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依帕列净:全球首次获批。

Ertugliflozin: First Global Approval.

机构信息

Springer, Private Bag 65901, Mairangi Bay, 0754, Auckland, New Zealand.

出版信息

Drugs. 2018 Mar;78(4):513-519. doi: 10.1007/s40265-018-0878-6.

DOI:10.1007/s40265-018-0878-6
PMID:29476348
Abstract

Ertugliflozin (Steglatro™) is an orally active sodium glucose co-transporter type 2 inhibitor being developed by Merck and Pfizer as a treatment for type 2 diabetes mellitus (T2DM). Ertugliflozin as monotherapy and in combination with various other antidiabetic drugs was associated with improvements in glycaemic control and secondary outcome measures in the VERTIS phase III clinical trial program. Ertugliflozin and fixed-dose combinations of ertugliflozin and metformin (Segluromet™) and ertugliflozin and sitagliptin (Steglujan™) have recently been approved by the US FDA as an adjunct to diet and exercise to improve glycaemic control in adults with T2DM. These products have also received a positive opinion from the EU Committee for Medicinal Products for Human Use (CHMP). This article summarizes the milestones in the development of ertugliflozin leading to its first approval for T2DM.

摘要

依格列净(Steglatro™)是一种新型的口服钠-葡萄糖协同转运蛋白 2 抑制剂,由默克公司和辉瑞公司联合开发,用于治疗 2 型糖尿病(T2DM)。依格列净单药治疗以及与各种其他抗糖尿病药物联合使用,在 VERTIS 三期临床试验项目中均显示出改善血糖控制和次要终点的作用。依格列净和依格列净与二甲双胍(Segluromet™)的固定剂量组合以及依格列净与西他列汀(Steglujan™)的固定剂量组合最近已获得美国 FDA 批准,作为饮食和运动的辅助手段,用于改善 T2DM 成人的血糖控制。这些产品也得到了人用药品委员会(CHMP)的积极意见。本文总结了依格列净开发过程中的重要里程碑,最终使其获得 T2DM 的首个批准。

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1
Ertugliflozin: First Global Approval.依帕列净:全球首次获批。
Drugs. 2018 Mar;78(4):513-519. doi: 10.1007/s40265-018-0878-6.
2
Ertugliflozin for the treatment of type 2 diabetes.恩格列净用于治疗2型糖尿病。
Drugs Today (Barc). 2019 Mar;55(3):167-175. doi: 10.1358/dot.2019.55.3.2904972.
3
Ertugliflozin plus sitagliptin versus either individual agent over 52 weeks in patients with type 2 diabetes mellitus inadequately controlled with metformin: The VERTIS FACTORIAL randomized trial.在二甲双胍控制不佳的 2 型糖尿病患者中,ertugliflozin 加西他列汀与任一单独药物相比,在 52 周时的疗效:VERTIS 因子随机试验。
Diabetes Obes Metab. 2018 May;20(5):1111-1120. doi: 10.1111/dom.13194. Epub 2018 Jan 25.
4
Ertugliflozin as a monotherapy for the treatment of type 2 diabetes.依帕列净单药治疗 2 型糖尿病。
Expert Opin Pharmacother. 2018 Nov;19(16):1841-1847. doi: 10.1080/14656566.2018.1525360. Epub 2018 Sep 24.
5
Fixed-dose combination of ertugliflozin and metformin hydrochloride for the treatment of type 2 diabetes.恩格列净与盐酸二甲双胍固定剂量复方制剂治疗2型糖尿病
Expert Rev Endocrinol Metab. 2019 Mar;14(2):75-83. doi: 10.1080/17446651.2019.1571908. Epub 2019 Feb 5.
6
Long-term efficacy and safety of ertugliflozin monotherapy in patients with inadequately controlled T2DM despite diet and exercise: VERTIS MONO extension study.在饮食和运动控制不佳的 T2DM 患者中,单独使用艾托格列净的长期疗效和安全性:VERTIS MONO 扩展研究。
Diabetes Obes Metab. 2018 Jun;20(6):1453-1460. doi: 10.1111/dom.13251. Epub 2018 Feb 23.
7
Results of VERTIS SU extension study: safety and efficacy of ertugliflozin treatment over 104 weeks compared to glimepiride in patients with type 2 diabetes mellitus inadequately controlled on metformin.VERTIS SU 扩展研究结果:与格列美脲相比,在二甲双胍控制不佳的 2 型糖尿病患者中,恩格列净治疗 104 周的安全性和疗效。
Curr Med Res Opin. 2019 Aug;35(8):1335-1343. doi: 10.1080/03007995.2019.1583450. Epub 2019 Mar 25.
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Ertugliflozin for treatment of patients with Type 2 diabetes mellitus.依帕列净治疗 2 型糖尿病患者。
Expert Rev Clin Pharmacol. 2018 Aug;11(8):747-753. doi: 10.1080/17512433.2018.1503051. Epub 2018 Jul 31.
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Phase III, efficacy and safety study of ertugliflozin monotherapy in people with type 2 diabetes mellitus inadequately controlled with diet and exercise alone.恩格列净单药治疗对仅通过饮食和运动血糖控制不佳的2型糖尿病患者的III期疗效和安全性研究。
Diabetes Obes Metab. 2017 May;19(5):721-728. doi: 10.1111/dom.12888. Epub 2017 Feb 22.
10
Safety and efficacy of ertugliflozin in Asian patients with type 2 diabetes mellitus inadequately controlled with metformin monotherapy: VERTIS Asia.恩格列净在接受二甲双胍单药治疗血糖控制不佳的亚洲 2 型糖尿病患者中的安全性和疗效:VERTIS Asia。
Diabetes Obes Metab. 2019 Jun;21(6):1474-1482. doi: 10.1111/dom.13681. Epub 2019 Apr 5.

