Use of SGLT2 Inhibitors to Treat Primary Sclerosing Cholangitis

Novel use patent covering the application of SGLT2 inhibitor compounds for the treatment of primary sclerosing cholangitis.

About this asset

This intellectual property repositions a clinically validated mechanism of action — SGLT2 inhibition — toward a rare hepatobiliary indication. The asset offers strategic optionality for developers seeking to expand the therapeutic franchise of SGLT2 inhibitors beyond metabolic disease.

Key characteristics

Mechanism Repurposing
Leverages a validated class of compounds for a high-unmet-need indication.
Composition Adjacent
Compatible with multiple SGLT2 compounds across the class.
Franchise Extension
Opportunity to extend SGLT2 commercial franchises into hepatology.
Licensing-Ready
Clean, focused method-of-use protection.

Potential applications

Primary sclerosing cholangitisSGLT2 franchise expansionHepatology repositioning

Beyond glucose control.

Exploring the broader biological impact of SGLT2 inhibition across metabolic, renal, cardiovascular, and hepatobiliary systems.

SGLT2INHIBITORKidneyProximal tubuleLiverHepatic metabolismBile DuctsCholangiocyte biologyMetabolicGlucose · energyInflammatoryCytokine signalingFibroticECM remodelingImmune SignalingInnate · adaptiveCardiometabolicCardiorenal axis
Systems-biology view
Mechanism of Action

The biology of SGLT2.

A schematic of the renal proximal tubule — where SGLT2 transporters reabsorb filtered glucose, and where pharmacological inhibition shifts that flow.

GlomerulusFiltrationProximal Tubule→ ReabsorbedSGLT2
Filtered Glucose
Reabsorbed
≈ 100% returned to circulation
SGLT2 Transporters
Active
Sodium-glucose cotransport
Downstream Effect
Glucose retained
Baseline glucose handling

Inhibition at the proximal tubule produces effects that radiate well beyond glycemic control — touching metabolic, cardiorenal, and inflammatory biology.

Scientific Rationale

Why explore SGLT2 inhibitors beyond diabetes?

SGLT2 inhibitors are best known for glucose lowering, but growing scientific interest has expanded research into broader metabolic, inflammatory, and organ-system biology.

  1. Step 1
    SGLT2 Inhibitor

    A class of medicines that block sodium-glucose cotransport in the kidney.

  2. Step 2
    Glucose Regulation

    First developed to lower blood glucose in type 2 diabetes.

  3. Step 3
    Metabolic Effects

    Researchers observed shifts in energy use, weight, and cardiorenal markers.

  4. Step 4
    Systemic Biology

    Effects extended into inflammation, fibrosis, and organ-protective pathways.

  5. Step 5
    Scientific Exploration

    New hypotheses formed around uses well beyond glucose lowering.

  6. Step 6
    Therapeutic-Use Intellectual Property

    Novel disease applications became the foundation for method-of-use patents.

Molecular Networks

Metabolic signaling networks.

A continuous web of biology — glucose handling, energy substrates, inflammatory tone, oxidative balance, and fibrotic remodeling — all entangled with SGLT2-related pathways.

Glucose RegulationInsulin SensitivityEnergy BalanceInflammatory SignalingOxidative StressFibrotic PathwaysCellular Metabolism
Scientific Rationale

Potential hepatobiliary relevance.

Two parallel biological narratives — disease progression and a validated mechanism — meeting at a therapeutic-use intellectual property position.

Disease biology
How PSC progresses
STEP 01
Metabolic Dysfunction
STEP 02
Inflammatory Signaling
STEP 03
Fibrotic Remodeling
STEP 04
Biliary Injury
STEP 05
PSC Disease Biology
Mechanistic exploration
How SGLT2 biology connects
STEP 01
SGLT2 Inhibition
STEP 02
Metabolic Effects
STEP 03
Systemic Biological Effects
STEP 04
Therapeutic-Use Intellectual Property

These pathways describe scientific rationale supporting the patent. They do not imply clinical efficacy, regulatory approval, or treatment claims.

