Empagliflozin
drugOn this page
Also known as BI 10773BI-10773Bi10773Empagliflozin component of glyxambiEmpagliflozin component of synjardyEmpagliflozin component of trijardy xrEmpagliflozinaEmpagliflozineJardianceEMPAGLIFLOZIN (BI10773)
Summary
Empagliflozin (CHEMBL2107830) is an approved small-molecule sodium-glucose transport protein subtype 2 inhibitor (ATC A10BK03) targeting SLC5A1 and SLC5A2; indicated across 37 conditions including diabetes mellitus and heart failure.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: A10BK03
- Targets: 2 (SLC5A1, SLC5A2)
- Indications: 37 conditions
- Clinical trials: 407
- Chemistry: 450.9 Da · C23H27ClO7
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL2107830 |
| Name | Empagliflozin |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 11949646 |
| ChEBI | CHEBI:82720 |
| ATC | A10BK03 |
| Molecular formula | C23H27ClO7 |
| Molecular weight | 450.9 |
| InChIKey | OBWASQILIWPZMG-QZMOQZSNSA-N |
SMILES: C1COC[C@H]1OC2=CC=C(C=C2)CC3=C(C=CC(=C3)[C@H]4[C@@H]([C@H]([C@@H]([C@H](O4)CO)O)O)O)Cl
IUPAC name: (2S,3R,4R,5S,6R)-2-[4-chloro-3-[[4-[(3S)-oxolan-3-yl]oxyphenyl]methyl]phenyl]-6-(hydroxymethyl)oxane-3,4,5-triol
ChEBI definition: A C-glycosyl compound consisting of a β-glucosyl residue having a (4-chloro-3-{4-[(3S)-tetrahydrofuran-3-yloxy]benzyl}phenyl group at the anomeric centre. A sodium-glucose co-transporter 2 inhibitor used as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
Pharmacological roles (ChEBI): sodium-glucose transport protein subtype 2 inhibitor, hypoglycemic agent.
Also known as: BI 10773, Bi 10773, BI-10773, Bi10773, Empagliflozin, Empagliflozin component of glyxambi, Empagliflozin component of synjardy, Empagliflozin component of trijardy xr, Empagliflozina, Empagliflozine, Jardiance, EMPAGLIFLOZIN
Patent coverage: 1,682 distinct patent families (3,982 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 3,463 (87%) of the total. Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| SLC5A1 | Sodium/glucose cotransporter 1 | Inhibition | 5.1 | 0% | P13866 |
| SLC5A2 | Sodium/glucose cotransporter 2 | Inhibition | 8.5 | 0.2% | P31639 |
Broader ChEMBL bioactivity targets: 3 (assay-derived). Sample: Sodium/glucose cotransporter 2, Synaptic vesicular amine transporter, Sodium/glucose cotransporter 1.
Bioactivity
ChEMBL activities: 12 potent at pChembl ≥ 5 of 13 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| SLC5A2 | 8.52 | EC50 | 3 | nM | CHEMBL_ACT_19005392 |
| SLC5A2 | 8.51 | IC50 | 3.1 | nM | CHEMBL_ACT_16259933 |
| SLC5A2 | 8.51 | IC50 | 3.1 | nM | CHEMBL_ACT_18665717 |
| SLC5A2 | 8.51 | IC50 | 3.1 | nM | CHEMBL_ACT_18728730 |
| SLC5A2 | 8.51 | IC50 | 3.1 | nM | CHEMBL_ACT_25634248 |
| SLC5A2 | 8.51 | IC50 | 3.1 | nM | CHEMBL_ACT_25874431 |
| SLC5A2 | 8.51 | IC50 | 3.1 | nM | CHEMBL_ACT_26593976 |
| SLC5A2 | 8.51 | IC50 | 3.1 | nM | CHEMBL_ACT_29054648 |
| SLC5A1 | 5.49 | IC50 | 3235 | nM | CHEMBL_ACT_16299538 |
| SLC5A1 | 5.49 | IC50 | 3235 | nM | CHEMBL_ACT_26594060 |
| SLC5A1 | 5.08 | EC50 | 8300 | nM | CHEMBL_ACT_19005391 |
| SLC5A1 | 5.08 | IC50 | 8300 | nM | CHEMBL_ACT_25634259 |
Target pathways
Aggregated over 2 target gene(s): SLC5A1, SLC5A2.
