PMID- 24373190 OWN - NLM STAT- MEDLINE DCOM- 20150309 LR - 20221207 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 16 IP - 7 DP - 2014 Jul TI - Lixisenatide, a novel GLP-1 receptor agonist: efficacy, safety and clinical implications for type 2 diabetes mellitus. PG - 588-601 LID - 10.1111/dom.12253 [doi] AB - Recent advances in therapies for the treatment of type 2 diabetes mellitus (T2DM) have led to the development of glucagon-like peptide-1 receptor agonists (GLP-1 RAs), which, unlike insulin and sulphonylurea, are effective, with a low risk of hypoglycaemia. Lixisenatide is recommended as a once-daily GLP-1 RA for the treatment of T2DM. In persons with T2DM, lixisenatide 20 microg once-daily given by bolus subcutaneous injection improves insulin secretion and suppresses glucagon secretion in a glucose-dependent manner. Compared with the longer-acting GLP-1 RA liraglutide, lixisenatide achieved a significantly greater reduction in postprandial plasma glucose (PPG) during a standardized test breakfast in persons with T2DM otherwise insufficiently controlled on metformin alone. This is primarily due to the greater inhibition of gastric motility by lixisenatide compared with liraglutide. The efficacy and safety of lixisenatide was evaluated across a spectrum of T2DM in a series of phase III, randomized, placebo-controlled trials known as the GetGoal programme. Lixisenatide monotherapy or as add-on to oral antidiabetic agents or basal insulin achieved significant reductions in glycated haemoglobin, PPG and fasting plasma glucose, with either weight loss or no weight gain. The most frequent adverse events were gastrointestinal and transient in nature. Lixisenatide provides an easy, once-daily, single-dose, add-on treatment to oral antidiabetic agents or basal insulin for the management of T2DM, with little or no increased risk of hypoglycaemia and a potential beneficial effect on body weight. CI - (c) 2013 John Wiley & Sons Ltd. FAU - Bolli, G B AU - Bolli GB AD - Department of Medicine, University of Perugia, Hospital S.M. della Misericordia, Perugia, Italy. FAU - Owens, D R AU - Owens DR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140120 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Blood Glucose) RN - 0 (GLP1R protein, human) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (Peptides) RN - 0 (Receptors, Glucagon) RN - 0 (hemoglobin A1c protein, human) RN - 74O62BB01U (lixisenatide) RN - 9100L32L2N (Metformin) SB - IM MH - Blood Glucose/*drug effects MH - Clinical Trials, Phase III as Topic MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - Drug Administration Schedule MH - Glucagon-Like Peptide-1 Receptor MH - Glycated Hemoglobin/*drug effects MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Insulin/metabolism MH - Insulin Secretion MH - Metformin/therapeutic use MH - Peptides/*therapeutic use MH - Randomized Controlled Trials as Topic MH - Receptors, Glucagon/*agonists MH - Treatment Outcome OTO - NOTNLM OT - GLP-1 OT - diabetes mellitus EDAT- 2014/01/01 06:00 MHDA- 2015/03/10 06:00 CRDT- 2013/12/31 06:00 PHST- 2013/02/14 00:00 [received] PHST- 2013/04/15 00:00 [revised] PHST- 2013/10/24 00:00 [accepted] PHST- 2013/12/31 06:00 [entrez] PHST- 2014/01/01 06:00 [pubmed] PHST- 2015/03/10 06:00 [medline] AID - 10.1111/dom.12253 [doi] PST - ppublish SO - Diabetes Obes Metab. 2014 Jul;16(7):588-601. doi: 10.1111/dom.12253. Epub 2014 Jan 20.