PMID- 19129748 OWN - NLM STAT- MEDLINE DCOM- 20090504 LR - 20220409 IS - 1532-6535 (Electronic) IS - 0009-9236 (Linking) VI - 85 IP - 5 DP - 2009 May TI - Dapagliflozin, a novel SGLT2 inhibitor, induces dose-dependent glucosuria in healthy subjects. PG - 520-6 LID - 10.1038/clpt.2008.251 [doi] AB - Dapagliflozin selectively inhibits renal glucose reabsorption by inhibiting sodium-glucose cotransporter-2 (SGLT2). It was developed as an insulin-independent treatment approach for type 2 diabetes mellitus (T2DM). The safety, tolerability, pharmacokinetics, and pharmacodynamics of the drug were evaluated in single-ascending-dose (SAD; 2.5-500 mg) and multiple-ascending-dose (MAD; 2.5-100 mg daily for 14 days) studies in healthy subjects. Dapagliflozin exhibited dose-proportional plasma concentrations with a half-life of approximately 17 h. The amount of glucosuria was also dose-dependent. Cumulative amounts of glucose excreted on day 1, relating to doses from 2.5-100 mg (MAD), ranged from 18 to 62 g; day 14 values were comparable to day 1 values, with no apparent changes in glycemic parameters. Doses of approximately 20-50 mg provided close-to-maximal SGLT2 inhibition for at least 24 h. Dapagliflozin demonstrates pharmacokinetic (PK) characteristics and dose-dependent glucosuria that are sustained over 24 h, which indicates that it is suitable for administration in once-daily doses and suggests that further investigation of its efficacy in T2DM patients is warranted. FAU - Komoroski, B AU - Komoroski B AD - Discovery Medicine and Clinical Pharmacology, Research and Development, Bristol-Myers Squibb, Princeton, New Jersey, USA. FAU - Vachharajani, N AU - Vachharajani N FAU - Boulton, D AU - Boulton D FAU - Kornhauser, D AU - Kornhauser D FAU - Geraldes, M AU - Geraldes M FAU - Li, L AU - Li L FAU - Pfister, M AU - Pfister M LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20090107 PL - United States TA - Clin Pharmacol Ther JT - Clinical pharmacology and therapeutics JID - 0372741 RN - 0 (Benzhydryl Compounds) RN - 0 (Blood Glucose) RN - 0 (Glucosides) RN - 0 (Hypoglycemic Agents) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 1ULL0QJ8UC (dapagliflozin) SB - IM MH - Adult MH - Benzhydryl Compounds MH - Blood Glucose/drug effects MH - Diabetes Mellitus, Type 2/*drug therapy/physiopathology MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Glucosides/*administration & dosage/adverse effects/pharmacokinetics MH - Glycosuria/*chemically induced MH - Half-Life MH - Humans MH - Hypoglycemic Agents/*administration & dosage/adverse effects/pharmacokinetics MH - Male MH - Sodium-Glucose Transporter 2 MH - *Sodium-Glucose Transporter 2 Inhibitors MH - Time Factors EDAT- 2009/01/09 09:00 MHDA- 2009/05/05 09:00 CRDT- 2009/01/09 09:00 PHST- 2009/01/09 09:00 [entrez] PHST- 2009/01/09 09:00 [pubmed] PHST- 2009/05/05 09:00 [medline] AID - clpt2008251 [pii] AID - 10.1038/clpt.2008.251 [doi] PST - ppublish SO - Clin Pharmacol Ther. 2009 May;85(5):520-6. doi: 10.1038/clpt.2008.251. Epub 2009 Jan 7.