Review of sitagliptin phosphate: a novel treatment for type 2 diabetes

被引:57
作者
Gallwitz, Baptist [1 ]
机构
[1] Eberhard Karls Univ Tubingen, Dept Med 4, Otfried Mueller Str 10, D-72076 Tubingen, Germany
关键词
incretins; type; 2; diabetes; diabetes therapy; DPP-4; inhibitors; sitagliptin;
D O I
10.2147/vhrm.2007.3.2.203
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Sitagliptin (Januvia (R), Merck Pharmaceuticals) is a dipeptidyl-peptidase inhibitor (DPP-4 inhibitor) that has recently been approved for the therapy of type 2 diabetes. Like other DPP-4 inhibitors its action is mediated by increasing levels of the incretin hormones glucagon-like peptide-1 (GLP-1) and gastric inhibitory polypeptide (GIP). Sitagliptin is effective in lowering IIA1c, and fasting as well as postprandial glucose in monotherapy and in combination with other oral antidiabetic agents. It stimulates insulin secretion when hyperglycemia is present and inhibits glucagon secretion. In clinical studies it is weight neutral. This article gives an overview of the mechanism of action, the pharmacology, and the clinical efficacy and safety of sitagliptin in type 2 diabetes therapy.
引用
收藏
页码:203 / 210
页数:8
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