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.
Endocrinology Unit, Parma, Italy
Center for Cognitive Disorders and Dementia AUSL of Parma and University of Parma, Parma, Italy
Department of Neurology, Herlev-Gentofte Hospital, Herlev, Denmark
Department of Neurology, Herlev-Gentofte Hospital, Herlev, Denmark
GSK Investigational Site, Boston, Massachusetts, United States
Department of Pediatrics, Salzburg State Hospital, Paracelsus Medical University, Salzburg, Austria
Uppsala University Hospital, Uppsala, Sweden
GSK Investigational Site, Dallas, Texas, United States
Investigational Site Number 8400033, Baltimore, Maryland, United States
Investigational Site Number 8400079, Albany, New York, United States
Investigational Site Number 8400019, Columbus, Ohio, United States
Radboud university medical centre, Nijmegen, Netherlands
Centre for Neuropsychopharmacology, Division of Brain Sciences, Imperial College London, Hammersmith Hospital, London, United Kingdom
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