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MK‑0941 is an orally active, selective, allosteric glucokinase activator (GKA) developed for the treatment of type 2 diabetes. It activates glucokinase (hexokinase subtype IV) with high selectivity over other hexokinase isoforms. In clinical studies, MK‑0941 improved glycemic control when added to insulin glargine therapy in patients with type 2 diabetes; however, these effects were not sustained over time. The drug was associated with increased incidence of hypoglycemia and elevations in triglycerides and blood pressure. Chronic toxicity studies in animals revealed cataract formation at exposures above those planned for human use[1][2][4][5][6].
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