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Pradigastat (LCQ908A) is a small molecule inhibitor of diacylglycerol O-acyltransferase 1 (DGAT1), an enzyme responsible for the final step of triglyceride synthesis in the intestine and liver. By inhibiting DGAT1, pradigastat reduces the formation of chylomicrons and the absorption of dietary fats, which has been explored for treating hypertriglyceridemia and type 2 diabetes. Metformin is a biguanide that primarily works by decreasing hepatic glucose production and improving insulin sensitivity through the activation of AMP-activated protein kinase (AMPK). The combination of LCQ908A and metformin was evaluated by Novartis in Phase 2 clinical trials for patients with type 2 diabetes who were inadequately controlled on metformin monotherapy. However, development for this indication was ultimately discontinued.
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