U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C18H25N3O2.H2O
Molecular Weight 333.4253
Optical Activity UNSPECIFIED
Defined Stereocenters 4 / 6
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of SAXAGLIPTIN

SMILES

O.[H][C@@]12C[C@]1([H])N([C@@H](C2)C#N)C(=O)[C@@H](N)C34CC5CC(CC(O)(C5)C3)C4

InChI

InChIKey=AFNTWHMDBNQQPX-NHKADLRUSA-N
InChI=1S/C18H25N3O2.H2O/c19-8-13-2-12-3-14(12)21(13)16(22)15(20)17-4-10-1-11(5-17)7-18(23,6-10)9-17;/h10-15,23H,1-7,9,20H2;1H2/t10?,11?,12-,13+,14+,15-,17?,18?;/m1./s1

HIDE SMILES / InChI

Description
Curator's Comment: Description was created based on several sources, including https://www.drugs.com/monograph/saxagliptin-hydrochloride.html

Saxagliptin is an orally active hypoglycemic (anti-diabetic drug) of the new dipeptidyl peptidase-4 (DPP-4) inhibitor class of drugs. FDA approved on July 31, 2009. Saxagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor antidiabetic for the treatment of type 2 diabetes. DPP-4 inhibitors are a class of compounds that work by affecting the action of natural hormones in the body called incretins. Incretins decrease blood sugar by increasing consumption of sugar by the body, mainly through increasing insulin production in the pancreas, and by reducing production of sugar by the liver. [Bristol-Myers Squibb Press Release] DPP-4 is a membrane associated peptidase which is found in many tissues, lymphocytes and plasma. DPP-4 has two main mechanisms of action, an enzymatic function and another mechanism where DPP-4 binds adenosine deaminase, which conveys intracellular signals via dimerization when activated. Saxagliptin forms a reversible, histidine-assisted covalent bond between its nitrile group and the S630 hydroxyl oxygen on DPP-4. The inhibition of DPP-4 increases levels active of glucagon like peptide 1 (GLP-1), which inhibits glucagon production from pancreatic alpha cells and increases production of insulin from pancreatic beta cells.

Originator

Curator's Comment: # Bristol-Myers Squibb

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
30.3 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Onglyza

Approved Use

Diabetes mellitus, type 2: As an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus (noninsulin dependent, NIDDM) as monotherapy or in combination therapy.

Launch Date

2009
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
24 ng/mL
5 mg single, oral
dose: 5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SAXAGLIPTIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
78 ng × h/mL
5 mg single, oral
dose: 5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SAXAGLIPTIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.5 h
5 mg single, oral
dose: 5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SAXAGLIPTIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
100%
5 mg single, oral
dose: 5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
SAXAGLIPTIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
10 mg 1 times / day steady, oral
Highest studied dose
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: table 4
unhealthy, adult
n = 98
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: M+F
Population Size: 98
Sources: Page: table 4
Disc. AE: Adverse event...
AEs leading to
discontinuation/dose reduction:
Adverse event (5.1%)
Sources: Page: table 4
2.5 mg 1 times / day steady, oral
Recommended
Dose: 2.5 mg, 1 times / day
Route: oral
Route: steady
Dose: 2.5 mg, 1 times / day
Sources: Page: 4
unhealthy, adult
n = 882
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: unknown
Population Size: 882
Sources: Page: 4
Disc. AE: Lymphopenia, Rash...
AEs leading to
discontinuation/dose reduction:
Lymphopenia (0.1%)
Rash (0.2%)
Blood creatinine increased (0.3%)
Blood creatine phosphokinase increased (0.1%)
Sources: Page: 4
5 mg 1 times / day steady, oral
Recommended
Dose: 5 mg, 1 times / day
Route: oral
Route: steady
Dose: 5 mg, 1 times / day
Sources: Page: 4
unhealthy, adult
n = 882
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: unknown
Population Size: 882
Sources: Page: 4
Disc. AE: Lymphopenia, Rash...
AEs leading to
discontinuation/dose reduction:
Lymphopenia (0.5%)
Rash (0.3%)
Blood creatine phosphokinase increased (0.2%)
Sources: Page: 4
AEs

