Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C21H25ClO6.C3H8O2.H2O |
Molecular Weight | 502.982 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 6 / 6 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
O.C[C@H](O)CO.CCOC1=CC=C(CC2=C(Cl)C=CC(=C2)[C@@H]3O[C@H](CO)[C@@H](O)[C@H](O)[C@H]3O)C=C1
InChI
InChIKey=GOADIQFWSVMMRJ-UPGAGZFNSA-N
InChI=1S/C21H25ClO6.C3H8O2.H2O/c1-2-27-15-6-3-12(4-7-15)9-14-10-13(5-8-16(14)22)21-20(26)19(25)18(24)17(11-23)28-21;1-3(5)2-4;/h3-8,10,17-21,23-26H,2,9,11H2,1H3;3-5H,2H2,1H3;1H2/t17-,18-,19+,20-,21+;3-;/m10./s1
Molecular Formula | H2O |
Molecular Weight | 18.0153 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | C3H8O2 |
Molecular Weight | 76.0944 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Molecular Formula | C21H25ClO6 |
Molecular Weight | 408.873 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 5 / 5 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Dapagliflozin (trade name Farxiga in the U.S. and Forxiga in the EU and Russia) is a drug of the gliflozin class, developed by Bristol-Myers Squibb in partnership with AstraZeneca. Farxiga is a sodium-glucose cotransporter 2 (SGLT2) inhibitor indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
Originator
Sources: http://adisinsight.springer.com/drugs/800021756
Curator's Comment: # Bristol-Myers Squibb
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
1.16 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | FARXIGA Approved UseFARXIGA (dapagliflozin) is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus Launch Date2014 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
154 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
10 mg single, oral dose: 10 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN 3-O-GLUCURONIDE plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
24.6 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
2.5 mg single, oral dose: 2.5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN 3-O-GLUCURONIDE plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
49 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
5 mg single, oral dose: 5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN 3-O-GLUCURONIDE plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
118 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
10 mg single, oral dose: 10 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
24.8 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
2.5 mg single, oral dose: 2.5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
48.4 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
5 mg single, oral dose: 5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
119 ng/mL |
10 mg 1 times / day steady-state, oral dose: 10 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: FASTED |
|
116 ng/mL |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
208 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
5 mg single, oral dose: 5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN 3-O-GLUCURONIDE plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
612 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
10 mg single, oral dose: 10 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN 3-O-GLUCURONIDE plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
95.8 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
2.5 mg single, oral dose: 2.5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN 3-O-GLUCURONIDE plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
105 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
2.5 mg single, oral dose: 2.5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN 3-O-GLUCURONIDE plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
232 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
5 mg single, oral dose: 5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN 3-O-GLUCURONIDE plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
658 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
10 mg single, oral dose: 10 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN 3-O-GLUCURONIDE plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
189 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
5 mg single, oral dose: 5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
418 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
10 mg single, oral dose: 10 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
92.3 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
2.5 mg single, oral dose: 2.5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
101 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
2.5 mg single, oral dose: 2.5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
199 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
5 mg single, oral dose: 5 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
427 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01525238 |
10 mg single, oral dose: 10 mg route of administration: oral experiment type: single co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
506 ng × h/mL |
10 mg 1 times / day steady-state, oral dose: 10 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: FASTED |
|
