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DRUG CLASS:

PPAR γ agonist

11d
Enhanced Neuroprotection in Experiment Multiple Sclerosis through Combined Rosiglitazone and Probiotic-Loaded Solid Lipid Nanoparticles: Modulation of Cellular Signaling Pathways. (PubMed, CNS Neurol Disord Drug Targets)
The study showed that combining RSG and probiotics in an experimental medication form improved symptoms of MS more effectively than using RSG alone. This improvement is likely due to changes in STAT-3, mTOR, and PPAR-gamma signaling pathways.
Journal • Lipid Nanoparticle
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STAT3 (Signal Transducer And Activator Of Transcription 3) • PPARG (Peroxisome Proliferator Activated Receptor Gamma)
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rosiglitazone
22d
Phase classification
24d
Novel PPAR-γ agonists as potential neuroprotective agents against Alzheimer's disease: rational design, synthesis, in silico evaluation, PPAR-γ binding assay and transactivation and expression studies. (PubMed, RSC Adv)
The synthesized compounds also showed interactions in molecular docking study with the PPAR-γ receptor and demonstrated good stability in MD simulation. Our results highlight that through activation of PPAR-γ, the compounds 4a, 4h and 4j offer neuroprotective effects by reducing neuroinflammation and oxidative stress, and hence, they may be considered lead molecules for treating AD.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • IL1B (Interleukin 1, beta)
27d
Saroglitazar ameliorates 5- Fluorouracil-induced hepatorenal damage in rats. (PubMed, Int Immunopharmacol)
Saroglitazar may be a viable therapy option for 5-FU toxicity as it halts the interaction network of NF-kB and Nrf2 signaling pathways and apoptosis.
Preclinical • Journal
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KEAP1 (Kelch Like ECH Associated Protein 1) • TNFA (Tumor Necrosis Factor-Alpha) • CASP3 (Caspase 3) • IL1B (Interleukin 1, beta)
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5-fluorouracil
2ms
Combinations of HDAC inhibitor and PPAR agonist induce ferroptosis of leukemic stem cell-like cells in acute myeloid leukemia. (PubMed, Clin Cancer Res)
Our findings suggest that treatment with CS055 combined with chiglitazar, will target LSCs by inducing ferroptosis and may confer an effective approach for the treatment of AML.
Journal
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CD34 (CD34 molecule) • SLC7A11 (Solute Carrier Family 7 Member 11) • ATF4 (Activating Transcription Factor 4) • ATF3 (Activating Transcription Factor 3) • HDAC3 (Histone Deacetylase 3)
2ms
ENRICHPLUS: Safety and Suitability of Supplementing Early MIP Surgery (MIPS) of ICH With Pioglitazone (clinicaltrials.gov)
P2, N=1, Terminated, University of Maryland, Baltimore | N=20 --> 1 | Trial completion date: Jul 2026 --> Sep 2024 | Recruiting --> Terminated | Trial primary completion date: Jul 2025 --> Sep 2024; Loss of Financial Sponsor
Enrollment change • Trial completion date • Trial termination • Trial primary completion date • Surgery
2ms
SARO.20.002: Saroglitazar Magnesium for the Treatment of Nonalcoholic Steatohepatitis with Fibrosis (clinicaltrials.gov)
P2, N=180, Active, not recruiting, Zydus Therapeutics Inc. | Recruiting --> Active, not recruiting
Enrollment closed
2ms
SARONAPLUS: Saroglitazar Magnesium 4 mg for NAFLD in People Living With HIV in the US (clinicaltrials.gov)
P2, N=4, Terminated, Zydus Therapeutics Inc. | N=160 --> 4 | Trial completion date: Mar 2025 --> Oct 2023 | Recruiting --> Terminated | Trial primary completion date: Feb 2025 --> Oct 2023; Sponsor Decision
Enrollment change • Trial completion date • Trial termination • Trial primary completion date
2ms
Cinobufagin inhibits M2‑like tumor‑associated macrophage polarization to attenuate the invasion and migration of lung cancer cells. (PubMed, Int J Oncol)
Additionally, CB modulated peroxisome proliferator‑activated receptor γ (PPARγ) and MARCO expression in M2 macrophages and epithelial‑mesenchymal transition in A549 cells, which was partially reversed by rosiglitazone, a PPARγ agonist. Finally, CB and cisplatin treatments hindered tumor growth in vivo, with distinct impacts on animal body weight and macrophage marker expression in tumor tissues. In conclusion, the results of the present study demonstrated that CB exerted complex regulatory effects on macrophage polarization and tumor progression, suggesting its potential as a modulator of the tumor microenvironment and a therapeutic for cancer treatment.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • IL1B (Interleukin 1, beta) • MRC1 (Mannose Receptor C-Type 1) • CD86 (CD86 Molecule)
