Table 1.
Comparison of selected clinical and pharmacokinetic plasma parameters of approved glucagon-like peptide-1 receptor (GLP-1R) agonist drugs used in type 2 diabetes mellitus.
| GLP-1 analog | Commercial name | Year of approval (FDA/EMA) | Company | Description | Indication | Form | Half-life | Cmax | Dose and dose regimen | Informations |
|---|---|---|---|---|---|---|---|---|---|---|
| Albiglutide | Tanzeum® (US) | 2014 (not available in France) | GlaxoSmithKline | Fused to human albumin, extended-release | Type 2 diabetes | Pen, SC injection | 5–6 days | 1.74 μg/ml | Once weekly, 30 or 50 mg | 2nd purpose, any time |
| Eperzan® (UE) | Any time | |||||||||
| Dulaglutide | Trulicity® | 2014 | Lilly | Fragment crystallizable region of human IgG4, extended-release | Type 2 diabetes | Pen, SC injection | 4.7 days | 114 ng/ml | Once weekly, 0.75 or 1.5 mg | Any time |
| Exenatide | Byetta® | 2005 | Lilly | Synthetic Exendin-4, immediate release | Type 2 diabetes | Pen, SC injection | 2.4 h | 211 pg/ml | Twice daily, 5 μg or 10 μg | Before the meal |
| Bydureon® | 2012 | Astra Zeneca | Synthetic Exendin-4, extended-release | 3–5 days | Once weekly, 2 mg | Same day, any time | ||||
| Liraglutide | Victoza® | 2010 | Novo Nordisk | Linked with a fatty acid, immediate release | Type 2 diabetes | Pen, SC injection, | 12–13 h | 35 ng/ml | Once daily, 0.6 mg and 1.2 or 1.8 mg | Fixed time |
| Saxenda® | 2014 | Obesity or overweight related to Type 2 diabetes | Once daily, 3 mg | |||||||
| Lixisenatide | Lyxumia® (UE) | 2013 | Sanofi | Exendin-4 analog, immediate-release | Type 2 diabetes | Pen, SC injection | 3–4 h | 175 pg/ml | Once daily, 10 μg then 20 μg | Before meal |
| Adlyxin® (US) | 2016 | Once daily, 20 μg | Before the first meal of the day | |||||||
| Semaglutide | Ozempic® | 2017 | Novo Nordisk | Linked with a fatty acid, extended-release | Type 2 diabetes | Pen, SC injection | 7 days | 41.2 ng/ml | Once weekly, 0.25 mg then 0.5 mg | Any time |
| Rybelsus® | Coformulation with an absorption enhancer protects, extended-release | Tablet, Oral | 7 days | 26.3–60 ng/ml | Once daily, 3 mg (1 month), 7 mg (1 month), 14 mg | Empty stomac, any time |