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盐酸伊格列净:首次批准。

Imeglimin Hydrochloride: First Approval.

机构信息

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

出版信息

Drugs. 2021 Sep;81(14):1683-1690. doi: 10.1007/s40265-021-01589-9.

DOI:10.1007/s40265-021-01589-9
PMID:34472031
Abstract

Imeglimin hydrochloride (TWYMEEG; hereafter referred to as imeglimin) is an orally administered, first-in-class glimin being developed by Poxel and, in several Asian countries, Sumitomo Dainippon Pharma for the treatment of type 2 diabetes (T2D). The glimins are a novel class of glucose-lowering agents that target multiple components of diabetes-associated pathology. In June 2021, imeglimin received its first approval for use in T2D in Japan. The Japanese approval was based on extensive preclinical and clinical data, including positive results from the pivotal phase III TIMES programme. This article summarizes the milestones in the development of imeglimin leading to this first approval for T2D.

摘要

盐酸伊美格鲁肽(TWYMEEG;以下简称伊美格鲁肽)是一种口服的、首创的葡萄糖激酶激活剂类药物,由 Poxel 公司研发,在亚洲的多个国家,由住友制药(Sumitomo Dainippon Pharma)进行推广,用于治疗 2 型糖尿病(T2D)。葡萄糖激酶激活剂类药物是一类新型的降糖药物,针对糖尿病相关病理的多个环节。2021 年 6 月,伊美格鲁肽在日本获得了用于治疗 T2D 的首个批准。日本的批准是基于广泛的临床前和临床数据,包括关键性 III 期 TIMES 研究的积极结果。本文总结了伊美格鲁肽开发过程中的重要里程碑,这些里程碑促成了该药在 T2D 方面的首次批准。

相似文献

1
Imeglimin Hydrochloride: First Approval.盐酸伊格列净:首次批准。
Drugs. 2021 Sep;81(14):1683-1690. doi: 10.1007/s40265-021-01589-9.
2
A review of phenformin, metformin, and imeglimin.苯乙双胍、二甲双胍和伊美格鲁肽的综述。
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Drugs. 2021 Feb;81(2):185-190. doi: 10.1007/s40265-020-01434-5.
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[Pharmacological profile and clinical efficacy of imeglimin hydrochloride (TWYMEEGTablets), the orally drug for type 2 diabetes mellitus with the first dual mode of action in the world].[全球首款具有双重作用模式的口服2型糖尿病药物盐酸依美格列明(TWYMEEG片)的药理特性及临床疗效]
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Factors contributing to the clinical effectiveness of imeglimin monotherapy in Japanese patients with type 2 diabetes mellitus.促成胰高血糖素样肽-1 受体激动剂艾美格鲁肽单药疗法在日本 2 型糖尿病患者中临床疗效的因素。
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Efficacy and safety of imeglimin in type 2 diabetes: A systematic review and meta-analysis of randomized placebo-controlled trials.依美格列明治疗2型糖尿病的疗效与安全性:一项随机安慰剂对照试验的系统评价和荟萃分析
Diabetes Metab Syndr. 2023 Feb;17(2):102710. doi: 10.1016/j.dsx.2023.102710. Epub 2023 Jan 20.

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J Endocrinol Invest. 2025 Sep 12. doi: 10.1007/s40618-025-02655-9.
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Imeglimin systematic review: a novel therapeutic approach for type 2 diabetes-unveiling benefits on β-cell function, insulin sensitivity, and potential long-term glycaemic control (HbA1c).依美格列明系统评价:2型糖尿病的一种新型治疗方法——揭示对β细胞功能、胰岛素敏感性和潜在长期血糖控制(糖化血红蛋白)的益处
Eur J Clin Pharmacol. 2025 Sep 4. doi: 10.1007/s00228-025-03902-x.
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本文引用的文献

