Efficacy and safety of sotagliflozin in treating diabetes type 1

INTRODUCTION: Sotagliflozin is the first dual SGLT1/SGLT2 inhibitor developed for use in diabetes. Sotagliflozin blocks SGLT2 in the kidneys and SGLT1 in the intestines resulting in reduced early phase glucose absorption and increased blood levels of GLP-1 and PYY. Urinary glucose excretion is lower than with other agents as a result of decreased glucose absorption. The primary development effort to date has been in Type 1 diabetes. Areas covered: The published information on sotagliflozin is reviewed, along with the recent results of several pivotal Type 1 diabetes trials. Expert opinion: Sotagliflozin treatment lowers HbA1c and reduces glucose variability, with a trend to less hypoglycemic events. In the Type 1 trials, sotagliflozin treated individuals experienced DKA at a higher rate than placebo treated patients. An additional safety issue arises from the as yet unknown potential risks in women of child bearing potential in whom DKA is of utmost concern. The sotagliflozin development program has now been extended to trials in Type 2 diabetes, and long term studies will be needed to assess the benefits and risks of the agent in comparison to other currently marketed SGLT2 inhibitors.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Expert opinion on pharmacotherapy - 19(2018), 3 vom: 01. Feb., Seite 307-315

Sprache:

Englisch

Beteiligte Personen:

Rendell, Marc S [VerfasserIn]

Links:

Volltext

Themen:

(2S,3R,4R,5S,6R)-2-(4-chloro-3-(4-ethoxybenzyl)phenyl)-6-(methylthio)tetrahydro-2H-pyran-3,4,5-triol
106388-42-5
6B4ZBS263Y
89750-14-1
Blood Glucose
Diabetic ketoacidosis
Empagliflozin
Gene knockout models
Glucagon-Like Peptide 1
Glycosides
Hypoglycemic Agents
Journal Article
Peptide YY
Review
SGLT1
SGLT2
Sodium-Glucose Transporter 1
Sodium-Glucose Transporter 2
Sodium-Glucose Transporter 2 Inhibitors

Anmerkungen:

Date Completed 18.04.2018

Date Revised 02.12.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14656566.2017.1414801

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM278775535