PMID- 26587691 OWN - NLM STAT- MEDLINE DCOM- 20160926 LR - 20191210 IS - 1744-7658 (Electronic) IS - 1354-3784 (Linking) VI - 25 IP - 2 DP - 2016 TI - An overview of new GLP-1 receptor agonists for type 2 diabetes. PG - 145-58 LID - 10.1517/13543784.2016.1123249 [doi] AB - INTRODUCTION: The increasing prevalence of type 2 diabetes mellitus (T2DM) and the eventual need for multiple medications in most patients stimulated the development of new drug classes to reduce plasma glucose levels. The GLP-1 receptor agonists (GLP-1RAs) are established as an option for treatment of T2DM after metformin. They are also effective in reducing body weight but current GLP-1RAs have to be given by subcutaneous injection daily or once weekly. AREAS COVERED: This review focuses on the new GLP-1RAs currently undergoing development, some of which require less frequent subcutaneous administration and others that are being developed in oral formulations that may favor patient adherence. EXPERT OPINION: The new GLP-1RAs may have the benefit of requiring less frequent subcutaneous dosing or being active by oral administration. However, cardiovascular outcome trials have shown that DPP4 inhibitors are neutral for cardiovascular events and the first cardiovascular outcome trial with lixisenatide reported similar results, whereas the trial with the SGLT2 inhibitor empagliflozin showed a reduction in cardiovascular events. These findings in patients with high cardiovascular risk may favor the use of SGLT2 inhibitors as a second line treatment after metformin but there should still be an important role for novel GLP-1RAs, especially when weight reduction is required. FAU - Tomlinson, Brian AU - Tomlinson B AD - a Research Center for Translational Medicine , Shanghai East Hospital Affiliated to Tongji University School of Medicine , Shanghai , China. AD - b Department of Medicine & Therapeutics , Prince of Wales Hospital, The Chinese University of Hong Kong , Shatin , Hong Kong. FAU - Hu, Miao AU - Hu M AD - b Department of Medicine & Therapeutics , Prince of Wales Hospital, The Chinese University of Hong Kong , Shatin , Hong Kong. FAU - Zhang, Yuzhen AU - Zhang Y AD - a Research Center for Translational Medicine , Shanghai East Hospital Affiliated to Tongji University School of Medicine , Shanghai , China. FAU - Chan, Paul AU - Chan P AD - c Division of Cardiology, Department of Internal Medicine , Wan Fang Hospital, Taipei Medical University , Taipei city , Taiwan. FAU - Liu, Zhong-Min AU - Liu ZM AD - d Department of Cardiac Surgery , Shanghai East Hospital, Tongji University , Shanghai , China. LA - eng PT - Journal Article PT - Review DEP - 20151217 PL - England TA - Expert Opin Investig Drugs JT - Expert opinion on investigational drugs JID - 9434197 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) SB - IM MH - Administration, Oral MH - Animals MH - Body Weight/drug effects MH - Diabetes Mellitus, Type 2/*drug therapy/physiopathology MH - Drug Design MH - Glucagon-Like Peptide-1 Receptor/*agonists MH - Humans MH - Hypoglycemic Agents/administration & dosage/pharmacology/*therapeutic use MH - Injections, Subcutaneous MH - Medication Adherence MH - Sodium-Glucose Transporter 2 MH - Sodium-Glucose Transporter 2 Inhibitors OTO - NOTNLM OT - Efpeglenatide OT - GLP-1 OT - GLP-1 receptor agonist OT - glymera OT - semaglutide OT - type 2 diabetes mellitus EDAT- 2015/11/21 06:00 MHDA- 2016/09/27 06:00 CRDT- 2015/11/21 06:00 PHST- 2015/11/21 06:00 [entrez] PHST- 2015/11/21 06:00 [pubmed] PHST- 2016/09/27 06:00 [medline] AID - 10.1517/13543784.2016.1123249 [doi] PST - ppublish SO - Expert Opin Investig Drugs. 2016;25(2):145-58. doi: 10.1517/13543784.2016.1123249. Epub 2015 Dec 17.