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CD20 positive
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cisplatin • rosiglitazone
2ms
Trial completion
2ms
Saroglitazar Magnesium 4 Mg in the Treatment of NAFLD in Women with PCOS (EVIDENCES VII) (clinicaltrials.gov)
P2, N=60, Active, not recruiting, Zydus Therapeutics Inc. | Recruiting --> Active, not recruiting | Phase classification: P2a --> P2 | N=90 --> 60 | Trial completion date: Jul 2024 --> Nov 2024 | Trial primary completion date: Apr 2024 --> Nov 2024
Enrollment closed • Phase classification • Enrollment change • Trial completion date • Trial primary completion date
2ms
Hepatic Impairment with Cirrhosis Due to Cholestatic Liver Disease (clinicaltrials.gov)
P1, N=24, Recruiting, Zydus Therapeutics Inc. | Trial completion date: Jul 2024 --> Nov 2024 | Trial primary completion date: Mar 2024 --> Nov 2024
Trial completion date • Trial primary completion date
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AFP (Alpha-fetoprotein)
2ms
Trial completion • Metastases
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AFP (Alpha-fetoprotein)
2ms
Early Application of Memantine and Pioglitazone to Protect Cognitive Function After Radiotherapy (clinicaltrials.gov)
P2, N=67, Not yet recruiting, Affiliated Cancer Hospital & Institute of Guangzhou Medical University
New P2 trial
2ms
Class Effect Unveiled: PPARγ Agonists and MEK Inhibitors in Cancer Cell Differentiation. (PubMed, Cells)
Both Rosiglitazone and Pioglitazone effectively induced adipogenesis in cancer cells, marked by PPARγ and C/EBPα upregulation, cytoskeleton rearrangement, and lipid droplet accumulation...A metastasis ex vivo culture from a patient diagnosed with triple-negative breast cancer demonstrated a synergistic upregulation of PPARγ with the combination of Pioglitazone and Cobimetinib. Our results highlight the potential for new therapeutic strategies targeting cancer cell plasticity and the dedifferentiation phenotype in aggressive breast cancer subtypes. Combining differentiation treatments with standard therapeutic approaches may offer a strategy to overcome drug resistance.
Journal
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TGFB1 (Transforming Growth Factor Beta 1)
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Cotellic (cobimetinib) • rosiglitazone
2ms
The preventive effectiveness of Crocus sativus extract in treating lung injuries caused by inhaled paraquat in rats. (PubMed, J Ethnopharmacol)
The results showed preventive effect of Cs comparable to that of Dexa and the potential additive preventive capabilities of the Cs and Pio indicate that the involvement of the PPARγ receptor is implicated in the effects induced by Cs.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • IL10 (Interleukin 10) • PPARG (Peroxisome Proliferator Activated Receptor Gamma) • CAT (Catalase)
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dexamethasone
2ms
Open-Label Extension Study of Saroglitazar Magnesium in Participants with Primary Biliary Cholangitis (clinicaltrials.gov)
P3, N=150, Recruiting, Zydus Therapeutics Inc. | Not yet recruiting --> Recruiting
Enrollment open
3ms
Evaluation of the protective effect of Curcuma longa and PPARγ agonist, pioglitazone on paraquat-induced lung injury in rats. (PubMed, Immun Inflamm Dis)
CI, Pio, and Cl-L + Pio improved PQ-induced lung inflammation and oxidative damage comparable with the effects of Dex.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • IL10 (Interleukin 10) • CAT (Catalase)
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dexamethasone
3ms
Effect of Pioglitazone on Mitochondrial Function in Muscle and Adipose Tissue in Humans (clinicaltrials.gov)
P=N/A, N=20, Completed, Arizona State University | Unknown status --> Completed
Trial completion
3ms
Rosiglitazone Promotes Oligodendrocyte Development and Myelin Formation of Repeated Neonatal Sevoflurane Exposure via PPARγ Signaling. (PubMed, Mol Neurobiol)
This suggests that rosiglitazone may be used in clinical settings to enhance the security of neonatal sevoflurane exposure. Furthermore, PPARγ and fatty acid synthase (FASN) may be mediators for rosiglitazone, which alleviates myelination defects, cognitive impairment, and fine motor dysfunction.
