PMID- 21733056 OWN - NLM STAT- MEDLINE DCOM- 20120224 LR - 20221207 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 14 IP - 1 DP - 2012 Jan TI - Remogliflozin etabonate, a selective inhibitor of the sodium-dependent transporter 2 reduces serum glucose in type 2 diabetes mellitus patients. PG - 15-22 LID - 10.1111/j.1463-1326.2011.01462.x [doi] AB - AIMS: Remogliflozin etabonate (RE) is the pro-drug of remogliflozin (R), a selective inhibitor of renal sodium-dependent glucose transporter 2 (SGLT2) that improves glucose control via enhanced urinary glucose excretion (UGE). This study evaluated the safety, tolerability, pharmacokinetics and pharmacodynamics of repeated doses of RE in subjects with type 2 diabetes mellitus (T2DM). METHODS: In a double-blinded, randomized, placebo-controlled trial, subjects who were drug-naive or had metformin discontinued received RE [100 mg BID (n = 9), 1000 mg QD (n = 9), 1000 mg BID (n = 9)], or placebo (n = 8) for 12 days. Safety parameters were assessed, including urine studies to evaluate renal function. Plasma concentrations of RE and metabolites were measured with the first dose and at steady state. RE effects on glucose levels were assessed with fasting glucose concentrations, frequently sampled 24-h glucose profiles and oral glucose tolerance tests. RESULTS: No significant laboratory abnormalities or safety events were reported; the most frequent adverse events were headache and flatulence. Plasma exposure to RE and R were proportional to administered dose with negligible accumulation. Mean 24-h UGE increased in RE treatment groups. Compared with the placebo group, 24-h mean (95% CI) changes in plasma glucose were -1.2 (-2.2 to -0.3) (100 mg BID), -0.8 (-1.7 to 0.2) (1000 mg QD) and -1.7 (-2.7 to -0.8) mmol/l (1000 mg BID). CONCLUSIONS: Administration of RE for 12 days is well-tolerated and results in clinically meaningful improvements in plasma glucose, accompanied by changes in body weight and blood pressure in subjects with T2DM. CI - (c) 2011 Blackwell Publishing Ltd. FAU - Dobbins, R L AU - Dobbins RL AD - GlaxoSmithKline, Research Triangle Park, NC 27709-3398, USA. robert.l.dobbins@gsk.com FAU - O'Connor-Semmes, R AU - O'Connor-Semmes R FAU - Kapur, A AU - Kapur A FAU - Kapitza, C AU - Kapitza C FAU - Golor, G AU - Golor G FAU - Mikoshiba, I AU - Mikoshiba I FAU - Tao, W AU - Tao W FAU - Hussey, E K AU - Hussey EK LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20111030 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Blood Glucose) RN - 0 (Glucosides) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Pyrazoles) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - TR0QT6QSUL (remogliflozin etabonate) SB - IM MH - Adult MH - Aged MH - Blood Glucose/*drug effects MH - Blood Pressure/drug effects MH - Body Mass Index MH - Body Weight/drug effects MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - Double-Blind Method MH - Female MH - Glucose Tolerance Test MH - Glucosides/pharmacokinetics/pharmacology/*therapeutic use MH - Glycated Hemoglobin/*drug effects MH - Humans MH - Hypoglycemic Agents/pharmacokinetics/pharmacology/*therapeutic use MH - Male MH - Middle Aged MH - Pyrazoles/pharmacokinetics/pharmacology/*therapeutic use MH - Sodium-Glucose Transporter 2/blood MH - *Sodium-Glucose Transporter 2 Inhibitors MH - Treatment Outcome EDAT- 2011/07/08 06:00 MHDA- 2012/03/01 06:00 CRDT- 2011/07/08 06:00 PHST- 2011/07/08 06:00 [entrez] PHST- 2011/07/08 06:00 [pubmed] PHST- 2012/03/01 06:00 [medline] AID - 10.1111/j.1463-1326.2011.01462.x [doi] PST - ppublish SO - Diabetes Obes Metab. 2012 Jan;14(1):15-22. doi: 10.1111/j.1463-1326.2011.01462.x. Epub 2011 Oct 30.