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xylitol + glucose + l-carnitine

Development stage
Unknown
Lead developer
Iperboreal Pharma
Modality
Small Molecules
Administration
Intraperitoneal
01

Overview

A combination solution of xylitol, glucose, and L-carnitine is being developed as an innovative peritoneal dialysis (PD) fluid for patients with end-stage renal disease (ESRD). This formulation aims to reduce the intraperitoneal glucose load by partially replacing glucose with osmo-metabolic agents—xylitol and L-carnitine—which possess both osmotic and favorable metabolic properties. The mechanism involves using these agents as alternative osmolytes to maintain ultrafiltration while mitigating the negative systemic metabolic effects associated with high-glucose PD solutions. Clinical studies suggest that this approach may improve insulin sensitivity, glycemic control, and biocompatibility of the PD fluid without compromising efficacy or safety. The product is under investigation in clinical trials such as ELIXIR (using the brand name Xylocore), which evaluates its potential to reduce glucose exposure-related toxicities in PD patients[1][2][3][5].

Brand names
Xylocore
Other names
peritoneal dialysis solution containing combination of D-xylitol, D-glucose, L-carnitine
02

Targets

SLC7A1 (Cationic amino acid transporter 1)

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