PMID- 32612352 OWN - NLM STAT- MEDLINE DCOM- 20210604 LR - 20210604 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 14 DP - 2020 TI - Remogliflozin Etabonate in the Treatment of Type 2 Diabetes: Design, Development, and Place in Therapy. PG - 2487-2501 LID - 10.2147/DDDT.S221093 [doi] AB - 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 This review has taken into consideration all available published as well as unpublished literature on RE and discusses the individual studies performed during its development for characterization of pharmacological profile. CI - (c) 2020 Mohan et al. FAU - Mohan, Viswanathan AU - Mohan V AD - Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialties Centre, Chennai, Tamil Nadu, India. FAU - Mithal, Ambrish AU - Mithal A AD - Endocrinology and Diabetology, Max Healthcare Hospital, Gurgaon, India. FAU - Joshi, Shashank R AU - Joshi SR AD - Joshi Clinic, Lilavati Hospital, Apollo Sugar Clinic and Bhatia Hospital, Mumbai, India. FAU - Aravind, S R AU - Aravind SR AUID- ORCID: 0000-0001-7631-8777 AD - Diacon Hospital, Bengaluru, India. FAU - Chowdhury, Subhankar AU - Chowdhury S AD - Deptartment of Endocrinology, IPGME&R and SSKM Hospital, Kolkata, India. LA - eng PT - Journal Article PT - Review DEP - 20200624 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Glucosides) RN - 0 (Hypoglycemic Agents) RN - 0 (Pyrazoles) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - TR0QT6QSUL (remogliflozin etabonate) SB - IM MH - Diabetes Mellitus, Type 2/*drug therapy/metabolism MH - *Drug Development MH - Glucosides/chemical synthesis/chemistry/*pharmacology MH - Humans MH - Hypoglycemic Agents/chemical synthesis/chemistry/*pharmacology MH - Pyrazoles/chemical synthesis/chemistry/*pharmacology MH - Sodium-Glucose Transporter 2/metabolism MH - Sodium-Glucose Transporter 2 Inhibitors/chemical synthesis/chemistry/*pharmacology PMC - PMC7322139 OTO - NOTNLM OT - SGLT2 inhibitor OT - T2DM OT - design OT - development OT - etabonate OT - place in therapy OT - remogliflozin COIS- Dr. Viswanathan Mohan and all other authors of this manuscript report personal fees as an Advisory Board Member of Glenmark Pharmaceuticals which markets Remogliflozin in India, outside the submitted work. The authors report no other conflicts of interest in this work. EDAT- 2020/07/03 06:00 MHDA- 2021/06/05 06:00 PMCR- 2020/06/24 CRDT- 2020/07/03 06:00 PHST- 2020/01/04 00:00 [received] PHST- 2020/05/15 00:00 [accepted] PHST- 2020/07/03 06:00 [entrez] PHST- 2020/07/03 06:00 [pubmed] PHST- 2021/06/05 06:00 [medline] PHST- 2020/06/24 00:00 [pmc-release] AID - 221093 [pii] AID - 10.2147/DDDT.S221093 [doi] PST - epublish SO - Drug Des Devel Ther. 2020 Jun 24;14:2487-2501. doi: 10.2147/DDDT.S221093. eCollection 2020.