Dose-dependent glucosuria of DWP16001, a novel selective SGLT-2
inhibitor, in healthy subjects
Abstract
DWP16001 is a novel sodium-glucose cotransporter-2 (SGLT2) inhibitor
under development for the treatment of type 2 diabetes mellitus. This
study was conducted to evaluate the pharmacokinetics (PK),
pharmacodynamics (PD), and safety of DWP16001 after single and multiple
doses in healthy subjects. A randomized, double-blind, placebo- and
active-controlled, single- and multiple-dose study was conducted. Twelve
subjects in each dose group received a single dose (0.2, 0.5, 1.0, 2.0,
or 5.0 mg) or multiple doses (0.1, 0.3, 0.5, 1.0, or 2.0 mg once daily
for 15 consecutive days) of DWP16001, dapagliflozin 10 mg, or placebo,
in a ratio of 8:2:2. Serial blood samples and interval urine samples
were collected for PK and PD analyses. Safety and tolerability were
assessed throughout the study period. A dose-dependent increase in
urinary glucose excretion (UGE) was observed after a single dose, and
the steady-state UGE was 50–60 g/day after multiple doses in the dose
range of 0.3 – 2.0 mg. DWP16001 was rapidly absorbed with the time to
peak plasma concentration of 1.0 – 3.0 hours, and eliminated with a
mean elimination half-life of 13 - 29 hours. The systemic exposure of
DWP16001 increased proportionally with the dose after multiple
administrations in the range of 0.1 – 2.0 mg. DWP16001 was well
tolerated in all dose groups. DWP16001 caused glucosuria in a
dose-dependent manner, and systemic exposure was observed after multiple
doses. DWP16001 was well tolerated up to 5.0 mg after a single oral dose
and up to 2.0 mg after multiple oral administration