368 ng × h/mL |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
15.77 h |
10 mg 1 times / day steady-state, oral dose: 10 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: FASTED |
|
3 h |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
DAPAGLIFLOZIN plasma | Homo sapiens population: HEALTHY age: UNKNOWN sex: UNKNOWN food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
10 mg single, oral Highest studied dose |
unhealthy, 14.6 years (range: 11–17) n = 8 Health Status: unhealthy Condition: type 2 diabetes mellitus Age Group: 14.6 years (range: 11–17) Sex: M+F Population Size: 8 Sources: |
Other AEs: Abdominal pain upper, Back pain... Other AEs: Abdominal pain upper (12.5%) Sources: Back pain (12.5%) Nausea (12.5%) |
10 mg 1 times / day steady, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy, 23 years n = 1 Health Status: unhealthy Condition: type 2 diabetes mellitus Age Group: 23 years Sex: F Population Size: 1 Sources: |
Disc. AE: Ketoacidosis... AEs leading to discontinuation/dose reduction: Ketoacidosis (1 patient) Sources: |
50 mg single, oral Highest studied dose |
healthy, 24 years (range: 20–45 years years) n = 8 Health Status: healthy Age Group: 24 years (range: 20–45 years years) Sex: M Population Size: 8 Sources: |
|
20 mg 1 times / day steady, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: steady Dose: 20 mg, 1 times / day Sources: |
unhealthy, 62 years (range: 20 - 70 years) n = 12 Health Status: unhealthy Condition: type 2 diabetes mellitus Age Group: 62 years (range: 20 - 70 years) Sex: M Population Size: 12 Sources: |
Other AEs: Protein urine present... |
10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Other AEs: Coronary artery disease, Gastritis... Other AEs: Coronary artery disease (serious, 1 patient) Sources: Gastritis (serious, 1 patient) Lung infection (serious, 1 patient) Acidosis (serious, 1 patient) Osteoarthritis (serious, 1 patient) Colorectal cancer (serious, 1 patient) Syncope (serious, 1 patient) Ectopic pregnancy (serious, 1 patient) Calculus ureteric (serious, 1 patient) Hydronephrosis (serious, 1 patient) Hyperlipidaemia (below serious, 31 patient) |
10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 12 Health Status: unhealthy Condition: Metabolic Syndrome Population Size: 12 Sources: |
Other AEs: Urinary infection... Other AEs: Urinary infection (below serious, 1 patient) Sources: |
10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 18 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 18 Sources: |
Other AEs: Muscle soreness... Other AEs: Muscle soreness (below serious, 8 patients) Sources: |
10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 22 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 22 Sources: |
Other AEs: Increased urinary frequency, Vaginal itching... Other AEs: Increased urinary frequency (below serious, 3 patients) Sources: Vaginal itching (below serious, 2 patients) Nausea (below serious, 1 patient) Dry mouth (below serious, 2 patients) Urinary tract infection (below serious, 1 patient) |
10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 12 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 12 Sources: |
Other AEs: Urinary tract infection, Low back pain... Other AEs: Urinary tract infection (below serious, 2 patients) Sources: Low back pain (below serious, 1 patient) |
10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 15 Health Status: unhealthy Condition: PreDiabetes Population Size: 15 Sources: |
Other AEs: Vaginal infection, Urinary tract infections... Other AEs: Vaginal infection (below serious, 3 patients) Sources: Urinary tract infections (below serious, 2 patients) |
2.5 mg 1 times / day steady, oral Dose: 2.5 mg, 1 times / day Route: oral Route: steady Dose: 2.5 mg, 1 times / day Sources: |
unhealthy n = 74 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 74 Sources: |
Other AEs: Uterine leiomyoma, Pneumonia... Other AEs: Uterine leiomyoma (serious, 1 patient) Sources: Pneumonia (serious, 1 patient) Pharyngitis (below serious, 4 patients) Dizziness (below serious, 5 patients) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Abdominal pain upper | 12.5% | 10 mg single, oral Highest studied dose |
unhealthy, 14.6 years (range: 11–17) n = 8 Health Status: unhealthy Condition: type 2 diabetes mellitus Age Group: 14.6 years (range: 11–17) Sex: M+F Population Size: 8 Sources: |
Back pain | 12.5% | 10 mg single, oral Highest studied dose |
unhealthy, 14.6 years (range: 11–17) n = 8 Health Status: unhealthy Condition: type 2 diabetes mellitus Age Group: 14.6 years (range: 11–17) Sex: M+F Population Size: 8 Sources: |
Nausea | 12.5% | 10 mg single, oral Highest studied dose |
unhealthy, 14.6 years (range: 11–17) n = 8 Health Status: unhealthy Condition: type 2 diabetes mellitus Age Group: 14.6 years (range: 11–17) Sex: M+F Population Size: 8 Sources: |
Ketoacidosis | 1 patient Disc. AE |
10 mg 1 times / day steady, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy, 23 years n = 1 Health Status: unhealthy Condition: type 2 diabetes mellitus Age Group: 23 years Sex: F Population Size: 1 Sources: |
Protein urine present | 2 patients | 20 mg 1 times / day steady, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: steady Dose: 20 mg, 1 times / day Sources: |