AEs

AESignificanceDosePopulation
Adverse event 5.1%
Disc. AE
10 mg 1 times / day steady, oral
Highest studied dose
Dose: 10 mg, 1 times / day
Route: oral
Route: steady
Dose: 10 mg, 1 times / day
Sources: Page: table 4
unhealthy, adult
n = 98
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: M+F
Population Size: 98
Sources: Page: table 4
Blood creatine phosphokinase increased 0.1%
Disc. AE
2.5 mg 1 times / day steady, oral
Recommended
Dose: 2.5 mg, 1 times / day
Route: oral
Route: steady
Dose: 2.5 mg, 1 times / day
Sources: Page: 4
unhealthy, adult
n = 882
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: unknown
Population Size: 882
Sources: Page: 4
Lymphopenia 0.1%
Disc. AE
2.5 mg 1 times / day steady, oral
Recommended
Dose: 2.5 mg, 1 times / day
Route: oral
Route: steady
Dose: 2.5 mg, 1 times / day
Sources: Page: 4
unhealthy, adult
n = 882
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: unknown
Population Size: 882
Sources: Page: 4
Rash 0.2%
Disc. AE
2.5 mg 1 times / day steady, oral
Recommended
Dose: 2.5 mg, 1 times / day
Route: oral
Route: steady
Dose: 2.5 mg, 1 times / day
Sources: Page: 4
unhealthy, adult
n = 882
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: unknown
Population Size: 882
Sources: Page: 4
Blood creatinine increased 0.3%
Disc. AE
2.5 mg 1 times / day steady, oral
Recommended
Dose: 2.5 mg, 1 times / day
Route: oral
Route: steady
Dose: 2.5 mg, 1 times / day
Sources: Page: 4
unhealthy, adult
n = 882
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: unknown
Population Size: 882
Sources: Page: 4
Blood creatine phosphokinase increased 0.2%
Disc. AE
5 mg 1 times / day steady, oral
Recommended
Dose: 5 mg, 1 times / day
Route: oral
Route: steady
Dose: 5 mg, 1 times / day
Sources: Page: 4
unhealthy, adult
n = 882
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: unknown
Population Size: 882
Sources: Page: 4
Rash 0.3%
Disc. AE
5 mg 1 times / day steady, oral
Recommended
Dose: 5 mg, 1 times / day
Route: oral
Route: steady
Dose: 5 mg, 1 times / day
Sources: Page: 4
unhealthy, adult
n = 882
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: unknown
Population Size: 882
Sources: Page: 4
Lymphopenia 0.5%
Disc. AE
5 mg 1 times / day steady, oral
Recommended
Dose: 5 mg, 1 times / day
Route: oral
Route: steady
Dose: 5 mg, 1 times / day
Sources: Page: 4
unhealthy, adult
n = 882
Health Status: unhealthy
Condition: type 2 diabetes
Age Group: adult
Sex: unknown
Population Size: 882
Sources: Page: 4
OverviewDrug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
inconclusive
no
no
no
no
no
no
no
no
no
no
no (co-administration study)
Comment: administration with simvastatin did not alter PK of metformin; administration with diltiazem increased the plasma Cmax of diltiazem by 16%, AUC of diltiazem was unchagned
Page: 17.0
no
no (co-administration study)
Comment: administration with simvastatin did not alter PK of metformin; administration with diltiazem increased the plasma Cmax of diltiazem by 16%, AUC of diltiazem was unchanged; administration with ketoconazole decreased Cmax and AUC of ketoconazole by 16% and 13%, respectively;
Page: 17.0
no
no (co-administration study)
Comment: administration with metformin did not alter PK of metformin
Page: 16.0
no
no (co-administration study)
no
no (co-administration study)
no
unlikely (co-administration study)
Comment: no concentration and time-dependent inhibtion; administration with pioglitazone increased the plasma Cmax of glyburide by 14%, AUC was unchanged.
Page: 39.0
no
unlikely (co-administration study)
Comment: no concentration and time-dependent inhibtion; administration with glyburide increased the plasma Cmax of glyburide by 16%, AUC was unchanged.
Page: 39.0
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
yes (co-administration study)
Comment: ketoconazole increased the Cmax for saxagliptin by 62% and the AUC by 2.5-fold
Page: 38,42
minor
minor
minor
no
no
no
no
no
no
no
no
yes
no (co-administration study)
Comment: administration with digoxin did not alter PK of saxagliptin
Page: 39.0
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
(R)-8-(3-amino-piperidin-1-yl)-7-but-2-ynyl-3-methyl-1-(4-methyl-quinazolin-2-ylmethyl)-3,7-dihydro-purine-2,6-dione (BI 1356), a novel xanthine-based dipeptidyl peptidase 4 inhibitor, has a superior potency and longer duration of action compared with other dipeptidyl peptidase-4 inhibitors.
2008 Apr
Antihyperglycemic effects of ASP8497 in streptozotocin-nicotinamide induced diabetic rats: comparison with other dipeptidyl peptidase-IV inhibitors.
2009 Sep-Oct
Patents

Sample Use Guides

Diabetes Mellitus Monotherapy Oral 2.5 or 5 mg once daily.1 Higher dosages (e.g., 10 mg once daily) did not provide additional benefit in clinical trials and are not recommended by manufacturer.
Route of Administration: Oral
Saxagliptin inhibited rat plasma DPP-IV activity in vitro with an IC(50) value of 2.00 nmol/l
Name Type Language
SAXAGLIPTIN
MART.   USAN   VANDF  
USAN  
Official Name English
SAXAGLIPTIN MONOHYDRATE
DASH   MI   WHO-DD  
FDA  
Preferred Name English
BMS-477118-11
Code English
SAXAGLIPTIN HYDRATE
JAN  
Common Name English
SAXAGLIPTIN [USAN]
Common Name English
(1S,3S,5S)-2-((2S)-AMINO(3-HYDROXYTRICYCLO(3.3.1.1(SUP 3,7))DEC-1-YL)ACETYL)2-AZABICYCLO(3.1.0)HEXANE-3-CARBONITRILE MONOHYDRATE
Systematic Name English
QTERNMET COMPONENT SAXAGLIPTIN
Brand Name English
SAXAGLIPTIN MONOHYDRATE [MI]
Common Name English
SAXAGLIPTIN [MART.]
Common Name English
Saxagliptin monohydrate [WHO-DD]
Common Name English
NSC-760407
Code English
SAXAGLIPTIN [VANDF]
Common Name English
SAXAGLIPTIN HYDRATE [JAN]
Common Name English
SAXAGLIPTIN COMPONENT OF QTERNMET
Brand Name English
2-AZABICYCLO(3.1.0)HEXANE-3-CARBONITRILE, 2-((2S)-2-AMINO-2-(3-HYDROXYTRICYCLO(3.3.1.1(SUP 3,7))DEC-1-YL)ACETYL)-, HYDRATE (1:1), (1S,3S,5S)-
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C98086
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
WHO-ATC A10BD25
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
WHO-VATC QA10BH03
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
LIVERTOX NBK548688
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
WHO-ATC A10BD10
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
WHO-ATC A10BD21
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
WHO-ATC A10BH03
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
WHO-VATC QA10BD10
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
Code System Code Type Description
LACTMED
Saxagliptin
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
WIKIPEDIA
SAXAGLIPTIN
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
NCI_THESAURUS
C75983
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
EVMPD
SUB184493
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
DRUG CENTRAL
4114
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
MESH
C502994
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
RXCUI
857974
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY RxNorm
FDA UNII
9GB927LAJW
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
USAN
UU-57
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
CHEBI
71271
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
SMS_ID
100000170516
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
IUPHAR
6316
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
MERCK INDEX
m9795
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY Merck Index
DAILYMED
9GB927LAJW
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
CAS
945667-22-1
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
NSC
760407
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
ChEMBL
CHEMBL385517
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
DRUG BANK
DB06335
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
EPA CompTox
DTXSID80915446
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
CHEBI
71272
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY
PUBCHEM
53297473
Created by admin on Fri Dec 15 16:04:23 GMT 2023 , Edited by admin on Fri Dec 15 16:04:23 GMT 2023
PRIMARY