Drug intelligence / Profile preview

metoprolol + spironolactone + empagliflozin

Development stage
Unknown
Lead developer
UT Southwestern Medical Center
Modality
Small Molecules
Administration
Oral
01

Overview

metoprolol + spironolactone + empagliflozin is an investigational, unapproved once-daily fixed-dose combination "polypill" developed by the University of Texas Southwestern Medical Center for the treatment of heart failure with reduced ejection fraction (HFrEF). It combines three guideline-directed medical therapies (GDMT) into a single capsule: metoprolol succinate (a beta-1 adrenergic receptor blocker), spironolactone (a mineralocorticoid receptor antagonist), and empagliflozin (a sodium-glucose cotransporter 2 inhibitor). In the Phase 2 POLY-HF trial, the polypill was manufactured by over-encapsulating the separate drugs in an inert gel capsule. The combination is designed to simplify complex medication regimens, reduce pill burden, and improve treatment adherence and clinical outcomes in patients with HFrEF.

Other names
metoprolol succinate + spironolactone + empagliflozinPOLY-HF polypill
02

Targets

ADRB1 (β1)MR (Mineralocorticoid receptor)PR (Progesterone receptor)SGLT2 (Sodium-glucose cotransporter protein subunit 2)

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