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&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;=== ISIS 388626 ===&lt;br /&gt;
According to preliminary findings of a novel method of SGLT-2 inhibition, the [[Sense (molecular biology)|antisense]] [[oligonucleotide]] ISIS 388626 improved plasma glucose in rodents and dogs by reducing [[mRNA]] expression in the proximal renal tubules by up to 80% when given once a week. It did not affect SGLT-1. A study results on long-term use of ISIS 388626 in [[Animal testing on non-human primates|non-human primates]] observed more than 1000 fold increase in [[Glycosuria|glucosuria]] without any associated hypoglycemia. This increase in glucosuria can be attributed to a dose-dependent reduction in the expression of SGLT-2, where the highest dose led to more than 75% reduction. In 2011, [[Ionis Pharmaceuticals]] initiated a [[Phases of clinical research|clinical phase 1 study]] with ISIS-SGLT-2RX, a 12-nucleotide antisense [[oligonucleotide]]. Results from this study were published in 2017 and the treatment was &amp;quot;associated with unexpected renal effects&amp;quot;. The authors concluded that &amp;quot;Before the concept of antisense-mediated blocking of SGLT2 with ISIS 388626 can be explored further, more preclinical data are needed to justify further investigations.&amp;quot;&lt;/div&gt;</summary>
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