Once-weekly GLP-1 agonists: How do they differ from exenatide and liraglutide?

Curr Diab Rep. 2010 Apr;10(2):124-32. doi: 10.1007/s11892-010-0102-x.

Abstract

Incretin mimetics offer a new modality in diabetes treatment. This modality is based on the effects of the naturally occurring glucoregulatory gut hormone glucagon-like peptide-1 (GLP-1), which counteracts several pathophysiologic traits in type 2 diabetes. GLP-1 receptor agonists with extended half-lives entailing fewer injections and presumably an improved throughout-the-day glycemic control are in clinical development. This article summarizes the physiologic effects of GLP-1; the effects of the already marketed GLP-1 analogues for daily dosing, exenatide and liraglutide; and reviews the presently published data (with emphasis on clinical pharmacokinetics, efficacy, and safety) on GLP-1 agonists, which currently are in development and intended for once-weekly dosing: albiglutide/albugon, CJC-1131, CJC-1134-PC, exenatide once weekly, and taspoglutide.

Publication types

  • Review

MeSH terms

  • Animals
  • Drug Administration Schedule
  • Drug Evaluation, Preclinical
  • Exenatide
  • Glucagon-Like Peptide 1 / administration & dosage
  • Glucagon-Like Peptide 1 / agonists*
  • Glucagon-Like Peptide 1 / analogs & derivatives*
  • Glucagon-Like Peptide 1 / metabolism
  • Glucagon-Like Peptide 1 / pharmacology
  • Humans
  • Hypoglycemic Agents / administration & dosage*
  • Hypoglycemic Agents / pharmacology*
  • Liraglutide
  • Peptides / administration & dosage
  • Peptides / pharmacology*
  • Pharmaceutical Preparations
  • Venoms / administration & dosage
  • Venoms / pharmacology*

Substances

  • Hypoglycemic Agents
  • Peptides
  • Pharmaceutical Preparations
  • Venoms
  • Liraglutide
  • Glucagon-Like Peptide 1
  • Exenatide