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替尔泊肽治疗成人2型糖尿病的疗效与安全性:基层医疗服务提供者视角

Efficacy and Safety of Tirzepatide in Adults With Type 2 Diabetes: A Perspective for Primary Care Providers.

作者信息

Kushner Pamela, Anderson John E, Simon Jörg, Boye Kristina S, Ranta Kari, Torcello-Gómez Amelia, Levine Joshua A

机构信息

Family Medicine, University of California School of Medicine, Irvine, CA.

Kushner Wellness Center, Los Angeles, CA.

出版信息

Clin Diabetes. 2023 Spring;41(2):258-272. doi: 10.2337/cd22-0029. Epub 2022 Nov 29.

Abstract

This article reviews the efficacy and safety data of tirzepatide, a once-weekly, novel glucose-dependent insulinotropic polypeptide and glucagon-like peptide 1 (GLP-1) receptor agonist approved in the United States, the European Union, and other regions for the treatment of type 2 diabetes. All doses of tirzepatide demonstrated superiority in reducing A1C and body weight from baseline versus placebo or active comparators. The safety profile of tirzepatide was consistent with that of the GLP-1 receptor agonist class, with mild to moderate and transient gastrointestinal side effects being the most common adverse events. With clinically and statistically significant reductions in A1C and body weight without increased risk of hypoglycemia in various populations, tirzepatide has demonstrated potential as a first-in-class treatment option for many people with type 2 diabetes.

摘要

本文综述了替尔泊肽的疗效和安全性数据。替尔泊肽是一种每周注射一次的新型葡萄糖依赖性促胰岛素多肽和胰高血糖素样肽-1(GLP-1)受体激动剂,已在美国、欧盟和其他地区获批用于治疗2型糖尿病。与安慰剂或活性对照药相比,所有剂量的替尔泊肽在降低糖化血红蛋白(A1C)和体重方面均显示出优于基线水平的效果。替尔泊肽的安全性与GLP-1受体激动剂类药物一致,轻度至中度的短暂胃肠道副作用是最常见的不良事件。在不同人群中,替尔泊肽能使A1C和体重在临床和统计学上显著降低,且低血糖风险未增加,已显示出作为许多2型糖尿病患者的一流治疗选择的潜力。

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