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AO-128

Takeda · FDA-approved active Small molecule

AO-128 is a selective inhibitor of aldose reductase, an enzyme in the polyol pathway that converts glucose to sorbitol.

AO-128 is a selective inhibitor of aldose reductase, an enzyme in the polyol pathway that converts glucose to sorbitol. Used for Diabetic peripheral neuropathy, Diabetic complications (retinopathy, nephropathy).

At a glance

Generic nameAO-128
Also known asVoglibose, BASEN
SponsorTakeda
Drug classAldose reductase inhibitor
TargetAldose reductase
ModalitySmall molecule
Therapeutic areaDiabetes
PhaseFDA-approved

Mechanism of action

By inhibiting aldose reductase, AO-128 reduces the accumulation of sorbitol in tissues, which is thought to contribute to diabetic complications such as neuropathy, retinopathy, and nephropathy. This mechanism addresses the underlying metabolic dysfunction in diabetes-related microvascular complications.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results