DR10601, a novel recombinant long-acting dual glucagon-like peptide-1 and glucagon receptor agonist for the treatment of obesity and type 2 diabetes mellitus

J Endocrinol Invest. 2020 May;43(5):653-662. doi: 10.1007/s40618-019-01153-z. Epub 2019 Nov 30.

Abstract

Purpose: Both glucagon-like peptide-1 (GLP-1) and glucagon (GCG) belong to the incretin family. This study aimed to investigate the pharmacokinetics and pharmacodynamics of DR10601, a fully recombinant hybrid peptide with dual GLP-1/GCG receptor agonistic activity.

Methods: The agonistic ability of DR10601 was indirectly assessed by inducing cAMP accumulation in Chinese hamster ovary cells transfected with GLP-1R or GCGR in vitro. Following s.c. administration, the plasma pharmacokinetics of DR10601 were analysed in male Sprague-Dawley rats. The antiobesity effects and improved glycaemic control of DR10601 in vivo were evaluated by administering DR10601 to high-fat DIO mice and ICR mice as a single dose or repeated s.c. doses once every 4 days for 24 days.

Results: DR10601 exhibits dual agonistic activity on GLP-1 and glucagon receptors. The plasma half-life of DR10601 in Sprague-Dawley rats following s.c. administration was 51.9 ± 12.2 h. In an IPGTT, a single s.c. dose of DR10601 (30 nmol/kg) produced similar glycaemic control effects and a longer duration of action compared to dulaglutide (10 nmol/kg). Compared with that achieved with liraglutide (40 nmol/kg) s.c. administered daily, DR10601 administered s.c. once every 4 days at 90 nmol/kg exerted a nearly equivalent effect on food intake and significantly reduced the body weights of high-fat DIO mice at 24 days.

Conclusions: Repeated administration of DR1060 provides potent and sustained glycemic control and body weight loss effect in high-fat DIO mice. DR10601 is a promising long-acting agent deserving further investigation for the treatment of type 2 diabetes and obesity.

Keywords: Body weight; Glucagon-like peptide-1; Obesity; Type 2 diabetes.

MeSH terms

  • Animals
  • Anti-Obesity Agents / therapeutic use*
  • Blood Glucose
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Glucagon-Like Peptide 1 / agonists*
  • Glucagon-Like Peptides / analogs & derivatives
  • Glucagon-Like Peptides / therapeutic use
  • Humans
  • Hypoglycemic Agents / therapeutic use*
  • Immunoglobulin Fc Fragments / therapeutic use
  • Liraglutide / therapeutic use
  • Male
  • Mice
  • Obesity / drug therapy*
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Glucagon / agonists*
  • Recombinant Fusion Proteins / therapeutic use

Substances

  • Anti-Obesity Agents
  • Blood Glucose
  • Hypoglycemic Agents
  • Immunoglobulin Fc Fragments
  • Receptors, Glucagon
  • Recombinant Fusion Proteins
  • Glucagon-Like Peptides
  • Liraglutide
  • Glucagon-Like Peptide 1
  • dulaglutide