2011
DOI: 10.1021/jm200049r
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Discovery of a Clinical Candidate from the Structurally Unique Dioxa-bicyclo[3.2.1]octane Class of Sodium-Dependent Glucose Cotransporter 2 Inhibitors

Abstract: Compound 4 (PF-04971729) belongs to a new class of potent and selective sodium-dependent glucose cotransporter 2 inhibitors incorporating a unique dioxa-bicyclo[3.2.1]octane (bridged ketal) ring system. In this paper we present the design, synthesis, preclinical evaluation, and human dose predictions related to 4. This compound demonstrated robust urinary glucose excretion in rats and an excellent preclinical safety profile. It is currently in phase 2 clinical trials and is being evaluated for the treatment of… Show more

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Cited by 113 publications
(89 citation statements)
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“…Nevertheless, additional confidence that the PK/PD model predominantly represents SGLT2 inhibition can be derived from the concordance between the estimated unbound IC 50 and that previously reported for rSGLT2 in vitro (2.9 vs. 3 nM, respectively) (36). In addition, we have recently reported a similar in vitro-in vivo concordance of IC 50 in applying this PK/PD model to new SGLT2 inhibitor, PF-04971729 (27). It is interesting to note that the I max of dapagliflozin was estimated to be 0.32, indicating that maximum SGLT2 inhibition is associated with only a 32% reduction in glucose reabsorption.…”
Section: Discussion Preclinical Pharmacokinetics and Pharmacodynamicssupporting
confidence: 78%
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“…Nevertheless, additional confidence that the PK/PD model predominantly represents SGLT2 inhibition can be derived from the concordance between the estimated unbound IC 50 and that previously reported for rSGLT2 in vitro (2.9 vs. 3 nM, respectively) (36). In addition, we have recently reported a similar in vitro-in vivo concordance of IC 50 in applying this PK/PD model to new SGLT2 inhibitor, PF-04971729 (27). It is interesting to note that the I max of dapagliflozin was estimated to be 0.32, indicating that maximum SGLT2 inhibition is associated with only a 32% reduction in glucose reabsorption.…”
Section: Discussion Preclinical Pharmacokinetics and Pharmacodynamicssupporting
confidence: 78%
“…This value is consistent with plasma glucose values reported in normal rats (29)(30)(31). The f reabs parameter was fixed to 0.996 as previously estimated and is commensurate with near complete glucose reabsorption in normal rats (27). As such, only I max and IC 50 were estimated in the modeling process.…”
Section: Methodssupporting
confidence: 77%
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“…1) emerged as a candidate for further advancement (Mascitti et al, 2011). PF-04971729 demonstrated Ͼ2000-fold selectivity for SGLT2 inhibition (relative to SGLT1) in vitro and revealed a concentration-dependent glucosuria after oral administration to rats.…”
Section: Introductionmentioning
confidence: 99%
“…SGLT2 抑制剂多是糖苷类化合物, 是从天然产物 根皮苷中改造而来的 [2] . 由于对 O-糖苷药效和安全性的 担忧, 现在已经上市和在研的 SGLT2 抑制剂均是 C-糖 苷, 如 Dapagliflozin [3] 、 Canagliflozin [4] 、 Empagliflozin [5] 、 Ertugliflozin [6] 等(图 1), Dapagliflozin 已分别在欧洲、美 国批准上市.…”
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