ertugliflozin
Trade name: Steglatro
Approved
Dec 19, 2017
Ertugliflozin (PF-04971729) is a potent and selective sodium-dependent glucose cotransporter 2 (SGLT2) inhibitor incorporating a unique dioxa-bicyclo[3.2.1]octane (bridged ketal) ring system. SGLT2 has become an important therapeutic target and several SGLT2-selective inhibitors are either approved or in clinical development for the management of blood glucose in patients with type 2 diabetes. Ertugliflozin demonstrated robust urinary glucose excretion in rats and an excellent preclinical safety profile. It was announced that FDA and EMA filing acceptances of three marketing applications for ertugliflozin-containing medicines for adults with type 2 diabetes. — NCATS
Clinical trial activity
38 trials · 28 clinical orgs · 5 marketing orgs
Earliest trial started Oct 1, 2009 (NCT00989079)
Timeline
2010s
2020s
- Apr 4, 2023
ZENARA — Marketing Organization
- Jul 13, 2023
Aurobindo Pharma — Marketing Organization
- Apr 17, 2024
Hetero Labs Ltd — Marketing Organization
- Jan 21, 2025
Hikma — Marketing Organization
Indications
Approved for
Studied for
- Adult · Phase 1
- Atherosclerosis · Phase 4
- Body Weight Changes · Phase 4
- Cardiac Resynchronization Therapy · Phase 3
- Cardiovascular Diseases · Phase 4
- Defibrillators, Implantable · Phase 3
- Diabetic Nephropathies · Phase 4
- Drugs, Investigational · Phase 4
- Glycemic Control · Phase 4
- Healthy Volunteers · Phase 1
- Heart Failure · Phase 3
- Heart Failure, Diastolic · Phase 4
- Heart Failure, Systolic · Phase 4
- Hypertension · Phase 4
- Hypertrophy, Left Ventricular · Phase 3
- Insulin Resistance · Phase 4
- Kidney · Phase 4
- Kidney Diseases · Phase 4
- Kidney Failure, Chronic · Phase 1
- Liver · Phase 4
- Liver Cirrhosis · Phase 4
- Liver Diseases · Phase 1
- Mitral Valve Insufficiency · Phase 3
- Sleep Apnea Syndromes · Phase 4
- Sodium-Glucose Transporter 2 Inhibitors · Phase 4
- Waist Circumference · Phase 4
Mechanism of action
- Sodium/glucose cotransporter 2INHIBITOR
SLC5A2 inhibitor
It shows >2000-fold selectivity for SGLT2 inhibition (relative to SGLT1) in vitro
Combination products
segluromet
with metformin
steglujan
with sitagliptin
Approval history
- approvedDec 19, 2017
Chemistry & pharmacology
SMILES
CCOC1=CC=C(CC2=C(Cl)C=CC(=C2)[C@]34OC[C@](CO)(O3)[C@@H](O)[C@H](O)[C@H]4O)C=C1- Mol. weight
- 436.883 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaErtugliflozin ↗
- NCATS6C282481IP ↗
- ChEMBLCHEMBL1770248 ↗
Also known as
- 5-(4-chloro-3-(4-ethoxybenzyl)phenyl)-1-hydroxymethyl-6,8-dioxabicyclo(3.2.1)octane-2,3,4-triol
- ertugliflozin
- ertugliflozin
- ertugliflozin
- ertugliflozin
- ertugliflozin
- ertugliflozin
- ertugliflozin
- ertugliflozin l-pyroglutamic acid
- ertugliflozin l-pyroglutamic acid/ metformin hydrochloride
- ertugliflozin l-pyroglutamic acid / sitagliptin phosphate monohydrate
- pf04971729
- pf 04971729
- pf-04971729
- pf-04971729
- pf-04971729
- pf-04971729-00
- pf-04971729-00
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06983054 | Phase 4 | Jul 25, 2023 | Free University of Amsterdam, University of Colorado |
| NCT05644717 | Phase 4 | Mar 1, 2023 | Getz Pharma, Shifa International Hospital |
| NCT05612594 | Phase 4 | Nov 30, 2022 | Case Western Reserve University, Yale University |
