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Compound

Vildagliptin

Also called Galvus, Equa, NVP-LAF237

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Part of the metabolic pathway of Vildagliptin. See the timeline on the metabolic highway.

Overview

Vildagliptin, sold under the brand name Galvus among others, is an oral anti-hyperglycemic agent (anti-diabetic drug) of the dipeptidyl peptidase-4 (DPP-4) inhibitor class of drugs. Vildagliptin inhibits the inactivation of GLP-1 and GIP by DPP-4, allowing GLP-1 and GIP to potentiate the secretion of insulin in the beta cells and suppress glucagon release by the alpha cells of the islets of Langerhans in the pancreas.[1][2][3] WP

Bold textIt was approved by the European Medicines Agency (EMA) in 2007. The European Medicines Agency has also approved a combination of vildagliptin and metformin, vildagliptin/metformin (Eucreas by Novartis) as an oral treatment for type-2 diabetes.[4][5] WP

Vildagliptin has been shown to reduce hyperglycemia in type 2 diabetes mellitus.[2] WP

Uses, dosage and effects

Medical uses

Vildagliptin is indicated, as an adjunct to diet and exercise, to improve glycemic control in adults with type 2 diabetes as monotherapy in people in whom metformin is inappropriate due to contraindications or intolerance; and in combination with other medicinal products for the treatment of diabetes, including insulin, when these do not provide adequate glycemic control.[1] WP

Risks and side effects

Adverse effects

The most common side effects include dizziness.[1] WP

Chemistry

Formula
C17H25N3O2 PC
CAS number
274901-16-5 PC
Molar mass (g/mol)
303.4 PC
IUPAC name (computed by PubChem)
(2S)-1-[2-[(3-hydroxy-1-adamantyl)amino]acetyl]pyrrolidine-2-carbonitrile PC
SMILES
C1C[C@H](N(C1)C(=O)CNC23CC4CC(C2)CC(C4)(C3)O)C#N PC
InChIKey
SYOKIDBDQMKNDQ-XWTIBIIYSA-N PC
PubChem CID
6918537

Harm reduction information

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Sources

  1. Journal / agency Galvus EPAR. 26 September 2007
  2. Journal / agency Ahrén B, Landin-Olsson M, Jansson PA, Svensson M, Holmes D, Schweizer A. Inhibition of dipeptidyl peptidase-4 reduces glycemia, sustains insulin levels, and reduces glucagon levels in type 2 diabetes. The Journal of Clinical Endocrinology and Metabolism. May 2004. doi:10.1210/jc.2003-031907 · PMID 15126524
  3. Journal / agency Mentlein R, Gallwitz B, Schmidt WE. Dipeptidyl-peptidase IV hydrolyses gastric inhibitory polypeptide, glucagon-like peptide-1(7-36)amide, peptide histidine methionine and is responsible for their degradation in human serum. European Journal of Biochemistry. June 1993. doi:10.1111/j.1432-1033.1993.tb17986.x · PMID 8100523
  4. Journal / agency Mathieu C, Degrande E. Vildagliptin: a new oral treatment for type 2 diabetes mellitus. Vascular Health and Risk Management. December 2008. doi:10.2147/vhrm.s3005 · PMID 19337548 · PMC2663430
  5. Other EU approves Novartis's Eucreas diabetes drug. February 25, 2008

Text and values on this page are quoted from Wikipedia (CC BY-SA 4.0), PubChem (public domain). Each value links to the exact revision it came from.