Type 2 & other diabetes

The effect of renal function on the pharmacokinetics and pharmacodynamics of enavogliflozin, a potent and selective sodium‐glucose cotransporter ‐2 inhibitor, in type 2 diabetes

Diabetes Obes MetabPublished Open-label clinical trial

Authors' conclusion

Systemic exposure to oral enavogliflozin 0.5 mg was similar among the patients with T2DM regardless of their renal function levels. However, the glucosuric effect of enavogliflozin decreased with RI. Considering the UGE observed and approved therapeutic use of other SGLT2 inhibitors, the efficacy of enavogliflozin with regard to glycaemic control could be explored in patients with mild and moderate RI (estimated glomerular filtration rate ≥30 or ≥45 mL/min/1.73 m2) in a subsequent larger study.

Study context

Population
Patients with T2D stratified by renal function21 completed
Comparison
Enavogliflozin 0.5 mg pharmacokinetic (PK)/pharmacodynamic (PD) across renal function groups
Outcome
PK and PD vs creatinine clearance (CrCL)
Methodological detailstwo-part, stratified by renal function
  • Two-part
  • Stratified by renal function

Main finding

As reported in the abstract

Daily urinary glucose excretion positively correlated with creatinine clearance (CrCL) after single dose

r = 0.7866

p < 0.0001

Daily urinary glucose excretion positively correlated with CrCL after multiple doses

r = 0.6606

p = 0.0438

Original publication

The effect of renal function on the pharmacokinetics and pharmacodynamics of enavogliflozin, a potent and selective sodium‐glucose cotransporter ‐2 inhibitor, in type 2 diabetes. Diabetes Obes Metab. Published 15 April 2024. doi:10.1111/dom.15573

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