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Solubilization techniques used for poorly water-soluble drugs.用于难溶性药物的增溶技术。
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本文引用的文献

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A Phase 1, Randomized, Placebo- and Active-Controlled Crossover Study to Determine the Effect of Single-Dose Ertugliflozin on QTc Interval in Healthy Volunteers.一项评估恩格列净单次给药对健康志愿者 QTc 间期影响的 1 期、随机、安慰剂和阳性对照的交叉研究。
Clin Pharmacol Drug Dev. 2018 Jun;7(5):513-523. doi: 10.1002/cpdd.421. Epub 2018 Jan 18.
2
Ertugliflozin and Sitagliptin Co-initiation in Patients with Type 2 Diabetes: The VERTIS SITA Randomized Study.恩格列净与西格列汀起始联合治疗2型糖尿病患者:VERTIS SITA随机研究
Diabetes Ther. 2018 Feb;9(1):253-268. doi: 10.1007/s13300-017-0358-0. Epub 2018 Jan 8.
3
Ertugliflozin Compared with Glimepiride in Patients with Type 2 Diabetes Mellitus Inadequately Controlled on Metformin: The VERTIS SU Randomized Study.
心血管疾病中SGLT2抑制剂的文献计量学与可视化分析
Front Pharmacol. 2024 Oct 30;15:1437760. doi: 10.3389/fphar.2024.1437760. eCollection 2024.
4
Transporter Proteins as Therapeutic Drug Targets-With a Focus on SGLT2 Inhibitors.转运蛋白作为治疗药物靶点——以 SGLT2 抑制剂为例。
Int J Mol Sci. 2024 Jun 25;25(13):6926. doi: 10.3390/ijms25136926.
5
Comparing the Greenness and Validation Metrics of Traditional and Eco-Friendly Stability-Indicating HPTLC Methods for Ertugliflozin Determination.比较传统和环保型稳定性指示高效薄层色谱法测定依格列净的绿色度和验证指标
ACS Omega. 2024 May 15;9(21):23001-23012. doi: 10.1021/acsomega.4c02399. eCollection 2024 May 28.
6
Metabolic basis of solute carrier transporters in treatment of type 2 diabetes mellitus.溶质载体转运蛋白在2型糖尿病治疗中的代谢基础
Acta Pharm Sin B. 2024 Feb;14(2):437-454. doi: 10.1016/j.apsb.2023.09.004. Epub 2023 Sep 15.
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Novel Approaches for the Management of Type 2 Diabetes Mellitus: An Update.新型 2 型糖尿病管理方法:更新。
Curr Diabetes Rev. 2024;20(4):e051023221768. doi: 10.2174/0115733998261903230921102620.
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Asymmetric Synthesis of US-FDA Approved Drugs over Five Years (2016-2020): A Recapitulation of Chirality.五年(2016 - 2020年)来美国食品药品监督管理局批准药物的不对称合成:手性概述
Pharmaceuticals (Basel). 2023 Feb 22;16(3):339. doi: 10.3390/ph16030339.
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Acta Pharm Sin B. 2022 Oct;12(10):3783-3821. doi: 10.1016/j.apsb.2022.05.020. Epub 2022 May 23.
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Online searches for SGLT-2 inhibitors and GLP-1 receptor agonists correlate with prescription rates in the United States: An infodemiological study.美国在线搜索钠-葡萄糖协同转运蛋白2(SGLT-2)抑制剂和胰高血糖素样肽-1(GLP-1)受体激动剂与处方率的相关性:一项信息流行病学研究。
