Drug intelligence / Profile preview

sitagliptin + metformin + insulin glargine

Development stage
Unknown
Lead developer
Merck
Modality
Small Molecules
Administration
Oral, Subcutaneous
01

Overview

This drug entity refers to a sequential combination treatment regimen evaluated in the JUBILEE (JanUmet Before Insulin Lantus In Eastern Population Evaluation Program) clinical trial conducted by the Chinese University of Hong Kong. The regimen consists of Janumet (a fixed-dose combination of sitagliptin and metformin) followed by the addition of Lantus (insulin glargine) for the management of Type 2 Diabetes Mellitus. Sitagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor that increases insulin release and decreases glucagon levels. Metformin is a biguanide that reduces hepatic glucose production and improves insulin sensitivity. Insulin glargine is a long-acting basal insulin analogue that provides a steady level of insulin over 24 hours. The Phase 4 study specifically evaluated this regimen's efficacy and safety in achieving glycemic control with fewer hypoglycemic events compared to traditional sulfonylurea-based therapies in Chinese patients.

Brand names
JanumetLantus
Other names
Janumet + LantusJUBILEE regimensitagliptin + metformin + insulin glargine-Chinese University of Hong Kong-Type 2 Diabetes Mellitus
02

Targets

ND1 (Mitochondrial electron transport chain complex I)DPP-4 (Dipeptidyl Peptidase-IV)AMPK (Adenosine monophosphate–activated protein kinase)INSR (Insulin receptor)

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