1
Imeglimin preserves islet β-cell mass in Type 2 diabetic ZDF rats.依格列净可保护 2 型糖尿病 ZDF 大鼠胰岛β细胞质量。
Endocrinol Diabetes Metab. 2020 Nov 7;4(2):e00193. doi: 10.1002/edm2.193. eCollection 2021 Apr.
2
Efficacy and Safety of Imeglimin Monotherapy Versus Placebo in Japanese Patients With Type 2 Diabetes (TIMES 1): A Double-Blind, Randomized, Placebo-Controlled, Parallel-Group, Multicenter Phase 3 Trial.在日本 2 型糖尿病患者中,伊格列净单药治疗与安慰剂相比的疗效和安全性(TIMES 1):一项双盲、随机、安慰剂对照、平行分组、多中心 3 期临床试验。
Diabetes Care. 2021 Apr;44(4):952-959. doi: 10.2337/dc20-0763. Epub 2021 Feb 11.
3
Efficacy and safety of imeglimin, a novel oral agent in the management of type 2 diabetes mellitus: a systematic review and meta-analysis.
新型口服药物依美格列明治疗2型糖尿病的疗效与安全性:一项系统评价和荟萃分析
Naunyn Schmiedebergs Arch Pharmacol. 2025 Apr 30. doi: 10.1007/s00210-025-04198-5.
4
A Novel Gastrodin Derivative with Neuroprotection Promotes NGF-Mimic Activity by Targeting INSR and ACTN4 to Activate PI3K/Akt Signaling Pathway in PC12 Cells.一种具有神经保护作用的新型天麻素衍生物通过靶向胰岛素受体(INSR)和辅肌动蛋白4(ACTN4)激活PC12细胞中的PI3K/Akt信号通路来促进类神经生长因子(NGF)活性。
Antioxidants (Basel). 2025 Mar 14;14(3):344. doi: 10.3390/antiox14030344.
5
Gastrointestinal symptoms in patients receiving imeglimin in combination with metformin: A post-hoc analysis of imeglimin clinical trial data.接受依美格鲁明与二甲双胍联合治疗的患者的胃肠道症状:依美格鲁明临床试验数据的事后分析。
J Diabetes Investig. 2025 Apr;16(4):629-638. doi: 10.1111/jdi.14396. Epub 2024 Dec 26.
6
Imeglimin for Type 2 Diabetes Mellitus: Its Efficacy and Insight Into the Potential Benefit for Renal and Liver Function.依美格列明用于2型糖尿病:其疗效及对肾脏和肝脏功能潜在益处的洞察
Cureus. 2024 Aug 6;16(8):e66322. doi: 10.7759/cureus.66322. eCollection 2024 Aug.
7
Glucokinase activators and imeglimin: new weaponry in the armamentarium against type 2 diabetes.葡萄糖激酶激活剂和伊美格鲁肽:治疗 2 型糖尿病的新武器。
BMJ Open Diabetes Res Care. 2024 Aug 30;12(4):e004291. doi: 10.1136/bmjdrc-2024-004291.
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Managing Post-Transplant Diabetes Mellitus after Kidney Transplantation: Challenges and Advances in Treatment.肾移植后移植后糖尿病的管理:治疗挑战与进展
Pharmaceuticals (Basel). 2024 Jul 26;17(8):987. doi: 10.3390/ph17080987.
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Factors contributing to the clinical effectiveness of imeglimin monotherapy in Japanese patients with type 2 diabetes mellitus.促成胰高血糖素样肽-1 受体激动剂艾美格鲁肽单药疗法在日本 2 型糖尿病患者中临床疗效的因素。
J Diabetes Investig. 2024 Sep;15(9):1239-1247. doi: 10.1111/jdi.14247. Epub 2024 May 25.
10
Effect of patient characteristics on the efficacy and safety of imeglimin monotherapy in Japanese patients with type 2 diabetes mellitus: A post-hoc analysis of two randomized, placebo-controlled trials.患者特征对日本 2 型糖尿病患者单用伊美格鲁肽疗效和安全性的影响:两项随机、安慰剂对照试验的事后分析。
J Diabetes Investig. 2023 Sep;14(9):1101-1109. doi: 10.1111/jdi.14035. Epub 2023 Jun 1.
Short-and long-term administration of imeglimin counters cardiorenal dysfunction in a rat model of metabolic syndrome.
在代谢综合征大鼠模型中,短期和长期给予依美格列明可对抗心肾功能障碍。
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