| NCT05152940 | Phase 4 | Feb 28, 2022 | Icahn School of Medicine at Mount Sinai |
| NCT04600921 | Phase 3 | Jun 24, 2021 | Johannes Kepler University, KH Elisabethinen Linz, Klinik Ottakring, Klinikum Klagenfurt, Klinikum Wiener Neustadt, Medical University Innsbruck, Medical University of Graz, Medical University of Vienna |
| NCT04490681 | Phase 3 | Aug 31, 2020 | Yonsei University |
| NCT04438213 | Phase 2 | Jul 31, 2020 | Merck, Yale University |
| NCT04231331 | Phase 3 | Mar 31, 2020 | Merck, University of Ulsan |
| NCT04167761 | Phase 4 | Dec 1, 2019 | Merck, Stanford University |
| NCT04029480 | Phase 3 | Oct 21, 2019 | Merck, Pfizer |
| NCT04071626 | Phase 4 | Oct 1, 2019 | Case Western Reserve University |
| NCT04027530 | Phase 4 | Sep 30, 2019 | Free University of Amsterdam |
| NCT03813316 | Phase 4 | May 1, 2019 | LMC Diabetes & Endocrinology Ltd., Merck, Syreon Corporation |
| NCT03717194 | Phase 3 | Apr 1, 2019 | Merck, Seoul National University |
| NCT03917758 | N/A | Oct 10, 2018 | University of Turin |
| NCT03640221 | Phase 4 | Sep 1, 2018 | Cedars-Sinai Medical Center, Merck |
| NCT03631134 | Phase 4 | Aug 15, 2018 | Nanjing Medical University |
| NCT03416270 | Phase 2 | May 7, 2018 | Merck, University of Groningen, University of Toronto |
| NCT02630706 | Phase 3 | Dec 16, 2015 | Merck, Pfizer |
| NCT02411929 | Phase 1 | Oct 1, 2014 | Merck, Pfizer |
Organizations
Research & Development (28)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Merck | For profit | 28 | 21 | 4 | 2009 |
| Pfizer | For profit | 21 | 0 | 3 | 2009 |
| Case Western Reserve University | Academic/Hospital | 2 | 1 | 1 | 2019 |
| Free University of Amsterdam | Academic/Hospital | 2 | 2 | 1 | 2019 |
| Yale University | Academic/Hospital | 2 | 2 | 2 | 2020 |
| Cedars-Sinai Medical Center | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Getz Pharma | For profit | 1 | 1 | 1 | 2023 |
| Icahn School of Medicine at Mount Sinai | Academic/Hospital | 1 | 1 | 1 | 2022 |
| Johannes Kepler University | Academic/Hospital | 1 | 0 | 1 | 2021 |
| KH Elisabethinen Linz | Academic/Hospital | 1 | 0 | 1 | 2021 |
| Klinik Ottakring | Academic/Hospital | 1 | 0 | 1 | 2021 |
| Klinikum Klagenfurt | Academic/Hospital | 1 | 0 | 1 | 2021 |
| Klinikum Wiener Neustadt | Academic/Hospital | 1 | 0 | 1 | 2021 |
| LMC Diabetes & Endocrinology Ltd. | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Medical University Innsbruck | Academic/Hospital | 1 | 0 | 1 | 2021 |
| Medical University of Graz | Academic/Hospital | 1 | 1 | 1 | 2021 |
| Medical University of Vienna | Academic/Hospital | 1 | 0 | 1 | 2021 |
| Nanjing Medical University | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Seoul National University | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Shifa International Hospital | Academic/Hospital | 1 | 0 | 1 | 2023 |
Marketing (8)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Aurobindo Pharma | For profit | MKTG | Jul 13, 2023 |
| Hetero Labs Ltd | For profit | SYN | Sep 17, 2024 |
| Hetero Labs Ltd | For profit | MKTG | Apr 17, 2024 |
| Hikma | For profit | MKTG | Jan 21, 2025 |
| Merck | For profit | NDA2 | Dec 19, 2017 |
| Merck | For profit | NDA | Dec 22, 2017 |
| Merck | For profit | SYN | Dec 19, 2017 |
| ZENARA | For profit | MKTG | Apr 4, 2023 |