Saxagliptin

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Saxagliptin chemical structure
Saxagliptin
Systematic (IUPAC) name
(1S,3S,5S)-2-[(2S)-2-amino-2-(3-hydroxy-1-adamantyl)
acetyl]-2-azabicyclo[3.1.0]hexane-3-carbonitrile
Identifiers
CAS number  ?
ATC code  ?
PubChem 6451162
Chemical data
Formula C18H25N3O2 
Mol. weight 315.41 g/mol
Pharmacokinetic data
Bioavailability  ?
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Therapeutic considerations
Pregnancy cat.

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Legal status
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Saxagliptin (rINN), previously identified as BMS-477118, is a new oral hypoglycemic (anti-diabetic drug) of the new dipeptidyl peptidase-4 (DPP-4) inhibitor class of drugs.[1] It was developed by Bristol-Myers Squibb. The trade name under which saxagliptin will be marketed has not yet been released.

It is currently in clinical trials for the treatment of type 2 diabetes mellitus.[2]

Dipeptidyl peptidase-4's role in blood glucose regulation is thought to be through degradation of GIP[3] and the degradation of GLP-1.[3][4]

[edit] See also

[edit] References

  1. ^ Augeri D, Robl J, Betebenner D, Magnin D, Khanna A, Robertson J, Wang A, Simpkins L, Taunk P, Huang Q, Han S, Abboa-Offei B, Cap M, Xin L, Tao L, Tozzo E, Welzel G, Egan D, Marcinkeviciene J, Chang S, Biller S, Kirby M, Parker R, Hamann L (2005). "Discovery and preclinical profile of Saxagliptin (BMS-477118): a highly potent, long-acting, orally active dipeptidyl peptidase IV inhibitor for the treatment of type 2 diabetes.". J Med Chem 48 (15): 5025-37. PMID 16033281.
  2. ^ ClinicalTrails.gov. Saxagliptin Treatment in Subjects With Type 2 Diabetes Who Are Not Controlled With Diet and Exercise. ClinicalTrials.gov Identifier: NCT00121641. Available at: http://www.clinicaltrials.gov/show/NCT00121641. Accessed on: October 19, 2006.
  3. ^ a b Mentlein R, Gallwitz B, Schmidt WE. Dipeptidyl-peptidase IV hydrolyses gastric inhibitory polypeptide, glucagon-like peptide-1(7-36)amide, peptide histidine methionine and is responsible for their degradation in human serum. Eur J Biochem. 1993 Jun 15;214(3):829-35. PMID 8100523.
  4. ^ Ahren B, Landin-Olsson M, Jansson PA, Svensson M, Holmes D, Schweizer A. Inhibition of dipeptidyl peptidase-4 reduces glycemia, sustains insulin levels, and reduces glucagon levels in type 2 diabetes. J Clin Endocrinol Metab. 2004 May;89(5):2078-84. PMID 15126524. Free Full Text.

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Oral antidiabetic drugs (A10B) edit
Biguanides: Metformin
Sulfonylureas: Chlorpropamide, glibenclamide (Glyburide), Gliclazide, Glimepiride, Glipizide, Gliquidone, Tolazamide, Tolbutamide
Alpha-glucosidase inhibitor: Acarbose, Miglitol
Thiazolidinediones (TZD): Pioglitazone, Rosiglitazone, Troglitazone
Meglitinides: Nateglinide, Repaglinide, Mitiglinide
Dipeptidyl peptidase-4 (DPP-4) inhibitors: Saxagliptin, Sitagliptin, Vildagliptin