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Mitoglitazone (MSDC-0160) is an investigational, once-daily oral insulin sensitizer developed by Metabolic Solutions Development Company. It is the prototype of a new class of therapeutic agents called mTOT (mitochondrial Target of Thiazolidinediones) modulators. Mitoglitazone is a PPAR-sparing thiazolidinedione (TZD) that improves insulin sensitivity and lowers glucose levels by selectively modulating mitochondrial metabolism and nutrient-sensing pathways, specifically targeting the mitochondrial pyruvate carrier (MPC) complex. Unlike traditional TZDs, it does not directly activate nuclear transcription factors such as PPAR-gamma, which is intended to reduce side effects like weight gain and edema. It has been evaluated in Phase 2 clinical trials for type 2 diabetes mellitus and Alzheimer's disease.
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