Top Reactome pathways
11 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Disease | 2 | SLC5A1, SLC5A2 |
| Cellular hexose transport | 2 | SLC5A1, SLC5A2 |
| Transport of small molecules | 2 | SLC5A1, SLC5A2 |
| SLC-mediated transmembrane transport | 2 | SLC5A1, SLC5A2 |
| SLC transporter disorders | 2 | SLC5A1, SLC5A2 |
| Disorders of transmembrane transporters | 2 | SLC5A1, SLC5A2 |
| Defective SLC5A1 causes congenital glucose/galactose malabsorption (GGM) | 1 | SLC5A1 |
| Defective SLC5A2 causes renal glucosuria (GLYS1) | 1 | SLC5A2 |
| Intestinal absorption | 1 | SLC5A1 |
| Digestion and absorption | 1 | SLC5A1 |
| Intestinal hexose absorption | 1 | SLC5A1 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| alpha-glucoside transport | 2 |
| sodium ion transport | 2 |
| renal D-glucose absorption | 2 |
| D-glucose import across plasma membrane | 2 |
| sodium ion import across plasma membrane | 2 |
| D-glucose transmembrane transport | 2 |
| monoatomic ion transport | 2 |
| transmembrane transport | 2 |
| intestinal D-glucose absorption | 1 |
| pentose transmembrane transport | 1 |
| fucose transmembrane transport | 1 |
| galactose transmembrane transport | 1 |
| myo-inositol transport | 1 |
| transepithelial water transport | 1 |
| intestinal hexose absorption | 1 |
Indications & clinical
Indications
37 indications (4 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| diabetes mellitus | 4 | MONDO:0005015 | EFO:0000400 |
| heart failure | 4 | MONDO:0005252 | EFO:0003144 |
| chronic kidney disease | 4 | MONDO:0005300 | EFO:0003884 |
| type 2 diabetes mellitus | 4 | MONDO:0005148 | MONDO:0005148 |
| gestational diabetes | 3 | MONDO:0005406 | EFO:0004593 |
| diabetic kidney disease | 3 | MONDO:0005016 | EFO:0000401 |
| metabolic dysfunction-associated steatotic liver disease | 3 | MONDO:0013209 | EFO:0003095 |
| myocardial infarction | 3 | MONDO:0005068 | EFO:0000612 |
| acute myocardial infarction | 3 | MONDO:0004781 | EFO:0008583 |
| severe acute respiratory syndrome | 3 | MONDO:0005091 | EFO:0000694 |
| type 1 diabetes mellitus | 3 | MONDO:0005147 | MONDO:0005147 |
| metabolic syndrome X | 3 | MONDO:0011565 | EFO:0000195 |
| polycystic ovary syndrome | 2 | MONDO:0008487 | EFO:0000660 |
| kidney disorder | 2 | MONDO:0005240 | EFO:0003086 |
| inappropriate ADH syndrome | 2 | MONDO:0006802 | EFO:1000982 |
| prediabetes syndrome | 2 | MONDO:0006920 | EFO:1001121 |
| glycogen storage disease I | 2 | MONDO:0002413 | Orphanet:364 |
| nephrolithiasis | 2 | MONDO:0008171 | EFO:0004253 |
| portal hypertension | 2 | MONDO:0005080 | EFO:0000666 |
| ulcerative colitis | 2 | MONDO:0005101 | EFO:0000729 |
| hypoglycemia | 2 | MONDO:0004946 | HP:0001943 |
| autosomal dominant polycystic kidney disease | 2 | MONDO:0004691 | EFO:1001496 |
| major depressive disorder | 2 | MONDO:0002009 | MONDO:0002009 |
| ST-elevation myocardial infarction | 2 | MONDO:0041656 | EFO:0008585 |
| neoplasm | 2 | MONDO:0005070 | MONDO:0004992 |
| Crohn disease | 1 | MONDO:0005011 | EFO:0000384 |
| acute kidney injury | 1 | MONDO:0002492 | HP:0001919 |
| inflammatory bowel disease | 1 | MONDO:0005265 | EFO:0003767 |
| diabetic neuropathy | 1 | MONDO:0006626 | EFO:1000783 |
| epilepsy | 0 | MONDO:0005027 | EFO:0000474 |
7 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 407.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE4 | 101 |
| PHASE3 | 81 |
| PHASE1 | 67 |
| Not specified | 67 |
| PHASE2 | 64 |
| PHASE2/PHASE3 | 15 |