Journal
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FASN (Fatty acid synthase) • PPARG (Peroxisome Proliferator Activated Receptor Gamma)
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rosiglitazone
4ms
A Study of ABTL0812 in Pancreatic Cancer (clinicaltrials.gov)
P1/2, N=60, Suspended, Ability Pharmaceuticals SL | Trial completion date: Apr 2024 --> Dec 2024
Trial completion date • Combination therapy • Metastases
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gemcitabine • albumin-bound paclitaxel • ibrilatazar (ABTL0812)
4ms
Bioenergetic Effect of Pioglitazone in CLD-PH (clinicaltrials.gov)
P2, N=20, Not yet recruiting, Emory University | Trial primary completion date: Aug 2028 --> Feb 2028 | Trial completion date: Aug 2028 --> Feb 2028
Trial completion date • Trial primary completion date
4ms
New trial
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • IL6 (Interleukin 6) • STAT3 (Signal Transducer And Activator Of Transcription 3) • HSP90AA1 (Heat Shock Protein 90 Alpha Family Class A Member 1Heat Shock Protein 90 Alpha Family Class A Member 1)
4ms
RECAM: Chiglitazar Added to Metformin for Type 2 Diabetes (clinicaltrials.gov)
P3, N=533, Completed, Chipscreen Biosciences, Ltd. | Recruiting --> Completed
Trial completion
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metformin
4ms
A Trial to Evaluate the Efficacy of Pioglitazone to Promote Renal Tolerance in ANCA-associated Vasculitis - RENATO Trial (clinicaltrials.gov)
P3, N=126, Recruiting, Assistance Publique - Hôpitaux de Paris | Not yet recruiting --> Recruiting | Trial completion date: Jun 2027 --> Oct 2027 | Trial primary completion date: Dec 2025 --> Apr 2027
Enrollment open • Trial completion date • Trial primary completion date
4ms
Trial completion • Trial completion date • Combination therapy
5ms
Role of 4-Thiazolidinone-Pyrazoline/Indoline Hybrids Les-4369 and Les-3467 in BJ and A549 Cell Lines. (PubMed, Cells)
Recently, studies have reported the anticancer properties of rosiglitazone related to its ability to bind peroxisome proliferator receptor γ (PPARγ), which has various effects on cancer and can inhibit cell proliferation...We have also shown the PPARγ modulatory properties of Les-3467 and Les-4369. However, both compounds prove weak anticancer properties evidenced by their action at high concentrations and non-selective effects against BJ and A549 cells.
Preclinical • Journal • PARP Biomarker
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TP53 (Tumor protein P53) • PARP1 (Poly(ADP-Ribose) Polymerase 1) • CASP3 (Caspase 3) • PPARG (Peroxisome Proliferator Activated Receptor Gamma) • AHR (Aryl hydrocarbon receptor)
5ms
Curcumin and saroglitazar attenuate diet-induced nonalcoholic steatohepatitis by activating the Nrf2 pathway and suppressing ERK1/2 signaling. (PubMed, Iran J Basic Med Sci)
Our results confirm that both saroglitazar and curcumin ameliorate NAFLD by regulating the Nrf2 and ERK1/2 signaling pathways. These findings suggest that curcumin could serve as a suitable substitute for saroglitazar, although they appear to have a synergistic effect.
Journal
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PPARG (Peroxisome Proliferator Activated Receptor Gamma) • PPARA (Peroxisome Proliferator Activated Receptor Alpha)
5ms
Pathogenesis of Uric Acid Nephrolithiasis: Role of Pioglitazone/Weight Loss (clinicaltrials.gov)
P4, N=54, Recruiting, University of Texas Southwestern Medical Center | Trial completion date: Jul 2024 --> Jul 2025 | Trial primary completion date: Jun 2024 --> Jun 2025
Trial completion date • Trial primary completion date
5ms
ACTOS: Acetazolamide Add-On Therapy to OSA Surgery (clinicaltrials.gov)
P4, N=26, Active, not recruiting, University Hospital, Antwerp | Recruiting --> Active, not recruiting | N=74 --> 26 | Trial completion date: Dec 2022 --> Aug 2024
Enrollment closed • Enrollment change • Trial completion date • Surgery
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acetazolamide
5ms
PAUSE: Pioglitazone for the Treatment of Alcohol Use Disorder (clinicaltrials.gov)
P=N/A, N=201, Completed, VA Office of Research and Development | Active, not recruiting --> Completed
Trial completion
6ms
Mice hepatic organoids for modeling nonalcoholic fatty liver disease and drug response. (PubMed, Stem Cells Dev)
Finally, we found that JC2-11 and lanifibranor limited the FFA-induced increase in oil-red lipid droplets, liver damage, inflammation, and liver fibrosis. In conclusion, tissue structure, gene expression, and the response of mouse liver organoids to drugs can partially mimic in vivo liver tissue. Liver organoids can successfully construct NAFLD models for drug discovery research.
