Drug intelligence / Profile preview

dapagliflozin + finerenone

Development stage
Phase 4
Lead developer
AstraZeneca
Modality
Small Molecules
Administration
Oral
01

Overview

Dapagliflozin + finerenone is a combination regimen consisting of a sodium-glucose cotransporter-2 (SGLT2) inhibitor and a non-steroidal mineralocorticoid receptor antagonist (MRA). Dapagliflozin works by inhibiting glucose reabsorption in the proximal tubule of the kidney, leading to glucosuria and osmotic diuresis, which reduces intraglomerular pressure. Finerenone selectively blocks the mineralocorticoid receptor, thereby inhibiting inflammation and fibrosis in the heart and kidneys. This combination is being investigated for its potential additive or synergistic effects in reducing albuminuria and slowing the progression of chronic kidney disease in patients with type 2 diabetes (diabetic nephropathy). The regimen is currently being evaluated in investigator-initiated clinical trials to determine if the dual blockade of these pathways provides superior renoprotection compared to monotherapy.

Other names
dapagliflozin-finerenone combination
02

Targets

AR (Adrenergic receptors)GR (Glucocorticoid receptor)MR (Mineralocorticoid receptor)PR (Progesterone receptor)SLC5A1 (Sodium Glucose Cotransporter 1)SGLT2 (Sodium-glucose cotransporter protein subunit 2)

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