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Retrospective data, Journal, Real-world evidence: A Multicenter, Retrospective Study to Evaluate the Effectiveness and Safety of Imeglimin in Patients with Type 2 Diabetes Mellitus in a Real-World Clinical Setting (Pubmed Central) - Feb 19, 2025 Imeglimin shows promise as an effective and well-tolerated option for managing T2DM in the Indian population. Also, secondary impacts of imeglimin, such as improvements in the lipid profile, hepatic function, blood pressure, and weight loss, warrant further clinical exploration.
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Review, Journal: Two Concerns and A Single Solution in Managing Type 2 Diabetes: A Narrative Review on Imeglimin. (Pubmed Central) - Feb 2, 2025 The Trials of Imeglimin for Efficacy and Safety (TIMES) program, consisting of multiple clinical trials, has substantiated the efficacy and safety of imeglimin, illustrating significant glycated hemoglobin (HbA1c) reductions and favorable safety profiles. This review synthesizes evidence from these trials, providing a comprehensive overview of imeglimin as a novel monotherapy and its compatibility in combination therapies, heralding a novel approach to T2D treatment that targets the disease's mitochondrial roots.
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Journal: Differential effects of imeglimin and metformin on insulin and incretin secretion-An exploratory randomized controlled trial. (Pubmed Central) - Jan 6, 2025 This review synthesizes evidence from these trials, providing a comprehensive overview of imeglimin as a novel monotherapy and its compatibility in combination therapies, heralding a novel approach to T2D treatment that targets the disease's mitochondrial roots. Unlike metformin, imeglimin enhances GIP secretion as well as GLP-1 secretion, in addition to its direct insulinotropic mechanism of glucose control, emphasizing its potential as a therapeutic option in the treatment of patients with diabetes.
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Journal: Molecular docking analysis of imeglimin and its derivatives with estrogen receptor-alpha. (Pubmed Central) - Sep 23, 2024 The selected derivatives showed good binding affinity with favorable pharmacokinetic profiles. The selected compounds of Imeglimin were found to possess excellent anticancer potential and could be considered as novel, cost-effective anticancer agents effective against ER positive breast cancer for further investigation.
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Early Assessment of Imeglimin in India () - Jun 14, 2024 - Abstract #ADA2024ADA_3410; Imeglimin shows promise as an effective treatment for T2D in the Indian context, showing efficacy across various age groups and particularly in cases of uncontrolled diabetes. Further long-term studies are recommended to assess its efficacy and safety profile over an extended period.
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Journal: Imeglimin modulates mitochondria biology and facilitates mitokine secretion in 3?T3-L1 adipocytes. (Pubmed Central) - Jun 1, 2024 Our findings also showed that glucagon secretion promoted by imeglimin could contribute to improvement of fatty liver through suppressing de novo lipogenesis and enhancing fatty acid oxidation. Imeglimin modulates mitochondrial biology in adipocytes and may exert a mitohormetic effect through mitokine secretion.
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Glycemic Control Enhancement with Imeglimin in Type 2 Diabetes Mellitus (Poster Hall (West A4-B2); 903) - May 20, 2024 - Abstract #ADA2024ADA_2910; HbA1c levels showed a meaningful reduction of 0.45%. These results suggest that Imeglimin effectively enhances glycemic control in T2DM patients inadequately managed with other monotherapies.
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Safety and Efficacy of Imeglimin in Patients with Metformin Intolerance (Poster Hall (West A4-B2); 894) - May 20, 2024 - Abstract #ADA2024ADA_2901; These results suggest that Imeglimin effectively enhances glycemic control in T2DM patients inadequately managed with other monotherapies. Imeglimin show better GI tolerability as compared to metformin and significant Hba1c reduction with no effects on weight.
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Response to Imeglimin for Japanese Patients with Type 2 Diabetes (Poster Hall (West A4-B2); 886) - May 20, 2024 - Abstract #ADA2024ADA_2891; Imeglimin show better GI tolerability as compared to metformin and significant Hba1c reduction with no effects on weight. The distribution of responses to imeglimin was normally distributed and multimodal, suggesting that more than 80% of participants in the clinical trial showed substantial antidiabetic effect beyond the placebo effect.
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Imeglimin, a Novel, First-in-Class Glimin Helps in Maintaining (Poster Hall (West A4-B2); 876) - May 20, 2024 - Abstract #ADA2024ADA_2880; The distribution of responses to imeglimin was normally distributed and multimodal, suggesting that more than 80% of participants in the clinical trial showed substantial antidiabetic effect beyond the placebo effect. Imeglimin helps in maintaining ?-cell function in patients with recent-onset Latent Autoimmune Diabetes in Adults when given with insulin when compared to insulin given alone.
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Imeglimin Enhances Glucose-Induced Insulin Secretion with Activating Mitochondrial Function (Poster Hall (West A4-B2); 1757) - May 20, 2024 - Abstract #ADA2024ADA_2703; While it has been reported that the imeglimin-induced increase in GSIS in streptozotocin-treated mice is attributed to an increase in NAD+ and enhanced calcium influx by activating NAMPT expression, no change in NAD+ levels by imeglimin was observed in C57Bl/6 mice. Our data showed that a clinical relevant dose of imeglimin enhanced GSIS with enhanced mitochondrial function in islets isolated from C57Bl/6 mice.
