PMID- 21651449 OWN - NLM STAT- MEDLINE DCOM- 20110928 LR - 20151119 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 12 IP - 10 DP - 2011 Jul TI - Sitagliptin: a review. PG - 1613-22 LID - 10.1517/14656566.2011.580738 [doi] AB - INTRODUCTION: The ever-increasing burden of type 2 diabetes mellitus (T2DM) and inadequate control in the majority of patients has led to a quest for newer therapeutic options. There have been recent exciting advances in the treatment of T2DM, targeting the enteroinsular axis with incretin-based therapies that include the dipeptidyl peptidase IV (DPP-IV) inhibitors. AREAS COVERED: The background, pharmacodynamic and pharmacokinetic profile of sitagliptin and important clinical trials with this drug are discussed in this paper. This review is intended to provide a comprehensive overview of the DPP-IV inhibitor sitagliptin, its clinical use and an expert opinion about its place in the treatment algorithm of diabetes management. EXPERT OPINION: Sitagliptin is a well-tolerated, moderately efficacious, weight-neutral oral antidiabetic agent, with a low incidence of hypoglycemia. It may have a particular role in the management of diabetic patients with kidney or liver dysfunction. Animal studies indicate a protective effect on the pancreatic beta cell, thus limiting the progression of the disease, but this remains to be proven in humans. CI - (c) 2011 Informa UK, Ltd. FAU - Subbarayan, Sreevidya AU - Subbarayan S AD - Cleveland Clinic, Cleveland, Ohio, 44195, USA. FAU - Kipnes, Mark AU - Kipnes M LA - eng PT - Journal Article PT - Review PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 0 (Pyrazines) RN - 0 (Triazoles) RN - TS63EW8X6F (Sitagliptin Phosphate) SB - IM MH - Administration, Oral MH - Algorithms MH - Animals MH - Diabetes Mellitus, Type 2/*drug therapy/physiopathology MH - Dipeptidyl-Peptidase IV Inhibitors/adverse effects/pharmacology/*therapeutic use MH - Humans MH - Hypoglycemia/chemically induced MH - Hypoglycemic Agents/adverse effects/pharmacology/therapeutic use MH - Pyrazines/adverse effects/pharmacology/*therapeutic use MH - Sitagliptin Phosphate MH - Triazoles/adverse effects/pharmacology/*therapeutic use EDAT- 2011/06/10 06:00 MHDA- 2011/09/29 06:00 CRDT- 2011/06/10 06:00 PHST- 2011/06/10 06:00 [entrez] PHST- 2011/06/10 06:00 [pubmed] PHST- 2011/09/29 06:00 [medline] AID - 10.1517/14656566.2011.580738 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2011 Jul;12(10):1613-22. doi: 10.1517/14656566.2011.580738.