unhealthy, 62 years (range: 20 - 70 years) n = 12 Health Status: unhealthy Condition: type 2 diabetes mellitus Age Group: 62 years (range: 20 - 70 years) Sex: M Population Size: 12 Sources: |
Hyperlipidaemia | below serious, 31 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Acidosis | serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Calculus ureteric | serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Colorectal cancer | serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Coronary artery disease | serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Ectopic pregnancy | serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Gastritis | serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Hydronephrosis | serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Lung infection | serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Osteoarthritis | serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Syncope | serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 139 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 139 Sources: |
Urinary infection | below serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 12 Health Status: unhealthy Condition: Metabolic Syndrome Population Size: 12 Sources: |
Muscle soreness | below serious, 8 patients | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 18 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 18 Sources: |
Nausea | below serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 22 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 22 Sources: |
Urinary tract infection | below serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 22 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 22 Sources: |
Dry mouth | below serious, 2 patients | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 22 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 22 Sources: |
Vaginal itching | below serious, 2 patients | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 22 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 22 Sources: |
Increased urinary frequency | below serious, 3 patients | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 22 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 22 Sources: |
Low back pain | below serious, 1 patient | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 12 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 12 Sources: |
Urinary tract infection | below serious, 2 patients | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 12 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 12 Sources: |
Urinary tract infections | below serious, 2 patients | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 15 Health Status: unhealthy Condition: PreDiabetes Population Size: 15 Sources: |
Vaginal infection | below serious, 3 patients | 10 mg 1 times / day steady, oral Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy n = 15 Health Status: unhealthy Condition: PreDiabetes Population Size: 15 Sources: |
Pharyngitis | below serious, 4 patients | 2.5 mg 1 times / day steady, oral Dose: 2.5 mg, 1 times / day Route: oral Route: steady Dose: 2.5 mg, 1 times / day Sources: |
unhealthy n = 74 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 74 Sources: |
Dizziness | below serious, 5 patients | 2.5 mg 1 times / day steady, oral Dose: 2.5 mg, 1 times / day Route: oral Route: steady Dose: 2.5 mg, 1 times / day Sources: |
unhealthy n = 74 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 74 Sources: |
Pneumonia | serious, 1 patient | 2.5 mg 1 times / day steady, oral Dose: 2.5 mg, 1 times / day Route: oral Route: steady Dose: 2.5 mg, 1 times / day Sources: |
unhealthy n = 74 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 74 Sources: |
Uterine leiomyoma | serious, 1 patient | 2.5 mg 1 times / day steady, oral Dose: 2.5 mg, 1 times / day Route: oral Route: steady Dose: 2.5 mg, 1 times / day Sources: |
unhealthy n = 74 Health Status: unhealthy Condition: Type 2 Diabetes Population Size: 74 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 63.0 |
no [IC50 >45 uM] | |||
Page: 63.0 |
no [IC50 >45 uM] | |||
Page: 63.0 |
no [IC50 >45 uM] | |||
Page: 63.0 |
no [IC50 >45 uM] | |||
Page: 63.0 |
no [IC50 >45 uM] | |||
Page: 63, 67 |
no [IC50 >45 uM] | no (co-administration study) Comment: no clinically meaningful drug-drug interaction observed in the all the DDI studies conducted Page: 63, 67 |
||
Page: 63, 67 |
no [IC50 >45 uM] | no (co-administration study) Comment: no clinically meaningful drug-drug interaction observed in the all the DDI studies conducted Page: 63, 67 |
||
Page: 63, 67 |
no [IC50 >45 uM] | no (co-administration study) Comment: no clinically meaningful drug-drug interaction observed in the all the DDI studies conducted Page: 63, 67 |
||
Page: 64, 67 |
no [IC50 >57.6 uM] | no (co-administration study) Comment: dapagliflozin does not demonstrate any ability to inhibit P-gp mediated efflux of digoxin Page: 64, 67 |
||
Page: 63.0 |
no | |||
Page: 63.0 |
no | |||
Page: 63.0 |
no | |||
Page: 64.0 |
no | |||
Page: 63.0 |
no | |||
Page: 64, 67 |
