PMID- 32744380 OWN - NLM STAT- MEDLINE DCOM- 20210624 LR - 20220531 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 22 IP - 12 DP - 2020 Dec TI - Pharmacokinetics, pharmacodynamics and tolerability of single and multiple doses of janagliflozin, a sodium-glucose co-transporter-2 inhibitor, in Chinese people with type 2 diabetes mellitus. PG - 2316-2324 LID - 10.1111/dom.14156 [doi] AB - AIMS: To evaluate the pharmacokinetic (PK) and pharmacodynamic (PD) characteristics, and tolerability of janagliflozin, a novel sodium-glucose co-transporter-2 inhibitor, in Chinese people with type 2 diabetes mellitus (T2DM). MATERIALS AND METHODS: In this study, 36 people with T2DM were randomly assigned in a 1:1:1:1 ratio to receive janagliflozin 25 mg, janagliflozin 50 mg, dapagliflozin 10 mg or placebo. Participants received a single dose on day 1, and were treated once daily from day 4 to day 17. RESULTS: Following oral administration, janagliflozin was rapidly absorbed, reaching C(max) at 2 hours. The mean half-life (t(1/2) ) at steady state was approximately 21 to 23 hours. There was no significant accumulation with multiple doses (accumulation factor < 2). In participants treated with janagliflozin 25 mg, janagliflozin 50 mg, dapagliflozin 10 mg or placebo, change in mean 24-hour urinary glucose excretion from baseline was 92.35, 94.17, 87.61 and 6.26 g after multiple doses, and change in mean fasting plasma glucose level from baseline to day 17 was -2.18, -2.66, -2.79 and 1.70%, respectively. Most adverse events (AEs) were mild or moderate with no deaths, serious AEs, or discontinuations due to AEs. CONCLUSIONS: Single and multiple oral administration (14 days) of janagliflozin 25 mg and 50 mg exhibited favourable PK, PD and tolerability profiles in Chinese people with T2DM, which were comparable to those of dapagliflozin 10 mg. Janagliflozin 25 mg and 50 mg are recommended for further clinical investigation. CI - (c) 2020 John Wiley & Sons Ltd. FAU - Li, Xiaojiao AU - Li X AUID- ORCID: 0000-0001-5999-0035 AD - Phase I Clinical Trial Unit, First Hospital, Jilin University, Jilin, China. FAU - Zhu, Xiaoxue AU - Zhu X AD - Phase I Clinical Trial Unit, First Hospital, Jilin University, Jilin, China. FAU - Liu, Jingrui AU - Liu J AD - Phase I Clinical Trial Unit, First Hospital, Jilin University, Jilin, China. FAU - Li, Qianqian AU - Li Q AD - Phase I Clinical Trial Unit, First Hospital, Jilin University, Jilin, China. FAU - Zhang, Hong AU - Zhang H AUID- ORCID: 0000-0002-8546-8555 AD - Phase I Clinical Trial Unit, First Hospital, Jilin University, Jilin, China. FAU - Li, Cuiyun AU - Li C AD - Phase I Clinical Trial Unit, First Hospital, Jilin University, Jilin, China. FAU - Wu, Min AU - Wu M AD - Phase I Clinical Trial Unit, First Hospital, Jilin University, Jilin, China. FAU - Gao, Lei AU - Gao L AD - Phase I Clinical Trial Unit, First Hospital, Jilin University, Jilin, China. FAU - Wen, He AU - Wen H AD - Sihuan Pharmaceutical Holdings Group Ltd., Beijing, China. FAU - Li, Xixi AU - Li X AD - Sihuan Pharmaceutical Holdings Group Ltd., Beijing, China. FAU - Tang, Xinran AU - Tang X AD - Sihuan Pharmaceutical Holdings Group Ltd., Beijing, China. FAU - Liu, Li AU - Liu L AD - Department of Pediatrics, First Hospital, Jilin University, Jilin, China. FAU - Ding, Yanhua AU - Ding Y AD - Phase I Clinical Trial Unit, First Hospital, Jilin University, Jilin, China. LA - eng GR - 2017ZX09101001-002-004/National Major Scientific and Technological Special Project for Significant New Drug Development during the Thirteenth Five-Year Plan Period of China/ GR - Project: 2017ZX09304004/National Major Scientific and Technological Special Project for Significant New Drug Development during the Thirteenth Five-Year Plan Period of China/ GR - 81602897/National Natural Science Foundation of China/ GR - 2017TD-08/The program for JLU Science and Technology Innovative Research Team and the Fundamental Research Funds for the Central Universities./ PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20200902 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0 (Symporters) RN - 9NEZ333N27 (Sodium) RN - IY9XDZ35W2 (Glucose) SB - IM MH - China/epidemiology MH - *Diabetes Mellitus, Type 2/drug therapy MH - Dose-Response Relationship, Drug MH - Glucose MH - Humans MH - Sodium MH - *Sodium-Glucose Transporter 2 Inhibitors MH - *Symporters OTO - NOTNLM OT - SGLT2 inhibitors OT - dapagliflozin OT - janagliflozin OT - pharmacokinetics and pharmacodynamics OT - type 2 diabetes mellitus EDAT- 2020/08/04 06:00 MHDA- 2021/06/25 06:00 CRDT- 2020/08/04 06:00 PHST- 2020/05/08 00:00 [received] PHST- 2020/07/13 00:00 [revised] PHST- 2020/07/27 00:00 [accepted] PHST- 2020/08/04 06:00 [pubmed] PHST- 2021/06/25 06:00 [medline] PHST- 2020/08/04 06:00 [entrez] AID - 10.1111/dom.14156 [doi] PST - ppublish SO - Diabetes Obes Metab. 2020 Dec;22(12):2316-2324. doi: 10.1111/dom.14156. Epub 2020 Sep 2.