Scientific Arc

From kidney biology to broader therapeutic exploration.

Why a patent might trace SGLT2 biology far beyond its original diabetes indication — into liver disease and rare hepatobiliary opportunity.

STAGE 01
SGLT2 Transporters
STAGE 02
Glucose Regulation
STAGE 03
Metabolic Pathways
STAGE 04
Inflammatory Biology
STAGE 05
Fibrosis Biology
STAGE 06
Emerging Research Areas
STAGE 07
Therapeutic-Use IP
Clinical Burden

A Rare Disease With Outsized Long-Term Impact.

PSC's clinical trajectory, malignancy risk, and limited therapeutic options sustain high specialty-pharma and hepatology interest.

Chronic hepatobiliary disease
A progressive cholangiopathy without curative pharmacotherapy.
Hepatobiliary malignancy risk
Associated with elevated cholangiocarcinoma incidence.
Fibrosis & strictures
Structural bile duct damage drives the clinical course.
Unmet medical need
No broadly approved disease-modifying therapies.
Transplant pathway
PSC remains a major indication for liver transplantation.
Specialist patient pool
Concentrated in hepatology referral centers.
PSC vs PBC — Side-by-Side Compare

Two cholestatic diseases. Two distinct biologies.

Toggle below to compare disease mechanism or clinical progression across PSC and PBC.

PSC
This page
LiverCommon bile duct
Fibro-inflammatory disease of large and small bile ducts.
  • Chronic fibro-inflammatory injury of biliary epithelium
  • Affects intra- and extrahepatic bile ducts
  • Progressive multifocal strictures and segmental dilations
  • Strong association with inflammatory bowel disease
  • Elevated cholangiocarcinoma and transplant risk
PBC
LiverCommon bile duct
Autoimmune cholestatic disease of small intrahepatic ducts.
  • Autoimmune-mediated injury (AMA antibodies in most patients)
  • Targets small intrahepatic bile ducts
  • Chronic lymphocytic cholangitis with periductal inflammation
  • Female predominance reported in published literature
  • Slowly progressive cholestasis with pruritus and fatigue burden
Therapeutic Rationale

From a validated metabolic mechanism toward hepatobiliary opportunity.

The SGLT2 class is among the most thoroughly characterized in modern metabolic medicine. This patent explores how that biology could be extended into a fibro-inflammatory bile duct disease as a development-stage concept.

Patent Concept

Exploring SGLT2 Inhibition Beyond Diabetes.

SGLT2 inhibitors are best known for their role in diabetes and cardiometabolic disease.

This intellectual property explores the potential extension of SGLT2 inhibitor biology into PSC — a rare cholestatic liver disease with major unmet need — as therapeutic-use intellectual property.

Important

Therapeutic-use intellectual property — exploratory, development-stage concept. No clinical efficacy or regulatory status is claimed.

  1. SGLT2 Inhibitor Class
  2. Metabolic Effects
  3. Cardiorenal Effects
  4. Potential Hepatobiliary Applications
Patent Science Timeline

From biology to partnership opportunity.

  1. 01
    Disease Biology
  2. 02
    Scientific Hypothesis
  3. 03
    Patent Filing
  4. 04
    Patent Publication
  5. 05
    Development Opportunity
  6. 06
    Strategic Partnership
Strategic Value

Why PSC Represents Strategic Opportunity.

Rare Disease Economics

Specialty pricing dynamics and concentrated prescribing.

Unmet Medical Need

Limited approved disease-modifying therapies.

Specialty Pharma Interest

Active hepatology-focused commercial pipelines.

Potential Orphan Strategy

Possible alignment with orphan drug regulatory pathways.

Partner-Funded Development

Suited to licensee-driven development structures.

Licensing Opportunity

Method-of-use protection available for partnership.

Explore Development or Licensing Opportunities.

Islet Sciences is evaluating strategic partnerships, licensing discussions, and development opportunities for its therapeutic-use intellectual property portfolio.