Exploratory trial of intranasal administration of glucagon-like peptide-1 in Japanese patients with type 2 diabetes.

Abstract:

OBJECTIVE:This study aimed to assess the efficacy and safety of our newly developed nasal glucagon-like peptide-1 (GLP-1) compound and injector. RESEARCH DESIGN AND METHODS:Twenty-six patients with type 2 diabetes were enrolled in this double-blind placebo-controlled study. The nasal compound containing 1.2 mg of human GLP-1 (7-36) amide or placebo was administered immediately before every meal for 2 weeks. RESULTS:The plasma peak concentration of active GLP-1 was 47.2 pmol/L, and its Tmax was 8.1 min. The early phase of insulin and glucagon secretion were recovered and suppressed, respectively, in the GLP-1 group. Glycoalbumin levels became significantly lower and 1,5-anhydroglucitol levels significantly higher after GLP-1 administration. No marked adverse events were observed after using nasal GLP-1. CONCLUSIONS:The newly developed nasal GLP-1 compound may be a potential treatment for type 2 diabetes. The long-term application of the drug should be evaluated in future trials.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Ueno H,Mizuta M,Shiiya T,Tsuchimochi W,Noma K,Nakashima N,Fujihara M,Nakazato M

doi

10.2337/dc13-0690

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

2024-7

issue

7

eissn

0149-5992

issn

1935-5548

pii

dc13-0690

journal_volume

37

pub_type

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