Drug intelligence / Profile preview

sangzhi total alkaloids

Development stage
Unknown
Lead developer
Beijing Wehand-Bio Pharmaceutical
Modality
Metabolically Activated Prodrugs → Prodrugs/Conditional Activator Small Molecules → Small Molecules, Classical Binding Small Molecules → Small Molecules
Administration
Oral
01

Overview

Sangzhi total alkaloids (SZ-A) is a botanical drug derived from the twigs of *Morus alba* L. (mulberry). Developed by the Institute of Materia Medica, Chinese Academy of Medical Sciences, and Beijing Wehand-Viamin Biotech, it was approved by the NMPA in China in 2020 as the first botanical drug for the treatment of type 2 diabetes mellitus (T2DM). The drug primarily acts as an alpha-glucosidase inhibitor, effectively lowering postprandial blood glucose by inhibiting the breakdown of complex carbohydrates in the small intestine. Its active components include polyhydroxyalkaloids such as 1-deoxynojirimycin (DNJ), fagomine, and 1,4-dideoxy-1,4-imino-D-arabinitol (DAB). Beyond glycemic control, it is currently being evaluated in Phase 4 clinical trials for its efficacy and safety in patients with diabetic nephropathy, focusing on renal function and albuminuria reduction.

Brand names
Sangzhi Zong Shengwujian
Other names
mulberry twig (sangzhi) alkaloidsMulberry Twig AlkaloidsSangzhi AlkaloidsSangzhi Total Alkaloids
02

Targets

Sucrase-Isomaltase

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