The design and synthesis of the dual peroxisome proliferator-activated receptor (PPAR)
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agonist (
R)-3-{4-[3-(4-chloro-2-phenoxy-phenoxy)-butoxy]-2-ethyl-phenyl}-propionic acid (
20) for the treatmentof type 2 diabetes and associated dyslipidemia is described. Thecompound possesses a potent dual hPPAR
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agonist profile (IC
50 =19 nM/4 nM; EC
50 = 102 nM/6 nM for hPPAR
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and hPPAR
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,respectively). In preclinical models, the compound improves insulinsensitivity and reverses diabetic hyperglycemia with less weight gainat a given level of glucose control relative to rosiglitazone.