PMID- 20336594 OWN - NLM STAT- MEDLINE DCOM- 20100622 LR - 20131121 IS - 2040-3429 (Electronic) IS - 1472-4472 (Linking) VI - 11 IP - 4 DP - 2010 Apr TI - Dutogliptin, a dipeptidyl peptidase-4 inhibitor for the treatment of type 2 diabetes mellitus. PG - 455-63 AB - Dutogliptin (PHX-1149T), being developed by Phenomix Corp, Forest Laboratories Inc and Chiesi Farmaceutici SpA, is a small-molecule dipeptidyl peptidase-4 (DPP-4) inhibitor for the potential oral treatment of type 2 diabetes mellitus (T2DM). DPP-4 quickly degrades the insulin secretory hormones, glucose-dependent insulinotropic peptide and glucagon-like peptide-1; thus inhibiting the degradation of these hormones is a viable treatment option for patients with T2DM. In preclinical studies, dutogliptin potently inhibited DPP-4 and, in a model of T2DM, treatment with dutogliptin improved glucose homeostasis. Pharmacokinetic analyses in animals, healthy individuals and patients with T2DM demonstrated that drug exposure increased in a dose-dependent manner. Results from phase II clinical trials indicated that once-daily dutogliptin, in combination with other oral diabetes therapies, reduces postprandial blood glucose and HbA1c levels, both indicators of successful diabetes management. In phase I and II trials, dutogliptin was safe, well tolerated and associated with extremely low rates of hypoglycemia. At the time of publication, phase III trials were underway and the results of these will be imperative to determine the efficacy of dutogliptin compared with other small molecule DPP-4 inhibitors, such as sitagliptin and vildagliptin. FAU - Johnson, Kathryn M S AU - Johnson KM AD - Beloit College, Department of Biology, Beloit, WI 53511, USA. johnsonkms@beloit.edu LA - eng PT - Journal Article PT - Review PL - England TA - Curr Opin Investig Drugs JT - Current opinion in investigational drugs (London, England : 2000) JID - 100965718 RN - 0 (Blood Glucose) RN - 0 (Protease Inhibitors) RN - 59392-49-3 (Gastric Inhibitory Polypeptide) RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Blood Glucose/*metabolism MH - Clinical Trials as Topic MH - Diabetes Mellitus, Type 2/blood/chemically induced/*drug therapy MH - Gastric Inhibitory Polypeptide/therapeutic use MH - Glucagon-Like Peptide 1/blood/metabolism/*therapeutic use MH - Glucose/*therapeutic use MH - Humans MH - Protease Inhibitors/*therapeutic use RF - 58 EDAT- 2010/03/26 06:00 MHDA- 2010/06/23 06:00 CRDT- 2010/03/26 06:00 PHST- 2010/03/26 06:00 [entrez] PHST- 2010/03/26 06:00 [pubmed] PHST- 2010/06/23 06:00 [medline] PST - ppublish SO - Curr Opin Investig Drugs. 2010 Apr;11(4):455-63.