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**Alogliptin + pioglitazone** is an oral fixed-dose antidiabetic combination of two small molecules: alogliptin, a selective dipeptidyl peptidase-4 inhibitor, and pioglitazone, a thiazolidinedione peroxisome proliferator-activated receptor gamma agonist. DPP-4 inhibition prolongs endogenous incretin activity, supporting glucose-dependent insulin secretion and reducing glucagon secretion, while PPAR-gamma activation improves insulin sensitivity. The combination is marketed for adjunctive treatment of adults with type 2 diabetes mellitus to improve glycemic control alongside diet and exercise. ([dailymed.nlm.nih.gov](https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4c619ed9-fe3e-4158-9938-80c6c3493d55))
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