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ISIS 426115 (ISIS-GCCRRx) is an antisense oligonucleotide designed to antagonize the glucocorticoid receptor. It was investigated in combination with metformin for the treatment of type 2 diabetes mellitus. The combination aims to evaluate efficacy, safety, and tolerability versus placebo plus metformin. Metformin is a well-established oral antihyperglycemic agent that acts primarily by decreasing hepatic glucose production and improving insulin sensitivity. ISIS 426115 targets the glucocorticoid receptor at the RNA level, potentially reducing glucocorticoid-mediated insulin resistance[1][2][4][6].
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