PMID- 31588657 OWN - NLM STAT- MEDLINE DCOM- 20210402 LR - 20221207 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 22 IP - 2 DP - 2020 Feb TI - Pharmacokinetics and pharmacodynamics of rongliflozin, a novel selective inhibitor of sodium-glucose co-transporter-2, in people with type 2 diabetes mellitus. PG - 191-202 LID - 10.1111/dom.13887 [doi] AB - AIMS: To evaluate the pharmacokinetic (PK) and pharmacodynamic (PD) characteristics of rongliflozin in a cohort of healthy Chinese people and people with type 2 diabetes mellitus (T2DM). MATERIALS AND METHODS: We examined the effects of a single ascending dose (SAD) of rongliflozin (10-200 mg) in combination with food (20 mg) in 50 healthy people, and a multiple ascending dose (MAD) of rongliflozin (10-50 mg once daily for 12 days) in 36 people with T2DM. RESULTS: No serious adverse events (AEs) or discontinuations as a result of AEs (related to rongliflozin) occurred in either study. In healthy participants and those with T2DM, rongliflozin was rapidly absorbed, with a time to maximum plasma concentration of 0.63 to 1.75 hours. Systemic exposure (maximum observed serum concentration and area under the curve) to rongliflozin and its inactive major metabolites (T1444, T1454 and T1830) increased in proportion to dose. In the SAD and MAD studies, there was a dose-related increase in urinary glucose excretion (UGE) ranging from 10 to 50 mg rongliflozin. This increase in UGE was associated with dose-related decreases in serum glucose values in people with T2DM in the MAD group. In the SAD group, UGE plateaued at 50 to 200 mg. CONCLUSIONS: Rongliflozin was well tolerated in all participants. The PK and PD measurements obtained for rongliflozin demonstrate a dose-response relationship when the drug is administered at doses ranging from 10 to 50 mg in healthy people and in people with T2DM. CI - (c) 2019 John Wiley & Sons Ltd. FAU - Zhang, Hong AU - Zhang H AUID- ORCID: 0000-0002-8546-8555 AD - Phase I Clinical Research Centre, First Hospital of Jilin University, Jilin, China. FAU - Zhu, Xiaoxue AU - Zhu X AD - Phase I Clinical Research Centre, First Hospital of Jilin University, Jilin, China. FAU - Li, Xiaojiao AU - Li X AD - Phase I Clinical Research Centre, First Hospital of Jilin University, Jilin, China. FAU - Chen, Hong AU - Chen H AD - Phase I Clinical Research Centre, First Hospital of Jilin University, Jilin, China. FAU - Wu, Min AU - Wu M AD - Phase I Clinical Research Centre, First Hospital of Jilin University, Jilin, China. FAU - Li, Cuiyun AU - Li C AD - Phase I Clinical Research Centre, First Hospital of Jilin University, Jilin, China. FAU - Liu, Jingrui AU - Liu J AD - Phase I Clinical Research Centre, First Hospital of Jilin University, Jilin, China. FAU - Liu, Chengjiao AU - Liu C AD - Phase I Clinical Research Centre, First Hospital of Jilin University, Jilin, China. FAU - Zhang, Yingjun AU - Zhang Y AD - State Key Laboratory of Anti-Infective Drug Development, HEC R&D Centre, Sunshine Lake Pharma Co., Ltd, Dongguan, Guangzhou, China. FAU - Ding, Yanhua AU - Ding Y AD - Phase I Clinical Research Centre, First Hospital of Jilin University, Jilin, China. LA - eng GR - Project: 2017ZX09304004, 2017ZX09101001-002-004/National Major Scientific and Technological Special Project for Significant New Drug Development during the 13th 5-Year Plan Period of China/International GR - 2018ZX09301007005/National Major Scientific and Technological Special Project for Significant New Drug Development during the 13th 5-Year Plan Period of China/International GR - Project: 81602897/National Natural Science Foundation of China/International GR - HEC R&D Centre, Sunshine Lake Pharma Co., Ltd./International PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20191105 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Blood Glucose) RN - 0 (Placebos) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0 (rongliflozin) RN - 0SAC974Z85 (Canagliflozin) SB - IM MH - Adolescent MH - Adult MH - Asian People MH - Blood Glucose/drug effects/metabolism MH - Canagliflozin/administration & dosage/adverse effects/*analogs & derivatives/pharmacokinetics MH - China MH - Diabetes Mellitus, Type 2/*drug therapy/*metabolism MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Female MH - Glycosuria/metabolism/urine MH - Humans MH - Male MH - Maximum Tolerated Dose MH - Middle Aged MH - Placebos MH - Sodium-Glucose Transporter 2 Inhibitors/administration & dosage/adverse effects/pharmacokinetics MH - Young Adult OTO - NOTNLM OT - Chinese OT - SGLT2 inhibitor OT - clinical trial OT - pharmacodynamics OT - pharmacokinetics OT - type 2 diabetes EDAT- 2019/10/08 06:00 MHDA- 2021/04/07 06:00 CRDT- 2019/10/08 06:00 PHST- 2019/08/06 00:00 [received] PHST- 2019/09/18 00:00 [revised] PHST- 2019/09/27 00:00 [accepted] PHST- 2019/10/08 06:00 [pubmed] PHST- 2021/04/07 06:00 [medline] PHST- 2019/10/08 06:00 [entrez] AID - 10.1111/dom.13887 [doi] PST - ppublish SO - Diabetes Obes Metab. 2020 Feb;22(2):191-202. doi: 10.1111/dom.13887. Epub 2019 Nov 5.