Newsome Jonathan S
South College, Knoxville, TN, USA.
J Pharm Technol. 2017 Oct;33(5):195-203. doi: 10.1177/8755122517711958. Epub 2017 Jun 7.
To evaluate the clinical role of Adlyxin (lixisenatide) in the treatment of type 2 diabetes mellitus. A MEDLINE search of the English language indexed from January 2013 to April 2017 was conducted using the search terms lixisenatide, safety, and efficacy. Studies including human subjects were utilized to assess the efficacy and safety of lixisenatide. Lixisenatide is a glucagon-like peptide-1 receptor agonist (GLP-1 RA) that increases glucose-dependent insulin release, decreases glucagon secretion, and slows gastric emptying. Clinical trials demonstrate that lixisenatide is an effective add-on pharmacotherapy option to achieve goal HbA1c levels. For example, in the Get Goal-Duo 1 study, HbA1c decreased to 7.0% in the lixisenatide group versus 7.3% in the placebo group (least square mean difference of -0.3%, < .0001). Furthermore, lixisenatide was shown to be superior to liraglutide in reducing postbreakfast glucose levels. Clinical studies have demonstrated that lixisenatide is a safe and effective treatment option for type 2 diabetes mellitus. In addition, it may be a safer and equally effective option to rapid-acting insulin.
评估艾塞那肽(利司那肽)在2型糖尿病治疗中的临床作用。使用搜索词“利司那肽”“安全性”和“有效性”对2013年1月至2017年4月索引的英文MEDLINE进行检索。利用纳入人类受试者的研究来评估利司那肽的有效性和安全性。利司那肽是一种胰高血糖素样肽-1受体激动剂(GLP-1 RA),可增加葡萄糖依赖性胰岛素释放、减少胰高血糖素分泌并延缓胃排空。临床试验表明,利司那肽是实现糖化血红蛋白(HbA1c)目标水平的一种有效的附加药物治疗选择。例如,在Get Goal-Duo 1研究中,利司那肽组的HbA1c降至7.0%,而安慰剂组为7.3%(最小二乘平均差异为-0.3%,P<0.0001)。此外,在降低早餐后血糖水平方面,利司那肽被证明优于利拉鲁肽。临床研究表明,利司那肽是2型糖尿病的一种安全有效的治疗选择。此外,对于速效胰岛素而言,它可能是一种更安全且同样有效的选择。