| EARLY_PHASE1 | 8 |
| PHASE1/PHASE2 | 4 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04447911 | PHASE4 | RECRUITING | Effects of the SGLT2 Inhibitor Empagliflozin in Patients With Euvolemic and Hypervolemic Hyponatremia |
| NCT05147090 | PHASE4 | ACTIVE_NOT_RECRUITING | Effects of Empagliflozin on Fibrosis and Cirrhosis in Chronic Hepatitis B Patients |
| NCT05164263 | PHASE4 | RECRUITING | Real World Safety & Efficacy Experience of Empagliflozin With or Without Metformin in T2DM Patients - EASE Study |
| NCT05426525 | PHASE4 | ACTIVE_NOT_RECRUITING | Use of Empagliflozin to Treat Prediabetes |
| NCT05671991 | PHASE4 | RECRUITING | Effect of Empagliflozin on Peritoneal and Kidney Function in End Stage Renal Disease |
| NCT06013865 | PHASE4 | RECRUITING | Empagliflozin Treatment in Kidney Transplant Recipients |
| NCT06021145 | PHASE4 | RECRUITING | Effectiveness of Empagliflozin Added to Automated Insulin Delivery (AID) Systems in Adults With Type 1 Diabetes With Sub-optimal Glycemic Outcomes |
| NCT06055452 | PHASE4 | RECRUITING | Effects of SGLT2 Inhibitors in Pre-heart Failure Populations With Hypertension |
| NCT06110130 | PHASE4 | RECRUITING | Effect of Empagliflozin on Podocyte Specific Proteins in African American Veterans With NDKD |
| NCT06249932 | PHASE4 | RECRUITING | Empagliflozin in Heart Failure with Reduced Ejection Fraction and End Stage Renal Disease |
| NCT06249945 | PHASE4 | RECRUITING | EMPAgliflozin in Heart Failure With PReserved Ejection Fraction and End Stage Renal Disease |
| NCT06260059 | PHASE4 | RECRUITING | Efficacy Of Sodium Glucose Transporter Inhibitor (SGLT2I) In Adult Patients With Congenital Heart Disease |
| NCT06391450 | PHASE4 | ACTIVE_NOT_RECRUITING | Study of Empagliflozin in Patients With Autosomal Dominant Polycystic Kidney Disease (EMPA-PKD) |
| NCT06401343 | PHASE4 | RECRUITING | Use of SGLT2i in noHCM With HFpEF |
| NCT06410352 | PHASE4 | RECRUITING | Effectiveness of Weight Loss Methods on Lifespan for Metabolic Syndrome |
| NCT06613854 | PHASE4 | RECRUITING | Effect of Early Combination Antihyperglycemic Treatment on Metabolic Control in Individuals With Type 2 Diabetes |
| NCT06625073 | PHASE4 | RECRUITING | Randomized Trial of SGLT2i in Heart Transplant Recipients |
| NCT06642272 | PHASE4 | RECRUITING | A Pragmatic Trial Comparing Empagliflozin and Dapagliflozin Through Cluster Randomization Embedded in the Electronic Health Record |
| NCT06674109 | PHASE4 | NOT_YET_RECRUITING | SAVE-Care (Sodium Glucose Cotransporter-2 Inhibitors [SGLT2i] As Novel Gout Care) Trial |
| NCT06706791 | PHASE4 | RECRUITING | Effect of Empagliflozin on Quality of Life in Chronic Heart Failure Patients With Diabetes Mellitus Type II |
| NCT06846411 | PHASE4 | RECRUITING | The EMPA-FIT Study |
| NCT06862739 | PHASE4 | RECRUITING | Glycemic Control With Triple Pathway Approach Through Empagliflozin, Linagliptin and Metformin Combination |
| NCT06933355 | PHASE4 | ACTIVE_NOT_RECRUITING | Acute Effects of SGLT2 Inhibitor on Kidney Allograft Oxygen Tension |
| NCT07155694 | PHASE4 | NOT_YET_RECRUITING | Role of Finerenone in African American Veterans With Diabetic Kidney Disease |
| NCT07180745 | PHASE4 | NOT_YET_RECRUITING | Empagliflozin Versus Statins in Non-Alcoholic Fatty Liver Disease |
| NCT07292909 | PHASE4 | RECRUITING | Effect of Empagliflozin on Inflammation |
| NCT07322237 | PHASE4 | RECRUITING | DICE Study- Diastolic Improvement With Carvedilol & Empagliflozin in Patients With Cirrhosis |
