Document Detail


Next-generation GLP-1 therapy: an introduction to liraglutide.
MedLine Citation:
PMID:  21904107     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Liraglutide, a once-daily human glucagon-like peptide-1 (GLP-1) analog, was approved by the US Food and Drug Administration in 2010 for the treatment of type 2 diabetes mellitus (T2DM). Glucagon-like peptide-1 enhances insulin secretion and inhibits glucagon in a glucose-dependent manner. The efficacy and safety of liraglutide were evaluated in 6 phase 3 trials in > 4000 patients in the Liraglutide Effect and Action in Diabetes (LEAD) program, in another trial in comparison with sitagliptin, and in another trial where basal insulin was added to liraglutide + metformin. At liraglutide doses of 1.2 mg or 1.8 mg once daily, significant mean reductions in glycated hemoglobin (HbA1c) (1%-1.6%) and fasting plasma glucose (15-43 mg/dL), as well as sustained weight loss (2-3 kg) and a low rate of hypoglycemia occurred. Mild and transient nausea, reported in 6% to 41% of patients, was the most frequent adverse event reported. Incretin-based therapies such as liraglutide provide an important expansion of options for the treatment of T2DM.
Authors:
Thomas Repas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Postgraduate medicine     Volume:  123     ISSN:  1941-9260     ISO Abbreviation:  Postgrad Med     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401147     Medline TA:  Postgrad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  239-47     Citation Subset:  AIM; IM    
Affiliation:
Regional Medical Clinic, Aspen Centre-Endocrinology, Rapid City, SD. Trepas@rcrh.org.
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