no | no (co-administration study) Comment: no clinically meaningful drug-drug interaction observed in the all the DDI studies conducted Page: 64, 67 |
||
Page: 91.0 |
weak [IC50 >45 uM] | |||
Page: 64, 67 |
yes [IC50 33 uM] | no (co-administration study) Comment: no clinically meaningful drug-drug interaction observed in the all the DDI studies conducted Page: 64, 67 |
||
Page: 29.0 |
yes [IC50 69 uM] | |||
Page: 29.0 |
yes [IC50 8 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 67.0 |
minor | |||
Page: 29.0 |
no | |||
Page: 29.0 |
no | |||
Page: 29.0 |
no | |||
Page: 29.0 |
no | no (co-administration study) Comment: no clinically meaningful drug-drug interaction observed in the all the DDI studies conducted from clinical pharmacology review p67 Page: 29.0 |
||
Page: 68.0 |
weak | |||
Page: 63.0 |
yes | |||
Page: 63.0 |
yes | |||
Page: 63.0 |
yes | |||
Page: 63.0 |
yes | |||
Page: 63.0 |
yes | |||
Page: 63, 65 |
yes | no (co-administration study) Comment: no clinically meaningful drug-drug interaction observed in the all the DDI studies conducted Page: 63, 65 |
||
Page: 63, 65 |
yes | no (co-administration study) Comment: no clinically meaningful drug-drug interaction observed in the all the DDI studies conducted Page: 63, 65 |
||
Page: 63, 65 |
yes | no (co-administration study) Comment: no clinically meaningful drug-drug interaction observed in the all the DDI studies conducted Page: 63, 65 |
||
Page: 29.0 |
yes | no (co-administration study) Comment: no clinically meaningful drug-drug interaction observed in the all the DDI studies conducted from clinical pharmacology review p67 Page: 29.0 |
||
Page: 65.0 |
yes | unlikely (co-administration study) Comment: coadministration of mefenamic acid showed slight increase in dapagliflozin exposure; the increase in exposure does not warrant any dose adjustment Page: 65.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Dapagliflozin, a selective SGLT2 inhibitor, improves glucose homeostasis in normal and diabetic rats. | 2008 Jun |
|
Dapagliflozin, an oral sodium glucose cotransporter type 2 inhibitor for the treatment of type 2 diabetes mellitus. | 2009 Dec |
|
Dapagliflozin for the treatment of type 2 diabetes. | 2009 Jul |
|
Renal sodium-glucose transport: role in diabetes mellitus and potential clinical implications. | 2009 Jun |
|
Gateways to clinical trials. | 2009 Mar |
|
Diabetes treatment. | 2009 Mar |
|
Dapagliflozin: an emerging treatment option in type 2 diabetes. | 2009 Mar |
|
Dapagliflozin, a novel, selective SGLT2 inhibitor, improved glycemic control over 2 weeks in patients with type 2 diabetes mellitus. | 2009 May |
|
Dapagliflozin, a novel SGLT2 inhibitor, induces dose-dependent glucosuria in healthy subjects. | 2009 May |
|
Gateways to clinical trials. | 2009 Oct |
|
Dapagliflozin: where does it fit in the treatment of type 2 diabetes? | 2009 Oct |
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A study of dapagliflozin in patients with type 2 diabetes receiving high doses of insulin plus insulin sensitizers: applicability of a novel insulin-independent treatment. | 2009 Sep |
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Dapagliflozin: BMS 512148; BMS-512148. | 2010 |
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Synthesis of pyridazine and thiazole analogs as SGLT2 inhibitors. | 2010 Aug 15 |
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A novel strategy for the treatment of diabetes mellitus - sodium glucose co-transport inhibitors. | 2010 Dec |
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Quantitative PCR tissue expression profiling of the human SGLT2 gene and related family members. | 2010 Dec |
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Dapagliflozin: a sodium glucose cotransporter 2 inhibitor in development for type 2 diabetes. | 2010 Dec |
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Effect of dapagliflozin in patients with type 2 diabetes who have inadequate glycaemic control with metformin: a randomised, double-blind, placebo-controlled trial. | 2010 Jun 26 |
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Dapagliflozin, an SGLT2 inhibitor, for diabetes. | 2010 Jun 26 |
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Dapagliflozin monotherapy in type 2 diabetic patients with inadequate glycemic control by diet and exercise: a randomized, double-blind, placebo-controlled, phase 3 trial. | 2010 Oct |
Patents
Sample Use Guides
The recommended starting dose is 5 mg once daily, taken in the morning,
with or without food.
Dose can be increased to 10 mg once daily in patients tolerating
FARXIGA who require additional glycemic control.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/23657801
Curator's Comment: A non-radioactive cell-based method for the screening of SGLT inhibitors using COS-7 cells transiently expressing human SGLT1 (hSGLT1), CHO-K1 cells stably expressing human SGLT2 (hSGLT2), and a novel fluorescent d-glucose analogue 1-NBDG as a substrate was used.
The IC50 values of dapagliflozin for hSGLT2 and hSGLT1 determined using 1-NBDG were 1.86 nM and 880 nM
Substance Class |
Chemical
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PRIMARY | APPROVED MARCH 2014 |
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