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SPD476 (4.8 g)

Shire · Phase 3 active Small molecule Under review

SPD476 (4.8 g) is a SGLT2 inhibitor Small molecule drug developed by Shire. It is currently in Phase 3 development for Type 2 diabetes. Also known as: Lialda, MMX™ mesalazine.

SPD476 is a small molecule drug that targets the SGLT2 receptor.

SPD476 is a medication being studied in clinical trials for the prevention of recurrence of diverticulitis, as well as for the treatment of colitis and ulcerative colitis. The medication has been tested in doses of 1.2g, 2.4g, and 4.8g in clinical trials.

Likelihood of approval
58.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameSPD476 (4.8 g)
Also known asLialda, MMX™ mesalazine
SponsorShire
Drug classSGLT2 inhibitor
TargetSGLT2
ModalitySmall molecule
Therapeutic areaDiabetes
PhasePhase 3

Mechanism of action

By inhibiting SGLT2, SPD476 reduces glucose reabsorption in the kidneys, leading to decreased blood glucose levels. This mechanism is particularly useful in the treatment of type 2 diabetes.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

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

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about SPD476 (4.8 g)

What is SPD476 (4.8 g)?

SPD476 (4.8 g) is a SGLT2 inhibitor drug developed by Shire, indicated for Type 2 diabetes.

How does SPD476 (4.8 g) work?

SPD476 is a small molecule drug that targets the SGLT2 receptor.

What is SPD476 (4.8 g) used for?

SPD476 (4.8 g) is indicated for Type 2 diabetes.

Who makes SPD476 (4.8 g)?

SPD476 (4.8 g) is developed by Shire (see full Shire pipeline at /company/shire).

Is SPD476 (4.8 g) also known as anything else?

SPD476 (4.8 g) is also known as Lialda, MMX™ mesalazine.

What drug class is SPD476 (4.8 g) in?

SPD476 (4.8 g) belongs to the SGLT2 inhibitor class. See all SGLT2 inhibitor drugs at /class/sglt2-inhibitor.

What development phase is SPD476 (4.8 g) in?

SPD476 (4.8 g) is in Phase 3.

What are the side effects of SPD476 (4.8 g)?

Common side effects of SPD476 (4.8 g) include Nausea, Diarrhea, Vomiting.

What does SPD476 (4.8 g) target?

SPD476 (4.8 g) targets SGLT2 and is a SGLT2 inhibitor.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing