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Pharmacokinetic/Pharmacodynamic Interaction between Evogliptin and Glimepiride in Healthy Male Subjects
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  • Hyounggyoon Yoo,
  • Yun Kim,
  • In-Jin Jang,
  • Kyung-Sang Yu,
  • SeungHwan Lee
Hyounggyoon Yoo
Seoul National University College of Medicine

Corresponding Author:[email protected]

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Yun Kim
Seoul National University College of Medicine and Hospital
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In-Jin Jang
Seoul National University College of Medicine
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Kyung-Sang Yu
Seoul National University Hospital
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SeungHwan Lee
Seoul National University College of Medicine and Hospital
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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.
Nov 2020Published in Drug Design, Development and Therapy volume Volume 14 on pages 5179-5187. 10.2147/DDDT.S275343