Drugs › Dipeptidyl peptidase 4 inhibitor
Brand name · Alogliptin
Nesina: adverse event reports filed with FDA
792 reports list it as a suspect or interacting product, 2010–2026. Class: Dipeptidyl peptidase 4 inhibitor. Also reported as Nesina Tablets 25mg, Nesina Tablets, Nesina Tablets 12 5mg.
- 792
- reports as suspect product
- 0% of all reports · about 50 a year
- 11
- reports, 12 months to June 2026
- 14 in the 12 months before
- 81.3%
- marked serious by the reporter
- 57% across the class
- 7.7%
- record death among outcomes, as reported
- 61 reports · not verified by FDA
Between August 2010 and May 2026, 792 adverse event reports received by FDA list the brand name Nesina (alogliptin) as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,069) are left out of every figure here.
In the 12 months to June 2026, 11 reports listed it, down 21% from 14 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 50 reports a year and 0% of the 20,646,523 reports in the database, and 1.7% of the reports for the dipeptidyl peptidase 4 inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.
The reactions recorded most often are pemphigoid (7.7%), interstitial lung disease (4.9%) and pancreatitis acute (3.9%). A report can list several reactions, so shares add to more than 100%; 227 different terms appear across these reports. Pemphigoid is recorded in 7.7% of these reports, a larger share than in the median dipeptidyl peptidase 4 inhibitor drug (1%).
81.3% of the reports are marked serious by the reporter (57% across the class); 7.7% record death among the outcomes and 42.7% record hospitalisation, as reported. 48.9% of the reports came from physicians, and the largest patient age group is 75 and over (29.5%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."
Reports by month, five years
Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.
By year received
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Nesina reports recording the termmedian drug in dipeptidyl peptidase 4 inhibitor
- Pemphigoid7.7%61
- Interstitial lung diseasescarring or inflammation of lung tissue4.9%39
- Pancreatitis acute3.9%31
- Nauseafeeling sick3.2%25
- Pancreatitisinflammation of the pancreas3.2%25
- Rashskin rash3.2%25
- Diarrhoealoose or frequent stools2.9%23
- Hypoglycaemialow blood sugar2.8%22
- Decreased appetitereduced appetite2.5%20
- Rhabdomyolysismuscle breakdown2.3%18
- Erythema multiformea skin reaction with target-shaped patches2.1%17
- No adverse eventno adverse event was reported1.9%15
- Drug ineffectivethe medicine did not work as expected1.6%13
- Headachehead pain1.6%13
- Pruritusitching1.6%13
- Dizzinesslight-headedness or unsteadiness1.5%12
- Pyrexiafever1.4%11
- Arthralgiajoint pain1.3%10
- Condition aggravatedthe condition being treated got worse1.3%10
- Malaisegeneral feeling of being unwell1.3%10
- Stevens-Johnson syndromea severe skin and mucous-membrane reaction1.3%10
- Blood glucose increasedraised blood sugar reading1.1%9
- Ileusthe bowel stopped moving1.1%9
- Platelet count decreasedlow platelet count1.1%9
- Vomitingbeing sick1.1%9
- Intestinal obstructiona blocked bowel1%8
- Vision blurredblurred vision1%8
- Abdominal painstomach or belly pain0.9%7
- Drug eruption0.9%7
Top 30 of 227 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 10 drugs in the dipeptidyl peptidase 4 inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Outcomes recorded
Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 46,081 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."
Patients and reporters
Patient age
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 22.5% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Diabetes mellitus | 278 | 35.1% |
| Type 2 diabetes mellitus | 255 | 32.2% |
| Blood glucose abnormal | 9 | 1.1% |
| Suicide attempt | 4 | 0.5% |
| Diabetes mellitus management | 2 | 0.3% |
| Pancreatitis chronic | 2 | 0.3% |
The indication field is filled in by the reporter and is often blank; shares are of all 792 reports.
In context
| Measure | Nesina | Dipeptidyl peptidase 4 inhibitor | All reports |
|---|---|---|---|
| Reports as suspect product | 792 | 46,081 | 20,646,523 |
| Share of that pool | — | 1.7% | 0% |
| Reports, latest 12 months | 11 | — | 1,332,454 |
| Marked serious | 81.3% | 57% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 77 | 87 | 91 |
| Hospitalisation recorded, per 1,000 reports | 427 | 292 | 213 |
| Consumer-filed share | 16.5% | 38.4% | 45.8% |
| Top term, share of reports | Pemphigoid 7.7% | median 1% | 0% |
Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Other drugs in the dipeptidyl peptidase 4 inhibitor class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Januvia | brand | 30,212 | 310 | 51.2% |
| Tradjenta | brand | 4,627 | 31 | 34.2% |
| Sitagliptin | generic | 2,805 | 373 | 95.8% |
| Linagliptin | generic | 2,781 | 280 | 90.4% |
| Glyxambi | brand | 1,475 | 39 | 42% |
| Sitagliptin phosphate | generic | 1,399 | 136 | 91.9% |
| Alogliptin | generic | 698 | 7 | 86.1% |
| Saxagliptin | generic | 668 | 21 | 91.6% |
| Jentadueto | brand | 624 | 4 | 42% |
Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.
Questions about Nesina reports
How many adverse event reports has FDA received for Nesina?
792 reports list Nesina as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 11 of them arrived in the latest 12 months. Another 1,069 list it only as a concomitant medication.
What reactions are recorded in Nesina reports?
pemphigoid (7.7%), interstitial lung disease (4.9%), pancreatitis acute (3.9%), nausea (3.2%) and pancreatitis (3.2%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Nesina was responsible.
How serious are the reports?
81.3% are marked serious by the reporter. Among the outcomes recorded, 7.7% of reports include death and 42.7% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.
Who files these reports?
physician (48.9%), consumer or non-health professional (16.5%) and other health professional (14.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Nesina rising?
11 reports in the 12 months to June 2026, down 21% from 14 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.
Do these reports show that Nesina was responsible for these reactions?
No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.
Is this a list of the side effects of Nesina?
No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.
How do I report an adverse event?
Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.
Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Nesina as a suspect or interacting product; reports listing it only as a concomitant medication (1,069) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.
Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.