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gemigliptin + metformin hydrochloride (ZemiMet / ZemiMet SR)

✓ Approved

LG Chem Ltd. · DPP4 · Small Molecule

What is gemigliptin + metformin hydrochloride?

gemigliptin + metformin hydrochloride is a small molecule developed by LG Chem Ltd.. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesZemiMet, ZemiMet SR
CompanyLG Chem Ltd.
Drug ClassSmall Molecule
Molecular TargetDPP4
RouteOral (PO)
StatusApproved

Mechanism of Action

Molecular Targets

gemigliptin + metformin hydrochloride acts on 1 molecular target:

DPP4dipeptidyl peptidase 4 (CD26, DPPIV)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

gemigliptin + metformin hydrochloride is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Metabolism and nutrition disordersType 2 diabetes mellitus✓ Approved

Related Research Articles

PubMedNano letters2026-11-11

ROS-Responsive Selenocysteine-Releasing Nanozyme for Targeted Ferroptosis Suppression and Pancreatic β-Cell Protection in Type 2 Diabetes.

Zhang Juncai J, Li Yuqi Y, Xie Yingying Y, Wang Runqi R et al.

Pancreatic β-cell ferroptosis, driven by oxidative stress and impaired glutathione peroxidase 4 (GPX4) activity, has emerged as an important contributor to the progression of type 2 diabetes mellitus (T2DM). However, persistent reactive oxygen species (ROS) accumulation and insufficient selenocysteine (Sec) availability limit GPX4-dependent antioxidant defense, making effective ferroptosis intervention challenging. Here, we engineered a ROS-responsive Sec-loaded copper-based single-atom nanozyme (Se@CuSAzyme) that combines catalytic ROS scavenging with Sec supplementation. Benefiting from its intrinsic superoxide dismutase- and catalase-like activities, Se@CuSAzyme efficiently eliminated excessive ROS, while oxidative stress-triggered Sec release enhanced GPX4 expression. As a result, Se@CuSAzyme markedly suppressed high glucose and erastin-induced ferroptosis, reduced lipid peroxidation, and preserved mitochondrial integrity in pancreatic β-cells. In high-fat diet/streptozotocin-induced diabetic mice, Se@CuSAzyme demonstrated therapeutic efficacy comparable to that of metformin in ameliorating hyperglycemia, alleviating insulin resistance, and increasing energy expenditure. Importantly, Se@CuSAzyme outperformed metformin in protecting against hepatic steatosis and glycolipid metabolic dysfunction.

PubMedFuture science OA2026-11-11

Distinct associations of STK11 rs2301759 and SLC29A4 rs2685753 with metformin response among Saudi patients with type 2 diabetes mellitus.

Althomali Abdullah A, Issa Noha M NM, Al-Asiri Ibrahim S IS, Algarni Misfer S MS et al.

This study investigates the genotype and allele frequencies of solute carrier family 29 member 4 (SLC29A4) rs2685753 and serine/threonine kinase 11 (STK11) rs2301759 in the Saudi population and their association with metformin response in Saudi patients with type 2 diabetes mellitus (T2DM), while comparing the findings with other ethnic populations. A prospective cohort study included 69 newly diagnosed Saudi adults with T2DM receiving metformin monotherapy for at least six months and 59 healthy controls. Genotyping was performed using TaqMan single-nucleotide polymorphism (SNP) assays. Associations between genetic variants and glycemic response were analyzed using chi-square tests and logistic regression. Among patients, 55% achieved adequate glycemic control, whereas 45% were non-responders. SLC29A4 rs2685753 showed no significant association with the metformin response. In contrast, STK11 rs2301759 demonstrated significant genotypic and allelic associations, with the C/T genotype linked to improved glycemic response. Higher baseline glycated hemoglobin (HbA1c) and family history of diabetes were associated with poorer response. STK11 rs2301759 may influence metformin efficacy in Saudi patients with T2DM and could support personalized diabetes management.

PubMedMedicine2026-11-11

Effectiveness of metformin as initial treatment on the metabolic profile of Saudi patients newly diagnosed with type 2 diabetes mellitus: A prospective observational study.

Alkreathy Huda H, Alharbi Fawaz Abdullah FA, Magadmi Rania R, Hakami Alqassem Y AY et al.

The incidence of diabetes is increasing in several countries, including Saudi Arabia. Metformin is a common treatment for type 2 diabetes mellitus (T2DM); however, its effect on the metabolic profile of patients newly diagnosed with T2DM remains unclear. To evaluate the effects of metformin on the metabolic profile, including hemoglobin A1c (HbA1c) and lipid levels, in patients newly diagnosed with T2DM in Madinah, Saudi Arabia. This prospective observational study involved 82 participants newly diagnosed with T2DM. The participants were aged between 30 and 65 years, and their HbA1c level was ≥6.5% higher than the normal range. None of them had taken any oral hypoglycemic medication before metformin treatment. Fourteen patients did not undergo regular follow-ups. A total of 68 patients completed the study. The primary outcomes were changes in HbA1c, cholesterol, low-density lipoprotein (LDL), and hepatic enzyme marker levels. The HbA1c level significantly reduced after the 12-week treatment period (6.85% vs 7.29% at baseline, P = .001). Furthermore, 67.3% of the patients exhibited a noteworthy decrease in cholesterol (4.68 vs 5.18 mmol/L at baseline, P = .014) and LDL levels (3.03 vs 3.52 mmol/L at baseline, P = .006). However, no significant changes were observed in the levels of the other lipid profile markers. Various dosages of metformin showed comparable effects in reducing HbA1c, cholesterol, and LDL levels, but inconsistent effects on hepatic enzymes. The results suggest that metformin can be considered an initial treatment option for patients newly diagnosed with T2DM. These findings are significant given the increasing prevalence of diabetes in Saudi Arabia and the need for effective and safe treatment options. Further studies are required to explore the pharmacogenomics and metabolomics of metformin in this specific population.

