Drug intelligence / Profile preview

mitiglinide

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

Overview

Mitiglinide is a rapid-onset, short-duration oral antidiabetic drug of the meglitinide (glinide) class, used for the treatment of type 2 diabetes mellitus. It acts as an insulin secretagogue by stimulating pancreatic β-cells to release insulin. The mechanism involves closing ATP-sensitive potassium channels (KATP channels), specifically by binding to the sulfonylurea receptor 1 (SUR1/ABCC8) subunit on pancreatic β-cells, leading to membrane depolarization and subsequent insulin secretion. Mitiglinide is structurally a derivative of benzylsuccinic acid and is classified as a small molecule hypoglycemic agent[1][4][5][6][8]. It has a rapid onset and short duration of action, targeting postprandial hyperglycemia[4]. Developed originally in Japan, it is marketed under several brand names including Glufast.

Brand names
GlufastGlinsunaKuai ruo tuo
Other names
mitiglinida2-benzyl-3-(hexahydro-2-isoindolinylcarbonyl)propionatecalcium 2-benzyl-3-(cis-hexahydro-2-isoindolinylcarbonyl)propionate dihydratemiti-glinidemitiglinidum
02

Targets

SUR2A (ATP-binding cassette sub-family C member 9)SUR2B (Sulfonylurea receptor 2B)KCNJ11 (Atp-sensitive inward rectifier potassium channel 11)KCNK6 (Potassium two pore domain channel subfamily K member 6)SUR1 (Sulfonylurea receptor 1)

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