SGLT-2 inhibitors for treating metabolic disorders in patients with renal impairment or chronic kidney disease
The present invention relates to certain SGLT-2 inhibitors, such as ertugliflozin or a co-crystal or a pharmaceutically acceptable salt thereof, for treating and/or preventing metabolic disorders, such as type 1 or type 2 diabetes mellitus or pre-diabetes, in patients with renal impairment or chronic kidney disease (CKD). The present invention also relates to methods for preventing neuronal damage following the incidence of ischemic stroke and close-head traumatic brain injury in animals comprising the step of administering to an animal, in need of such treatment, a therapeutically effective amount of ertugliflozin or a co-crystal or a pharmaceutically acceptable salt thereof.
1. A method of lowering urinary albumin excretion in a patient comprising administering ertugliflozin or a co-crystal or a pharmaceutically acceptable salt thereof to the patient, wherein the patient has moderate renal impairment or stage 3 chronic kidney disease (CKD).
2. The method according to claim 1 , wherein ertugliflozin or a co-crystal or a pharmaceutically acceptable salt thereof is administered as a pharmaceutical composition.
3. The method according to claim 1 , wherein ertugliflozin or a co-crystal or a pharmaceutically acceptable salt thereof is administered in the amount of 5 mg or 15 mg of ertugliflozin.
4. The method according to claim 1 , wherein ertugliflozin or a co-crystal or a pharmaceutically acceptable salt thereof is administered once daily.
5. The method according to claim 1 , wherein ertugliflozin or a co-crystal or a pharmaceutically acceptable salt thereof is administered with at least one additional pharmaceutical agent.
6. The method of claim 5 , wherein ertugliflozin or a co-crystal or a pharmaceutically acceptable salt thereof is administered with sitagliptin or a pharmaceutically acceptable salt thereof.
7. The method of claim 5 , wherein ertugliflozin or a co-crystal or a pharmaceutically acceptable salt thereof is administered with metformin.
8. The method of claim 5 , wherein ertugliflozin or a co-crystal or a pharmaceutically acceptable salt thereof is administered with sitagliptin or pharmaceutically acceptable salt and metformin.
9. The method of claim 6 wherein the sitagliptin or pharmaceutically acceptable salt thereof is in the amount of 25 mg or 50 mg.
10. The method of claim 7 wherein the amount of metformin is 1000 mg or 2000 mg.
11. The method of claim 1 wherein the method results in deceased blood pressure and decreased uric acid.