PubMedFrontiers in cell and developmental biology2026-11-11

Antibiotic and growth factor-loaded hydrogels for infected bone defect repair: mechanisms of spatiotemporal delivery and cellular microenvironment regulation.

Chen Lin L, Zhang Xulin X, Luo Lan L, Lan Jiaping J et al.

The treatment of infected bone defects (IBDs) requires simultaneous infection control and bone regeneration. However, traditional staged treatment protocols have several limitations. These include extended treatment durations, multiple surgical procedures, and low repair efficiency. Bifunctional hydrogels loaded with antibiotics and growth factors (GFs) offer a crucial material platform for integrated treatment strategies. These hydrogels possess excellent biocompatibility, malleability, and the capacity for spatiotemporal drug delivery. This review summarizes the design principles of antibiotic- and GF-loaded hydrogels, with particular attention to sequential and synergistic release strategies and their roles in infection control, immune regulation, vascularization, and osteogenesis. Current in vitro and in vivo evaluation approaches are also discussed, together with remaining challenges in drug stability, release precision, long-term biosafety, and clinical translation. This review may provide a basis for the rational design of multifunctional hydrogel systems and their further development for infected bone defect repair.

PubMedNano letters2026-11-11

Nanoscale Mapping of Internal Magnetization Dynamics Reveals How Disorder Shapes Heat Generation in Magnetic Particle Hyperthermia.

Jefremovas Elizabeth M EM, Rooms Pauline P, Gallo-Córdova Álvaro Á, Morales María P MP et al.

Magnetic particle hyperthermia relies on the efficient conversion of magnetic field energy into heat, yet the microscopic mechanisms governing this process within individual particles remain poorly understood. Here, we combine AC magnetometry experiments with dynamic micromagnetic simulations to connect microstructural features, magnetization dynamics, and macroscopic heat dissipation. We resolve heat generation at the intraparticle level, uncovering heterogeneous nanoscale heat-generation bursts with nanometer and nanosecond resolution. At a given particle size, grain size acts as an experimentally tunable parameter, balancing anisotropy disorder and pinning strength, thereby controlling both the magnitude and spatiotemporal distribution of heat release. Experiments show that flux-closure-dominated nanoflower architectures composed by larger grains generate more heat than their smaller-grain counterparts, whose deeper intraparticle pinning landscape redistributes heat generation over extended time windows. Together, our results provide a mechanistic framework linking nanoparticle microstructure to magnetic heating and establish design principles for optimizing nanoflowers as magnetic hyperthermia transducers.

PubMedAlzheimer's & dementia : the journal of the Alzheimer's Association2026-11-11

Diabetes mellitus is associated with altered Alzheimer's disease pathology.

Wu Min M, Luan Ying Y, Xu Xiaowen X, Mao Xiaoxie X et al.

Diabetes mellitus (DM) is a major risk factor for dementia, yet it remains unclear whether DM accelerates cognitive decline through amyloid beta (Aβ) or tau accumulation in Alzheimer's disease (AD). In this study, we included 2784 participants from three independent observational cohorts: the Chinese Preclinical Alzheimer's Disease Study (CPAS), the Alzheimer's Disease Neuroimaging Initiative (ADNI), and Health and Aging Brain Study-Health Disparities (HABS-HD). We examined the associations of DM with Aβ positron emission tomography (PET), tau PET, plasma phosphorylated tau (p-tau)217, and longitudinal cognitive change. We also tested whether DM modified the associations of Aβ and plasma p-tau217 with subsequent tau accumulation and explored the association of metformin use with tau accumulation. We found that DM was associated with lower global Aβ burden and lower tau accumulation in CPAS and ADNI, in which cognitive impairment was more common than in HABS-HD. The associations of Aβ and plasma p-tau217 with tau accumulation were weaker among individuals with DM. In addition, DM was associated with reduced propagation of tau from early to later stage Braak regions. Longitudinal analyses in ADNI indicated that individuals with DM exhibited slower tau-related cognitive decline. In exploratory analyses, metformin use among individuals with DM was associated with lower tau accumulation compared to individuals without DM. These findings suggest that DM is associated with an attenuation of amyloid- and tau-related processes, particularly in participants with cognitive impairment, and further suggest that diabetes-related mechanisms and its management may modulate the progression of AD pathology.

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