Exenatide is a glucagon-like peptide-1 (GLP-1) analog. It activates the GLP-1 receptor and increases insulin secretion, decreases glucagon secretion, and slows gastric emptying to improve glycemic control. Exenatide was given FDA approval on April 28, 2005. It is available as immediate- and extended-release formulations. Bydureon, the brand name product of extended-release exenatide in an injectable suspension, was discontinued in 2021. Bydureon BCise, an auto-injector extended-release formulation, remains available.
Exenatide is indicated as an adjunct to diet and exercise to improve glycemic control in patients with type 2 diabetes. An extended-release formulation is available which is indicated in patients ≥10 years old, while the immediate-acting formulation is approved only for adult patients.
Romain S. Neugebauer, Oakland, California, United States
Kaiser Permanente Southern California, Pasadena, California, United States
Kaiser Permanente Hawaii, Honolulu, Hawaii, United States
Shengjing Hospital of China Medical University, Shenyang, Liaoning, China
UTHealth Behavioral and Biomedical Sciences Building, Houston, Texas, United States
University Hospital Basel, Division of Nuclear Medicine, Basel, Switzerland
Seattle Children's Hospital, Seattle, Washington, United States
Leonard Wolfson Experimental Neurology Centre, National Hospital of Neurology and Neurosurgery, UCLH NHS Foundation trust, London, United Kingdom
Cambridge University Hospitals NHS Foundation Trust and The University of Cambridge, Cambridge, Cambridgeshire, United Kingdom
Academic Specialist Center, Center for Neurology, SLSO, Stockholm, Sweden
Beijing Chao-yang hospital, Beijing, China
University College London Hospital, London, United Kingdom
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