability surveys. The interventions for the control group will be remote. A research assistant will meet with control participants via Zoom to explain the intervention materials. Control group will receive access to a study habits intervention, alcohol use intervention, and financial literacy intervention. At the end of each quarter (Fall, Winter, and Spring), both control and intervention participants will receive an email with a unique link to a brief REDCap survey to ascertain acceptability of sessions/lessons. Furthermore, participants will complete baseline and 9-month follow-up assessments. Participants will complete a 30 minute questionnaire and height/weight measurements will be collected by a RA. Participants will be asked to self-report weight and physical activity at the end of the fall and winter quarter; data will be collected via brief REDCap survey.

Recruiting
Has No Placebo

University of California, Los Angeles

Lauren E Wisk, PhD

Have you considered Nateglinide clinical trials?

We made a collection of clinical trials featuring Nateglinide, we think they might fit your search criteria.
Go to Trials

Have you considered Nateglinide clinical trials?

We made a collection of clinical trials featuring Nateglinide, we think they might fit your search criteria.
Go to Trials