Table 2.
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.