New-Generation Glucokinase Activators: Potential Game-Changers in Type 2 Diabetes Treatment

Achieving glycemic control and sustaining functional pancreatic β-cell activity remains an unmet medical need in the treatment of type 2 diabetes mellitus (T2DM). Glucokinase activators (GKAs) constitute a class of anti-diabetic drugs designed to regulate blood sugar levels and enhance β-cell functi...

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Main Authors: Dania Haddad, Vanessa Sybil Dsouza, Fahd Al-Mulla, Ashraf Al Madhoun
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/25/1/571
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author Dania Haddad
Vanessa Sybil Dsouza
Fahd Al-Mulla
Ashraf Al Madhoun
author_facet Dania Haddad
Vanessa Sybil Dsouza
Fahd Al-Mulla
Ashraf Al Madhoun
author_sort Dania Haddad
collection DOAJ
description Achieving glycemic control and sustaining functional pancreatic β-cell activity remains an unmet medical need in the treatment of type 2 diabetes mellitus (T2DM). Glucokinase activators (GKAs) constitute a class of anti-diabetic drugs designed to regulate blood sugar levels and enhance β-cell function in patients with diabetes. A significant progression in GKA development is underway to address the limitations of earlier generations. Dorzagliatin, a dual-acting GKA, targets both the liver and pancreas and has successfully completed two phase III trials, demonstrating favorable results in diabetes treatment. The hepato-selective GKA, TTP399, emerges as a strong contender, displaying clinically noteworthy outcomes with minimal adverse effects. This paper seeks to review the current literature, delve into the mechanisms of action of these new-generation GKAs, and assess their efficacy and safety in treating T2DM based on published preclinical studies and recent clinical trials.
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spelling doaj.art-72ee2883bf614deaa9fce5eb1246a85c2024-01-10T15:00:03ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672024-01-0125157110.3390/ijms25010571New-Generation Glucokinase Activators: Potential Game-Changers in Type 2 Diabetes TreatmentDania Haddad0Vanessa Sybil Dsouza1Fahd Al-Mulla2Ashraf Al Madhoun3Genetics and Bioinformatics Department, Dasman Diabetes Institute, Dasman 15462, KuwaitGenetics and Bioinformatics Department, Dasman Diabetes Institute, Dasman 15462, KuwaitGenetics and Bioinformatics Department, Dasman Diabetes Institute, Dasman 15462, KuwaitGenetics and Bioinformatics Department, Dasman Diabetes Institute, Dasman 15462, KuwaitAchieving glycemic control and sustaining functional pancreatic β-cell activity remains an unmet medical need in the treatment of type 2 diabetes mellitus (T2DM). Glucokinase activators (GKAs) constitute a class of anti-diabetic drugs designed to regulate blood sugar levels and enhance β-cell function in patients with diabetes. A significant progression in GKA development is underway to address the limitations of earlier generations. Dorzagliatin, a dual-acting GKA, targets both the liver and pancreas and has successfully completed two phase III trials, demonstrating favorable results in diabetes treatment. The hepato-selective GKA, TTP399, emerges as a strong contender, displaying clinically noteworthy outcomes with minimal adverse effects. This paper seeks to review the current literature, delve into the mechanisms of action of these new-generation GKAs, and assess their efficacy and safety in treating T2DM based on published preclinical studies and recent clinical trials.https://www.mdpi.com/1422-0067/25/1/571dorzagliatinTTP399glucokinase activatortype 2 diabetesclinical trialssafety
spellingShingle Dania Haddad
Vanessa Sybil Dsouza
Fahd Al-Mulla
Ashraf Al Madhoun
New-Generation Glucokinase Activators: Potential Game-Changers in Type 2 Diabetes Treatment
International Journal of Molecular Sciences
dorzagliatin
TTP399
glucokinase activator
type 2 diabetes
clinical trials
safety
title New-Generation Glucokinase Activators: Potential Game-Changers in Type 2 Diabetes Treatment
title_full New-Generation Glucokinase Activators: Potential Game-Changers in Type 2 Diabetes Treatment
title_fullStr New-Generation Glucokinase Activators: Potential Game-Changers in Type 2 Diabetes Treatment
title_full_unstemmed New-Generation Glucokinase Activators: Potential Game-Changers in Type 2 Diabetes Treatment
title_short New-Generation Glucokinase Activators: Potential Game-Changers in Type 2 Diabetes Treatment
title_sort new generation glucokinase activators potential game changers in type 2 diabetes treatment
topic dorzagliatin
TTP399
glucokinase activator
type 2 diabetes
clinical trials
safety
url https://www.mdpi.com/1422-0067/25/1/571
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