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JNJ-38431055 + sitagliptin is an investigational combination therapy for type 2 diabetes mellitus. JNJ-38431055 (also known as APD-597) is a small molecule agonist of the G protein-coupled receptor 119 (GPR119), developed to enhance incretin secretion and improve glycemic control. Sitagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor that increases endogenous levels of incretin hormones such as GLP-1 and GIP by inhibiting their degradation, thereby increasing insulin release and decreasing glucagon levels in a glucose-dependent manner. The combination aims to leverage complementary mechanisms—JNJ-38431055 stimulates incretin release while sitagliptin prolongs their activity—to improve blood glucose regulation in patients with type 2 diabetes[2][5][7]. Both drugs are orally administered small molecules.
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