| NCT07365358 | PHASE4 | NOT_YET_RECRUITING | Evaluate the Efficacy and Safety of Empagliflozin or Glimepiride Combination Therapy in Type 2 Diabetes Mellitus Patients |
| NCT07442006 | PHASE4 | RECRUITING | Glycemic Variability of Combination Therapies in T2DM |
| NCT07452913 | PHASE4 | ENROLLING_BY_INVITATION | Metformin, Empagliflozin With Sitagliptin vs Linagliptin in Type 2 Diabetes |
| NCT07547878 | PHASE4 | NOT_YET_RECRUITING | Rapid and Simultaneous Initiation of Four Guideline-Directed CKD Therapies (RAPID-CKD) |
| NCT01001962 | PHASE4 | UNKNOWN | Double Blind Placebo Study of JARDIANCE® (Empagliflozin) in Prehypertensives Type II Diabetics |
| NCT02401880 | PHASE4 | COMPLETED | Effects of Linagliptin in Addition to Empagliflozin on Islet Cell Physiology |
| NCT02589626 | PHASE4 | COMPLETED | Long-term Safety and Efficacy of Empagliflozin as Add on to GLP-1 RA |
| NCT02589639 | PHASE4 | COMPLETED | Efficacy and Safety Study of Empagliflozin as add-on to Insulin in Japanese Patients With Type 2 Diabetes Mellitus |
| NCT02637973 | PHASE4 | COMPLETED | Effects of Empagliflozin on Liver Fat Content, Energy Metabolism and Body Composition in Patients With Type 2 Diabetes |
| NCT02728453 | PHASE4 | TERMINATED | SGLT2 Inhibition and Left Ventricular Mass |
| NCT02768220 | PHASE4 | WITHDRAWN | The Effect of Sodium-Glucose Cotransporter 2 Inhibitors on Advanced Glycation End Products |
| NCT02798744 | PHASE4 | COMPLETED | SGLT-2 Inhibitor Empagliflozin Effects on Appetite and Weight Regulation. |
| NCT02833415 | PHASE4 | COMPLETED | Visceral Adiposity and Diabetes: Translating Form to Function Using Imaging |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline, but PharmGKB curates 0 clinical and 7 variant annotation(s) for this drug (gene-keyed; see PharmGKB).
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
16 molecules share ≥1 primary target. Top 16 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| BEXAGLIFLOZIN | ChEMBL + PubChem | Phase 4 (approved) | SLC5A1, SLC5A2 |
| Canagliflozin | ChEMBL + PubChem | Phase 4 (approved) | SLC5A1, SLC5A2 |
| ERTUGLIFLOZIN | ChEMBL + PubChem | Phase 4 (approved) | SLC5A1, SLC5A2 |
| SOTAGLIFLOZIN | ChEMBL + PubChem | Phase 4 (approved) | SLC5A1, SLC5A2 |
| DAPAGLIFLOZIN | ChEMBL | Phase 4 (approved) | SLC5A1, SLC5A2 |
| IPRAGLIFLOZIN | ChEMBL | Phase 4 (approved) | SLC5A1, SLC5A2 |
| TOFOGLIFLOZIN | ChEMBL | Phase 4 (approved) | SLC5A1, SLC5A2 |
| ENAVOGLIFLOZIN | ChEMBL | Phase 3 | SLC5A1, SLC5A2 |
| HENAGLIFLOZIN | ChEMBL | Phase 3 | SLC5A1, SLC5A2 |
| LICOGLIFLOZIN | ChEMBL | Phase 2 | SLC5A1, SLC5A2 |
| LUSEOGLIFLOZIN | ChEMBL | Phase 2 | SLC5A1, SLC5A2 |
| REMOGLIFLOZIN ETABONATE | ChEMBL | Phase 2 | SLC5A1, SLC5A2 |
| SERGLIFLOZIN ETABONATE | ChEMBL | Phase 2 | SLC5A1, SLC5A2 |
| MIZAGLIFLOZIN | ChEMBL | Phase 2 | SLC5A1 |
| YM-543 FREE ACID | ChEMBL | Phase 2 | SLC5A2 |
| Phlorizin | PubChem | Approved | SLC5A1 |
Related Atlas pages
- Genes: SLC5A1, SLC5A2
- Diseases: diabetes mellitus, heart failure, chronic kidney disease, type 2 diabetes mellitus, gestational diabetes, diabetic kidney disease, metabolic dysfunction-associated steatotic liver disease, myocardial infarction, acute myocardial infarction, severe acute respiratory syndrome, type 1 diabetes mellitus, metabolic syndrome X
- Drugs: Bexagliflozin, Canagliflozin, Ertugliflozin, Sotagliflozin, Dapagliflozin, Ipragliflozin, Tofogliflozin, Enavogliflozin, Henagliflozin