Omarigliptin: Difference between revisions

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'''Omarigliptin''' (MK-3102) is a [[Dipeptidyl peptidase-4 inhibitor]] (DPP-4 inhibitor) drug used in the treatment of [[Type 2 diabetes]]. It was developed by [[Merck & Co.]] and approved in Japan in 2015. However, it has not been approved for use in the United States or Europe.
== Omarigliptin ==


== Mechanism of Action ==
[[File:Omarigliptin.svg|thumb|right|Chemical structure of Omarigliptin]]
Omarigliptin works by inhibiting the enzyme [[Dipeptidyl peptidase-4]] (DPP-4). This enzyme is involved in the breakdown of [[Incretin]] hormones, which are responsible for increasing the amount of insulin released by the pancreas. By inhibiting DPP-4, Omarigliptin increases the levels of incretin hormones, leading to increased insulin release and decreased glucose levels in the blood.


== Clinical Trials ==
'''Omarigliptin''' is a [[pharmaceutical drug]] used in the management of [[type 2 diabetes mellitus]]. It belongs to the class of medications known as [[DPP-4 inhibitors]], which work by increasing the levels of [[incretin hormones]] in the body. These hormones help to regulate [[blood glucose]] levels by increasing [[insulin]] release and decreasing [[glucagon]] levels.
Omarigliptin has undergone several [[Clinical trial|clinical trials]] to assess its safety and efficacy in treating Type 2 diabetes. In a Phase III trial conducted in Japan, Omarigliptin was found to be effective in reducing [[HbA1c]] levels in patients with Type 2 diabetes.


== Approval ==
=== Mechanism of Action ===
Omarigliptin was approved for use in Japan in September 2015. However, in 2016, Merck & Co. announced that they would not seek approval for Omarigliptin in the United States or Europe, citing a desire to focus on other drugs in their portfolio.
Omarigliptin functions by inhibiting the enzyme [[dipeptidyl peptidase-4]] (DPP-4). This enzyme is responsible for the degradation of incretin hormones such as [[GLP-1]] (glucagon-like peptide-1) and [[GIP]] (glucose-dependent insulinotropic polypeptide). By inhibiting DPP-4, omarigliptin prolongs the action of these hormones, thereby enhancing insulin secretion and reducing glucagon release in a glucose-dependent manner.


== Side Effects ==
=== Pharmacokinetics ===
Common side effects of Omarigliptin include [[Nausea]], [[Headache]], and [[Upper respiratory tract infection]]. In rare cases, it can cause [[Pancreatitis]] and [[Hypoglycemia]].
Omarigliptin is administered orally and is known for its once-weekly dosing schedule, which is a result of its long half-life. This makes it a convenient option for patients who may have difficulty adhering to daily medication regimens. The drug is absorbed in the [[gastrointestinal tract]] and is metabolized primarily in the [[liver]].


== See Also ==
=== Clinical Use ===
* [[Dipeptidyl peptidase-4 inhibitors]]
Omarigliptin is indicated for the treatment of type 2 diabetes mellitus in adults. It is often used in combination with other antidiabetic agents such as [[metformin]], [[sulfonylureas]], or [[insulin]] to achieve better glycemic control. It is not indicated for the treatment of [[type 1 diabetes mellitus]] or [[diabetic ketoacidosis]].
* [[Type 2 diabetes]]
* [[Incretin]]
* [[Merck & Co.]]


[[Category:Drugs]]
=== Side Effects ===
[[Category:Diabetes]]
Common side effects of omarigliptin include [[nasopharyngitis]], [[headache]], and [[upper respiratory tract infection]]. As with other DPP-4 inhibitors, there is a potential risk of [[pancreatitis]] and [[hypersensitivity reactions]]. Patients should be monitored for signs and symptoms of these conditions.
[[Category:Merck & Co.]]


{{stub}}
=== Contraindications ===
Omarigliptin is contraindicated in patients with a known hypersensitivity to the drug or any of its components. Caution is advised in patients with a history of [[pancreatitis]].
 
== Related Pages ==
* [[Type 2 diabetes mellitus]]
* [[DPP-4 inhibitors]]
* [[Incretin hormones]]
* [[Insulin]]
 
[[Category:Antidiabetic drugs]]
[[Category:DPP-4 inhibitors]]

Latest revision as of 10:40, 15 February 2025

Omarigliptin[edit]

Chemical structure of Omarigliptin

Omarigliptin is a pharmaceutical drug used in the management of type 2 diabetes mellitus. It belongs to the class of medications known as DPP-4 inhibitors, which work by increasing the levels of incretin hormones in the body. These hormones help to regulate blood glucose levels by increasing insulin release and decreasing glucagon levels.

Mechanism of Action[edit]

Omarigliptin functions by inhibiting the enzyme dipeptidyl peptidase-4 (DPP-4). This enzyme is responsible for the degradation of incretin hormones such as GLP-1 (glucagon-like peptide-1) and GIP (glucose-dependent insulinotropic polypeptide). By inhibiting DPP-4, omarigliptin prolongs the action of these hormones, thereby enhancing insulin secretion and reducing glucagon release in a glucose-dependent manner.

Pharmacokinetics[edit]

Omarigliptin is administered orally and is known for its once-weekly dosing schedule, which is a result of its long half-life. This makes it a convenient option for patients who may have difficulty adhering to daily medication regimens. The drug is absorbed in the gastrointestinal tract and is metabolized primarily in the liver.

Clinical Use[edit]

Omarigliptin is indicated for the treatment of type 2 diabetes mellitus in adults. It is often used in combination with other antidiabetic agents such as metformin, sulfonylureas, or insulin to achieve better glycemic control. It is not indicated for the treatment of type 1 diabetes mellitus or diabetic ketoacidosis.

Side Effects[edit]

Common side effects of omarigliptin include nasopharyngitis, headache, and upper respiratory tract infection. As with other DPP-4 inhibitors, there is a potential risk of pancreatitis and hypersensitivity reactions. Patients should be monitored for signs and symptoms of these conditions.

Contraindications[edit]

Omarigliptin is contraindicated in patients with a known hypersensitivity to the drug or any of its components. Caution is advised in patients with a history of pancreatitis.

Related Pages[edit]