Korean Journal of Physiology and Pharmacology 2019; 23(1): 55-62
Published online January 1, 2019 https://doi.org/10.4196/kjpp.2019.23.1.55
Copyright © Korean J Physiol Pharmacol.
Kyu Hang Lee1, Sang Don Lee1, Namdu Kim1, Kwee Hyun Suh1, Young Hoon Kim1, Sang Soo Sim2,*
1Hanmi Research Center, Hanmi Pharmaceutical Co., Ltd, Hwaseong 18469, 2College of Pharmacy, Chung-Ang University, Seoul 06974, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
HM41322 is a novel oral sodium-glucose cotransporter (SGLT) 1/2 dual inhibitor. In this study, the in vitro and in vivo pharmacokinetic and pharmacologic profiles of HM41322 were compared to those of dapagliflozin. HM41322 showed a 10-fold selectivity for SGLT2 over SGLT1. HM41322 showed an inhibitory effect on SGLT2 similar to dapagliflozin, but showed a more potent inhibitory effect on SGLT1 than dapagliflozin. The maximum plasma HM41322 level after single oral doses at 0.1, 1, and 3 mg/kg were 142, 439, and 1830 ng/ml, respectively, and the T1/2 was 3.1 h. HM41322 was rapidly absorbed and reached the circulation within 15 min. HM41322 maximized urinary glucose excretion by inhibiting both SGLT1 and SGLT2 in the kidney. HM41322 3 mg/kg caused the maximum urinary glucose excretion in normoglycemic mice (19.32±1.16 mg/g) at 24 h. In normal and diabetic mice, HM41322 significantly reduced glucose excursion. Four-week administration of HM41322 in db/db mice reduced HbA1c in a dose dependent manner. Taken together, HM41322 showed a favorable preclinical profile of postprandial glucose control through dual inhibitory activities against SGLT1 and SGLT2.
Keywords: Dapagliflozin, Diabetes mellitus, HM41322, SGLT1/2 dual inhibitor
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