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Remogliflozin Etabonate in the Treatment of Type 2 Diabetes: Design, Development, and Place in Therapy

机译:Remogliflozin Etabonate在治疗2型糖尿病:设计,开发和治疗中的地方

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Type 2 diabetes mellitus (T2DM) is an emerging epidemic in Asian countries, especially in India. With the advent of the SGLT2 inhibitor class of drugs demonstrating benefits beyond glycemic control, viz. weight loss, blood pressure reduction, and cardiovascular and renal protection, the management of T2DM has taken a quantum leap. Remogliflozin etabonate (RE) is the latest addition to the SGLT2 inhibitor class of drugs that have been recently approved in India for the management of T2DM. RE is a potent and selective inhibitor of SGLT2 with the unique distinction of being administered as a prodrug, existence of active metabolites, and short half-life necessitating twice-daily dosing. The Phase III study of RE demonstrated it to be an efficacious and safe agent and non-inferior to the currently available SGLT2 inhibitors. This paper reviews not only the pharmacokinetics, pharmacodynamics, clinical efficacy, and safety profile of RE but also its molecular and clinical development program. This review has taken into consideration all available published as well as unpublished literature on RE and discusses the individual studies performed during its development for characterization of pharmacological profile.
机译:2型糖尿病(T2DM)是亚洲国家的新兴疫情,特别是在印度。随着SGLT2抑制剂类药物的出现,展示了超越血糖控制的益处,Quz。减肥,血压减少和心血管和肾保护,T2DM的管理采取了量子跃升。 Remogliflozin Etabonate(RE)是最近在印度批准的SGLT2抑制剂类药物的最新补充,以便在印度批准为T2DM管理。 Re是SGLT2的有效和选择性抑制剂,其作为前药的独特区别,活性代谢物存在,并且短半衰期需要两次每日给药。 RE的III期研究证明它是一种有效和安全的药剂,对目前可用的SGLT2抑制剂是一种有效和安全的药剂。本文不仅审查了重新的药代动力学,药效动物,临床疗效和安全性,也是其分子和临床发展计划的综述。本综述已考虑到所有已发布的公布以及未发表的文献,并讨论其在其开发过程中进行的个体研究表征的药理概况。

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