Preclinical • Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • ALB (Albumin) • IRF7 (Interferon Regulatory Factor 7)
6ms
Pharmacokinetics of Chiglitazar in Subjects With Hepatic Impairment and Normal Hepatic Function (clinicaltrials.gov)
P1, N=24, Completed, Chipscreen Biosciences, Ltd. | Recruiting --> Completed | N=44 --> 24
Trial completion • Enrollment change
6ms
Pharmacokinetics of Chiglitazar in Subjects With Renal Impairment and Normal Renal Function (clinicaltrials.gov)
P1, N=24, Completed, Chipscreen Biosciences, Ltd. | Recruiting --> Completed | Trial completion date: Dec 2023 --> Jul 2023 | Trial primary completion date: Dec 2023 --> Jul 2023
Trial completion • Trial completion date • Trial primary completion date
6ms
A Phase II Clinical Trial of Chiglitazar for NASH (clinicaltrials.gov)
P2, N=104, Completed, Chipscreen Biosciences, Ltd. | Recruiting --> Completed
Trial completion
6ms
Restoring adiponectin via rosiglitazone ameliorates tissue wasting in mice with lung cancer. (PubMed, Acta Physiol (Oxf))
Our data suggest that PPAR-γ agonists may be a useful adjuvant therapy to preserve tissue mass in lung cancer.
Preclinical • Journal
|
KRAS (KRAS proto-oncogene GTPase) • STK11 (Serine/threonine kinase 11)
|
rosiglitazone
6ms
Pioglitazone to Reduce Sympathetic Overactivity in CKD Patients (clinicaltrials.gov)
P4, N=28, Recruiting, The University of Texas at Arlington | Trial completion date: Apr 2024 --> Apr 2025 | Trial primary completion date: Apr 2024 --> Apr 2025
Trial completion date • Trial primary completion date
6ms
New P3 trial
6ms
Seipin deficiency-induced lipid dysregulation leads to hypomyelination-associated cognitive deficits via compromising oligodendrocyte precursor cell differentiation. (PubMed, Cell Death Dis)
Importantly, rosiglitazone, one agonist of PPAR-gamma, substantially restored phenotypes resulting from Seipin deficiency, such as aberrant LDs, reduced sphingolipids, obstructed OPC differentiation, and neurobehavioral defects. Collectively, the present study elucidated how Seipin deficiency-induced lipid dysregulation leads to neurobehavioral deficits via impairing myelination, which may pave the way for developing novel intervention strategy for treating metabolism-involved neurological disorders.
Journal
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PPARG (Peroxisome Proliferator Activated Receptor Gamma)
6ms
PPAR-γ agonists reactivate the ALDOC-NR2F1 axis to enhance sensitivity to temozolomide and suppress glioblastoma progression. (PubMed, Cell Commun Signal)
The relationship and function of the ALDOC-PPAR-γ axis could serve as a potential prognostic indicator. Furthermore, PPAR-γ agonists offer a new treatment alternative for glioblastoma multiforme (GBM).
Journal
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NR2F1 (Nuclear Receptor Subfamily 2 Group F Member 1) • PPARA (Peroxisome Proliferator Activated Receptor Alpha)
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temozolomide
6ms
EPICS-III: Saroglitazar Magnesium for Treatment of Primary Biliary Cholangitis (clinicaltrials.gov)
P2/3, N=186, Active, not recruiting, Zydus Therapeutics Inc. | Recruiting --> Active, not recruiting | Trial completion date: Oct 2024 --> May 2025 | Trial primary completion date: Jun 2024 --> May 2025
Enrollment closed • Trial completion date • Trial primary completion date