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.
Department of Endocrinology and Metabolism, Zhongshan Hospital, Fudan University, Shanghai, Shanghai, China
Department of Endocrinology and Metabolism, Shanghai Minhang Central Hospital, Shanghai, Shanghai, China
Department of Endocrinology and Metabolism,Huadong Hospital, Shanghai, Shanghai, China
Connecticut Mental Health Center, New Haven, Connecticut, United States
Research Site, Olympia, Washington, United States
Baylor Scott and White Research Institute- Baylor Heart and Vascular Hospital, Dallas, Texas, United States
Research Site, Worcester, South Africa
Mount Sinai Hospital, Toronto, Ontario, Canada
Wuhan General Hospital, Wuhan, Hubei, China
Phoenix VA Health Care System, Phoenix, Arizona, United States
Mayo Clinic, Rochester, Minnesota, United States
University of Colorado Anshutz Medical Campus/Children's Hospital Colorado, Aurora, Colorado, United States
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