PMID- 19243286 OWN - NLM STAT- MEDLINE DCOM- 20090618 LR - 20221207 IS - 1744-7658 (Electronic) IS - 1354-3784 (Linking) VI - 18 IP - 3 DP - 2009 Mar TI - Exenatide once weekly for the treatment of type 2 diabetes. PG - 359-67 LID - 10.1517/13543780902766802 [doi] AB - Exenatide is the first glucagon-like peptide-1 (GLP-1) receptor agonist approved for the treatment of type 2 diabetes mellitus (T2DM). Exenatide lowers blood glucose through multiple mechanisms, including enhancement of glucose-dependent insulin secretion, suppression of excess glucagon secretion, reduction of food intake and slowing of gastric emptying. The current formulation of exenatide requires twice-daily dosing (exenatide BID), and an extended-release formulation of exenatide is now in development for use as a once-weekly injection (exenatide QW). The purpose of this report is to review the most current clinical data on the development of exenatide QW for the treatment of T2DM. In clinical trials, exenatide QW significantly improved glycemic control, resulted in patient weight loss, and was well tolerated in patients with T2DM. In a head-to-head clinical trial, exenatide QW caused greater improvements in glycemic control and was better tolerated than exenatide BID. Given the rapidly increasing prevalence of diabetes and obesity worldwide, exenatide QW is a promising development candidate for the treatment of T2DM. FAU - Malone, James AU - Malone J AD - Eli Lilly and Company, Lilly Research Laboratories, Indianapolis, IN 46285, USA. jkmalone@lilly.com FAU - Trautmann, Michael AU - Trautmann M FAU - Wilhelm, Ken AU - Wilhelm K FAU - Taylor, Kristin AU - Taylor K FAU - Kendall, David M AU - Kendall DM LA - eng PT - Journal Article PT - Review PL - England TA - Expert Opin Investig Drugs JT - Expert opinion on investigational drugs JID - 9434197 RN - 0 (Glycated Hemoglobin A) RN - 0 (Peptides) RN - 0 (Venoms) RN - 0 (hemoglobin A1c protein, human) RN - 9P1872D4OL (Exenatide) SB - IM MH - Animals MH - Clinical Trials as Topic MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - Drug Tolerance MH - Exenatide MH - Glycated Hemoglobin/metabolism MH - Humans MH - Peptides/*administration & dosage/chemistry/pharmacology/*therapeutic use MH - Treatment Outcome MH - Venoms/*administration & dosage/chemistry/pharmacology/*therapeutic use RF - 57 EDAT- 2009/02/27 09:00 MHDA- 2009/06/19 09:00 CRDT- 2009/02/27 09:00 PHST- 2009/02/27 09:00 [entrez] PHST- 2009/02/27 09:00 [pubmed] PHST- 2009/06/19 09:00 [medline] AID - 10.1517/13543780902766802 [doi] PST - ppublish SO - Expert Opin Investig Drugs. 2009 Mar;18(3):359-67. doi: 10.1517/13543780902766802.