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Active Pharma Ingredients / 18 Sep 2026

COFROGLIPTIN

Generic Name: COFROGLIPTIN

ABSTRACT -

Cofrogliptin is a long-acting, once-weekly oral dipeptidyl peptidase-4 (DPP-4) inhibitor under development for type 2 diabetes mellitus. By inhibiting DPP-4, it prevents the degradation of incretin hormones (GLP-1 and GIP), thereby enhancing glucose-dependent insulin secretion and suppressing glucagon. Its extended half-life enables weekly dosing, potentially improving patient adherence compared to daily DPP-4 inhibitors.

DOSAGE -

Oral tablet, once weekly; dose range evaluated in clinical trials approximately 25–100 mg per week; specific approved dose pending regulatory review.

SIDE EFFECTS-

  • Nasopharyngitis
  • Upper respiratory tract infection
  • Headache
  • Nausea
  • Arthralgia

ALLERGIC REACTIONS -

These symptoms may indicate an allergic reaction and require immediate medical attention.

  • Skin rash
  • Urticaria
  • Angioedema
  • Anaphylaxis (rare, class effect)

DRUG INTERACTIONS-

  • Low hypoglycaemia risk as monotherapy; risk increases with insulin or sulfonylureas
  • No significant CYP-based interactions expected
  • Monitor renal function if combining with nephrotoxic agents

PREAUTONS–

  • Dose adjustment in renal impairment
  • Discontinue if pancreatitis suspected
  • Not for type 1 diabetes
  • Monitor for joint pain (arthralgia — class effect)

WARNINGS –

  • Acute pancreatitis risk reported with DPP-4 inhibitor class
  • Bullous pemphigoid reported rarely — discontinue if suspected
  • Heart failure hospitalisations: class signal to consider in high-risk patients

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