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The record

Classglp1 agonist
Also known asByetta, Bydureon, Exendin-4, AC2993
Chain length-
Molecular weight4,186.6 Da
Half-life2.4 hours (IR); extended with ER microspheres
RouteSC
Studied forType 2 diabetes mellitus; Weight management (off-label); NASH/fatty liver (investigational)
Research useGLP-1 signaling, beta cell preservation, neuroprotection research
What has been shownHbA1c reduction: 0.8-1.1% (IR), up to 1.5% (ER); Weight loss: 2-4 kg typical; Beta cell function improvement; Postprandial glucose control
How it worksSynthetic version of exendin-4 from Heloderma suspectum (Gila monster) saliva. 39-amino acid incretin mimetic with 53% homology to human GLP-1 but resistant to DPP-4. Binds GLP-1R with high affinity, activating adenylyl cyclase. The C-terminal "Trp cage" (PSSGAPPPS) provides enhanced stability and receptor binding.
Patent statusAstraZeneca
Regulatory statusFDA approved 2005/2012

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