Pioglitazone

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<applet load="" size="480" color="" frame="true" spin="on" Scene ="'Pioglitazone/Pioglitazone/1" align="right" caption="Pioglitazone, also known as Actos"/>
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<StructureSection load='' size='340' side='right' caption='Pioglitazone, also known as Actos' scene='Pioglitazone/Pioglitazone/1'>
===Better Known as: Actos===
===Better Known as: Actos===
* Marketed By: Takeda Pharmaceuticals<br />
* Marketed By: Takeda Pharmaceuticals<br />
* Major Indication: Hypoglycemia & Type 2 [[Diabetes]]<br />
* Major Indication: Hypoglycemia & Type 2 [[Diabetes]]<br />
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* Drug Class: [[PPAR|PPAR-γ]] Activator - Thiazolidinedione (Glitazones)
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* Drug Class: [[PPAR|PPAR-γ]] Agonist - Thiazolidinedione (Glitazones)
* Date of FDA Approval (Patent Expiration): 1999 (2011)<br />
* Date of FDA Approval (Patent Expiration): 1999 (2011)<br />
* 2009 Sales: $2.4 Billion <ref>http://drugpatentwatch.com/ultimate/preview/tradename/index.php?query=ACTOS</ref>
* 2009 Sales: $2.4 Billion <ref>http://drugpatentwatch.com/ultimate/preview/tradename/index.php?query=ACTOS</ref>
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* Why You Should Care: It is the best selling drug to treat Diabetes and is the 10th best selling drug in the United States.
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* Importance: It is the best selling drug to treat Diabetes and is the 10th best selling drug in the United States.
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* The following is a list of Pharmacokinetic Parameters. See: [[Pharmaceutical Drugs]] for more information
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* See [[Pharmaceutical Drugs]] for more information about other drugs and disorders
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===Mechanism of Action===
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Pioglitazone is a selective agonist for Peroxisome Proliferator-Activated Receptor Gamma ([[PPAR]]). When PPAR is not bound by ligand, it forms a complex with various co-repressors which possess histone deacetylation activity, maintaining tight chromatin structure and preventing gene transcription. This complex is released upon ligand binding (typical ligands are lipids), allowing various co-activators and co-activator-associated proteins to be recruited. Pioglitazone functions by by binding to the active site of PPARγ, causing the release of co-repressors and activation of the receptor. Activation of PPAR results in transcription of [[Molecular Playground/Insulin|insulin]] responsive genes involved in the control of glucose production, transport and utilization. This explains why the glitazones are referred to as "insulin sensitizers." <ref>PMID:9744270</ref>
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</StructureSection>
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===Pharmacokinetics===
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{{:Glitazone Pharmacokinetics}}
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===References===
===References===

Current revision

Pioglitazone, also known as Actos

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Pharmacokinetics

Glitazone Pharmacokinetics Comparison at Equivalent Dosages
Parameter Pioglitazone (Actos) Rosiglitazone (Avandia)
Tmax (hr) 1.8 1
Cmax (ng/ml) 617 361
Bioavailability (%) 83 99
Protein Binding (%) 99 99
T1/2 (hr) 3-8 3-4
AUC (ng/ml/hr) 6244 2024
IC50 (nM) 360 10
Equivalent Dosage (mg) 30 4
Metabolism Hepatic
(CYP2C8)
Hepatic
(CYP2C8)

For Pharmacokinetic Data References, See: References

References

  1. http://drugpatentwatch.com/ultimate/preview/tradename/index.php?query=ACTOS
  2. Nolte RT, Wisely GB, Westin S, Cobb JE, Lambert MH, Kurokawa R, Rosenfeld MG, Willson TM, Glass CK, Milburn MV. Ligand binding and co-activator assembly of the peroxisome proliferator-activated receptor-gamma. Nature. 1998 Sep 10;395(6698):137-43. PMID:9744270 doi:10.1038/25931


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