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. 2021 Jan 25;13(2):351. doi: 10.3390/nu13020351

Table 2.

Incretin-based therapies approved for T2DM [18,221,229,230]. Modification.

Drug Homology to Native GLP-1/DPP-4 Inhibition T1/2 Dosage Reduction in HbA1c (%) Reduction in Body Weight (kg)
GLP-1RA
Exenatide extended-release 53% 96 h 2 mg once weekly 1.3–1.9 2–3.7
Exenatide immediate release 53% 2.4 h 5–10 μg twice daily 0.8–1.2 1–3
Liraglutide 97% ~13 h 1.2–1.8 mg once daily 0.8–1.5 2–3
Dulaglutide 90% ~1 week 0.75–1.5 mg once weekly 0.78–1.5 0.8–2.5
Semaglutide 94% 4.5–4.7 days 0.5–1 mg once weekly 1.2–18 3.5–6.5
Lixisenatide 50% ~3 h 20 μg once daily 1.3–2.7 1.3–2.7
Albiglutide 97% 5 days 30–50 mg once weekly 0.7–1 0.8–1.1
DPP-4 inhibitors
Sitagliptin Max: ~97%, 80% 24 h post dose 8–24 h 100 mg once daily 0.4–1.3 -
Saxagliptin Max: ~80%; 70% 24 h post dose 2–4 h 5 mg once daily 0.5–1.7 -
Linagliptin Max~80%; 70% 24 h post dose 10–40 h 5 mg once daily 0.2–1.1 -
Alogliptin Max: ~90%; 75% 24 h post dose 12–21 h 25 mg once daily 0.5–0.7 -
Vildagliptin Max: ~95%; 80% 24 h post dose 1.5–4.5 h 50 mg twice daily 0.2–1 -

DPP-4: dipeptidyl peptidase-4; T1/2: half-life; HbA1c: glycated hemoglobin; GLP-1RA: glucagon-like peptide-1 receptor agonist.