Front Cardiovasc Med. 2022 Jul 29;9:936651. doi: 10.3389/fcvm.2022.936651. eCollection 2022.
在二甲双胍治疗血糖控制不佳的2型糖尿病患者中,恩格列净与格列美脲的疗效比较:VERTIS SU随机研究
Diabetes Ther. 2018 Feb;9(1):193-207. doi: 10.1007/s13300-017-0354-4. Epub 2017 Dec 27.
4
Ertugliflozin plus sitagliptin versus either individual agent over 52 weeks in patients with type 2 diabetes mellitus inadequately controlled with metformin: The VERTIS FACTORIAL randomized trial.在二甲双胍控制不佳的 2 型糖尿病患者中,ertugliflozin 加西他列汀与任一单独药物相比,在 52 周时的疗效:VERTIS 因子随机试验。
Diabetes Obes Metab. 2018 May;20(5):1111-1120. doi: 10.1111/dom.13194. Epub 2018 Jan 25.
5
Ertugliflozin in Patients with Stage 3 Chronic Kidney Disease and Type 2 Diabetes Mellitus: The VERTIS RENAL Randomized Study.恩格列净用于3期慢性肾脏病合并2型糖尿病患者:VERTIS RENAL随机研究
Diabetes Ther. 2018 Feb;9(1):49-66. doi: 10.1007/s13300-017-0337-5. Epub 2017 Nov 20.
6
Efficacy and safety of the addition of ertugliflozin in patients with type 2 diabetes mellitus inadequately controlled with metformin and sitagliptin: The VERTIS SITA2 placebo-controlled randomized study.在二甲双胍和西格列汀治疗控制不佳的 2 型糖尿病患者中添加埃格列净的疗效和安全性:VERTIS SITA2 安慰剂对照随机研究。
Diabetes Obes Metab. 2018 Mar;20(3):530-540. doi: 10.1111/dom.13116. Epub 2017 Oct 23.
7
Effect of ertugliflozin on glucose control, body weight, blood pressure and bone density in type 2 diabetes mellitus inadequately controlled on metformin monotherapy (VERTIS MET).在二甲双胍单药治疗血糖控制不佳的 2 型糖尿病患者中,厄格列净对血糖控制、体重、血压和骨密度的影响(VERTIS MET)。
Diabetes Obes Metab. 2018 Mar;20(3):520-529. doi: 10.1111/dom.13103. Epub 2017 Oct 2.
8
The Effect of Renal Impairment on the Pharmacokinetics and Pharmacodynamics of Ertugliflozin in Subjects With Type 2 Diabetes Mellitus.肾功能损害对2型糖尿病患者中恩格列净药代动力学和药效学的影响。
J Clin Pharmacol. 2017 Nov;57(11):1432-1443. doi: 10.1002/jcph.955. Epub 2017 Jul 13.
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Phase III, efficacy and safety study of ertugliflozin monotherapy in people with type 2 diabetes mellitus inadequately controlled with diet and exercise alone.恩格列净单药治疗对仅通过饮食和运动血糖控制不佳的2型糖尿病患者的III期疗效和安全性研究。
Diabetes Obes Metab. 2017 May;19(5):721-728. doi: 10.1111/dom.12888. Epub 2017 Feb 22.
10
Blood pressure-lowering effect of the sodium glucose co-transporter-2 inhibitor ertugliflozin, assessed via ambulatory blood pressure monitoring in patients with type 2 diabetes and hypertension.钠-葡萄糖协同转运蛋白 2 抑制剂依帕列净的降压作用:通过动态血压监测评估 2 型糖尿病合并高血压患者的疗效。
Diabetes Obes Metab. 2015 Aug;17(8):805-8. doi: 10.1111/dom.12486. Epub 2015 Jun 17.