This clinical trial is designed to assess the effect of hepatic impairment on the pharmacokinetic and pharmacodynamic of glufast tablets 10 mg.
Mitiglinide calcium hydrate (Glufast Tablets) is an insulinotropic agent of the glinide class with rapid onset and is chemically designated as (+)-monocalcium bis\[(2S,3a,7a-cis)-α-benzylhexahydro-γ-oxo-2-isoindolinebutyrate\] dihydrate.By transiently increasing insulin secretion, mitiglinide exerts a hypoglycemic effect with rapid onset and short duration of action.This effect results from the inhibitory effect of mitiglinide on the ATP-sensitive potassium (KATP) channel current through binding to sulfonylurea receptor in pancreatic cells. In an in vitro study, it was confirmed that mitiglinide is metabolized in liver and kidney, and the glucuronide and hydroxyl metabolites are mainly produced by drug metabolizing enzyme,UGT1A9 and 1A3, and by CYP2C9, respectively.Considering that the patient population with T2DM to be targeted appears to have hepatic impairment and the effects of liver dysfunction on pharmacokinetics and pharmacodynamics of mitiglinide are still unknown, this study was designed to investigate the pharmacokinetics (PK), pharmacodynamics (PD) and safety of mitiglinide when administered to T2DM patients with impaired hepatic function.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
16
Day 1: one tablet of Mitiglinide 10mg with 240 ml of water approximately 5 mins before breakfast. An indwelling non-heparin catheter will be placed in an antecubital vein of the forearm or direct venipuncture will be adopted for blood sample collection at belowing time point: For PK evaluation: -30 (Predose), 5, 10, 15, 20, 30 min, 1.0, 1.5, 2.0, 3.0, 4.0, 5.0, 6.0, 7.0, 8.0, 9.0, 10 hr post dose (a total of 17 samples per subject) For PD evaluation: -30 (Predose), 15, 30 min, 1.0, 1.5, 2.0, 3.0, 4.0 hours post dose (a total of 8 samples per subject)
Chiayi Chang Gung Memorial Hospital
Chiayi City, Taiwan
Taipei Veterans General Hospital
Taipei, Taiwan
Peak concentration (Cmax)
Pharmacokinetic of mitiglinide
Time frame: 1 day
Time to reach peak concentration (Tmax)
Pharmacokinetic of mitiglinide
Time frame: 1day
Area under plasma concentration -time curve from time zero to time of last quantifiable concentration (AUC0-t)
Pharmacokinetic of mitiglinide
Time frame: 1 day
Area under the plasma concentration-time curve from time zero to infinity of mitiglinide
Pharmacokinetic of mitiglinide
Time frame: 1 day
The elimination rate constant
Pharmacokinetic of mitiglinide
Time frame: 1 day
Volume of distribution (Vd/F)
Pharmacokinetic of mitiglinide
Time frame: 1 day
Terminal elimination half-life (T1/2)
Pharmacokinetic of mitiglinide
Time frame: 1 day
Total body clearance (CL/F)
Pharmacokinetic of mitiglinide
Time frame: 1 day
Ratio of AUC0-t to AUC0-infinity
Pharmacokinetic of mitiglinide
Time frame: 1 day
Area under the blood glucose concentration-time curve from time zero to time of last blood sample (AUC0-t,GLU)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Pharmacokinetic of mitiglinide
Time frame: 1 day
Area under the blood glucose concentration(change from baseline)-time curve from time zero to time of last blood sample (ΔAUC0-t,GLU)
Pharmacokinetic of mitiglinide
Time frame: 1 day
Blood glucose concentration change from baseline at 2 hours after drug administration
Pharmacokinetic of mitiglinide
Time frame: 1 day