K-111, formerly
BM 17.0744, (2,2-dichloro-12-(4-chlorophenyl)-dodecanoic acid) is a new
insulin-sensitizer with
peroxisome proliferator-activated receptor (
PPAR) alpha activity but without
PPAR gamma activity. We determined the efficacy of
K-111 in non-human primates in increasing
insulin-stimulated
glucose uptake and improving
metabolic syndrome, assessing the general health-related effects. Six adult male obese normoglycemic prediabetic and
insulin-resistant rhesus monkeys were studied on vehicle and following
K-111 treatment (four-week chronic dosing each of 3 doses: 1, 3, and 10 mg/kg/d) with assessment of changes in substrate,
hormone, and blood pressure measurements and alterations in
insulin sensitivity using the euglycemic, hyperinsulinemic clamp technique.
K-111 led to significantly decreased
body weight and improved
hyperinsulinemia,
insulin sensitivity,
hypertriglyceridemia, and
HDL-cholesterol levels without adipogenesis or significant effects on fasting
glucose, 24-hour urine
glucose excretion, systolic or diastolic blood pressure, plasma
fibrinogen, total
cholesterol, or chemistry and hematology profile. These benefits are similar to the health-improving effects of calorie restriction, providing preliminary evidence that
K-111 has excellent potential as a calorie-restriction mimetic agent. These results indicate the necessity of future study of
K-111 for
metabolic syndrome in humans, and suggest potential in reducing the risks of diabetes and
cardiovascular disease.