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口服司美格鲁肽 - 礼来Rybelsus®,首款用于临床实践的口服胰高糖素样肽 - 1(GLP - 1)受体激动剂

[Oral semaglutide - Rybelsus®, the first GLP-1 receptor agonist for oral use in clinical practice].

作者信息

Karásek David

出版信息

Vnitr Lek. 2022 Summer;68(2):89-95.

Abstract

Glucagon like peptide-1 receptor agonists (GLP-1 RA) are potent antidiabetic drugs associated with significant weight loss and minimal risk of hypoglycemia. Semaglutide is a GLP-1 RA with a proven cardiovascular benefit. It is currently also available in oral form, which is especially suitable for the treatment of the initial phase of type 2 diabetes. However, it is also effective at later initiation of therapy, in different diabetic populations. The PIONEER 6 trial demonstrated cardiovascular safety of oral semaglutide, its administration was accompanied by a significant reduction in cardiovascular and overall mortality.

摘要

胰高血糖素样肽-1受体激动剂(GLP-1 RA)是强效抗糖尿病药物,与显著的体重减轻和低血糖风险最小相关。司美格鲁肽是一种已证实具有心血管益处的GLP-1 RA。它目前也有口服剂型,特别适用于2型糖尿病初始阶段的治疗。然而,在不同糖尿病患者群体中,其在治疗后期开始使用时也有效。PIONEER 6试验证明了口服司美格鲁肽的心血管安全性,其使用伴随着心血管和全因死亡率的显著降低。

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