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Differential Effect of Imeglimin Compared with Metformin on Insulin and Incretin Secretion (Poster Hall (West A4-B2); 1888) - May 20, 2024 - Abstract #ADA2024ADA_1537; Our data showed that a clinical relevant dose of imeglimin enhanced GSIS with enhanced mitochondrial function in islets isolated from C57Bl/6 mice. Although imeglimin and metformin demonstrate comparable improvement in glucose tolerance, insulinotropic effect and the effect on incretin secretion is different between imeglimin and metformin suggesting the difference of mechanism underlying their glucose-lowering effect.
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THE EFFECT OF IMEGLIMIN IN JAPANESE PATIENTS WITH TYPE 2 DIABETES MELLITUS VARIES WITH THE LEVELS OF HBA1C. () - Mar 17, 2024 - Abstract #ICEEDEC2024ICE_EDEC_973; Imeglimin significantly lowered the HbA1c level, and ameliorated serum lipids levels and hepatic function parameters in the patients. Imeglimin may have beneficial effects on glucose control, atherosclerosis and hepatic function in the diabetic patients showing poor glycemic control.However,the effect of Imeglimin in Japanese patients with type2 Diabetes Mellitus varies with the levels of HbA1c.
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Preclinical, Journal: Imeglimin improves systemic metabolism by targeting brown adipose tissue and gut microbiota in obese model mice. (Pubmed Central) - Mar 4, 2024 Ablation of microbiota by antibiotic treatment partially abrogated the insulin sensitizing effects of imeglimin, while not affecting its actions on body weight gain or brown adipose tissue. Collectively, our results characterize imeglimin as a potential agent promoting energy expenditure and gut integrity, providing new insights into its mechanisms of action.
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Review, Journal: Imeglimin: the New Kid on the Block. (Pubmed Central) - Jan 15, 2024 This is a unique mode of action than has been demonstrated to be distinct from other classes of drugs, as it targets both insulin secretion and insulin resistance by correcting the mitochondrial dysfunction. Imeglimin has been studied in various phase III trials which have equivocally shown it to be effective in lowering glucose levels and improving pancreatic function and its recommended dose set at 1000 mg bid.
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Clinical, Retrospective data, Review, Journal: Different doses of imeglimin for management of type 2 diabetes mellitus: a systematic review, meta-analysis, and meta-regression of randomized clinical trials. (Pubmed Central) - Jan 3, 2024 Regrettably, there was an observed escalation in gastrointestinal AEs as the dosage of imeglimin was raised, despite the absence of a corresponding improvement in its efficacy in decreasing HbA levels. Our study suggests that imeglimin 1000?mg twice daily may offer the most optimum therapeutic effects for glycemic control without compromising its safety profiles.
- |||||||||| daporinad (APO866) / Valerio Therap, metformin / Generic mfg., Twymeeg (imeglimin) / Poxel SA, Roivant, Sumitomo Pharma
Preclinical, Journal: Imeglimin profoundly affects the circadian clock in mouse embryonic fibroblasts. (Pubmed Central) - Nov 27, 2023 Collectively, these results reveal that imeglimin profoundly affects the circadian clock in MEFs. Further studies are needed to evaluate whether imeglimin treatment could exert similar effects in
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Journal: Mitochondrial Dysfunction and Imeglimin: A New Ray of Hope for the Treatment of Type-2 Diabetes Mellitus. (Pubmed Central) - Oct 20, 2023 As imeglimin targets, this root cause of defective energy metabolism and insulin resistance makes it a new add-on therapy in different diabetic regimes to achieve the proper glycemic targets. Its good tolerability and efficacy profiles in recent studies shows a new ray of hope in the journey to curtail diabetes-related morbidity.
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Review, Journal: Imeglimin: A Clinical Pharmacology Review. (Pubmed Central) - Sep 26, 2023 Dosage adjustment is thus required in moderately and severely renally impaired patients. Imeglimin pharmacokinetics was shown to be insensitive to ethnicity and food intake and to have no effect on QTcF interval.
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Retrospective data, Journal: Efficacy, safety and tolerability of imeglimin in (Pubmed Central) - Aug 23, 2023 Imeglimin pharmacokinetics was shown to be insensitive to ethnicity and food intake and to have no effect on QTcF interval. Imeglimin is efficacious, safe, and well tolerated as monotherapy and adjunctive therapy.
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Preclinical, Journal: Discovery of imeglimin-inspired novel 1,3,5-triazine derivatives as antidiabetic agents in streptozotocin-induced diabetes in Wistar rats via inhibition of DPP-4. (Pubmed Central) - Aug 18, 2023 The in vivo pharmacological assay revealed that compound 8c in a dose-dependent manner improved the insulin level, body weight, antioxidants, and HDL, and reduced the levels of blood glucose, LDL, and VLDL in streptozotocin-induced diabetes in Wistar rats. Our study demonstrated the discovery and development of novel 1,3,5-triazine derivatives bearing oxazine as a novel class of anti-diabetic agents via inhibition of DPP-4.
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Preclinical, Journal: Discovery of novel 1,3,5-triazine derivatives as an antidiabetic agent in Wistar rats via inhibition of DPP-4. (Pubmed Central) - Jun 26, 2023 In experimental animals, it also showed dose-dependent improvement in blood glucose, blood insulin, bodyweight, lipid profile and kidney and liver antioxidant profiles. This study demonstrated the discovery of imeglimin-inspired novel 1,3,5-triazines as a potent antidiabetic agent.
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