Pharmacokinetic/Pharmacodynamic Interaction between Evogliptin and
Glimepiride in Healthy Male Subjects
Abstract
Aims: Evogliptin, a dipeptidyl peptidase-4 (DPP-4) inhibitor and
glimepiride, a sulfonylurea, have been used to treat type 2 diabetes
mellitus. This study aimed at evaluating the pharmacokinetic (PK) and
pharmacodynamic (PD) interactions between evogliptin and glimepiride.
Methods: A randomized, open-label, 3-period, 3-treatment, 2-sequence
crossover study was conducted in healthy male subjects. During each
period, subjects received multiple doses of evogliptin 5 mg alone (EVO),
glimepiride 4 mg alone (GLI), or co-administration of the two (EVO+GLI).
Serial blood and urine samples for PK and PD analyses were collected 168
and 24 hours post-dosing, respectively. Results: Thirty-four subjects
completed the study. Co-administration of evogliptin and glimepiride did
not alter their plasma and urine PK profiles. For evogliptin, the
geometric mean ratio (GMR) (90% confidence intervals) for the maximum
plasma concentrations at steady-state (Cmax,ss) and the
area under the curve during dosing interval at steady-state
(AUCτ,ss) of EVO+GLI to E were 1.02 (0.98 – 1.06) and
0.97 (0.95 – 1.00), respectively. For glimepiride, the corresponding
values of EVO+GLI to GLI were 1.08 (1.01 – 1.17) and 1.08 (1.02 –
1.14), respectively. All values were within the regulatory
bioequivalence criteria of 0.80 – 1.25. Administration of EVO+GLI
decreased the glucose excursion compared to evogliptin and glimepiride
monotherapy, respectively. Conclusion: Evogliptin and glimepiride had no
PK interactions when co-administered, while combination therapy showed
an additive glucose lowering effect compared to those of evogliptin or
glimepiride monotherapy.