A systematic review on the clinical pharmacokinetics of vildagliptin in healthy and disease populations

Expert Opin Drug Metab Toxicol. 2023 Dec;19(12):991-1003. doi: 10.1080/17425255.2023.2288252. Epub 2024 Jan 12.

Abstract

Introduction: Vildagliptin, a dipeptidyl peptidase-4 inhibitor, is indicated to cure type 2 diabetes mellitus (T2DM). This systematic literature search aims to assess the current knowledge about the clinical pharmacokinetics (PK) of vildagliptin to provide recommendations for clinical use to prevent the harmful effects of this drug.

Methods: The PubMed, Science Direct, EBSCO, Cochrane Central Register of Controlled Trials, and Google Scholar databases were screened for articles related to the clinical PK of vildagliptin using systematic search strategies.

Results: The literature search identified 2118 records, among which 28 were subsumed in this systematic review that fulfilled the inclusion standards.

Conclusions: This systematic review can help dose optimization among critically ill patients (e.g. renal impairment) without exposing them to the drug's toxic effects.

Keywords: Pharmacokinetics; peak plasma concentration; renal impairment; systematic review; vildagliptin.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Diabetes Mellitus, Type 2* / drug therapy
  • Dipeptidyl-Peptidase IV Inhibitors* / adverse effects
  • Dipeptidyl-Peptidase IV Inhibitors* / pharmacokinetics
  • Humans
  • Vildagliptin* / adverse effects
  • Vildagliptin* / pharmacokinetics

Substances

  • Dipeptidyl-Peptidase IV Inhibitors
  • Vildagliptin