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Alogliptin benzoate for management of type 2 diabetes

机译:阿格列汀苯甲酸酯治疗2型糖尿病

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摘要

Dipeptidyl peptidase-4 (DPP-4) inhibitors, a new class of oral hypoglycemic agents, augment glucose-dependent insulin secretion and suppress glucagon levels through enhancement of the action of endogenous incretin by inhibiting DPP-4, an incretin-degrading enzyme. DPP-4 inhibitors are generally well tolerated because of their low risk of hypoglycemia and other adverse events. Moreover, with their potential to improve beta cell function, a core defect of type 2 diabetes, DPP-4 inhibitors are becoming a major component of treatment of type 2 diabetes. Alogliptin benzoate is a newly developed, highly selective DPP-4 inhibitor which has been approved in many countries throughout the world. Once-daily administration of alogliptin as either monotherapy or combination therapy with other oral antidiabetic drugs or insulin has a potent glucose-lowering effect which is similar to that of other DPP-4 inhibitors, with a low risk of hypoglycemia and weight gain. The cardiovascular safety of this drug has been confirmed in a recent randomized controlled trial. This review summarizes the efficacy and safety of alogliptin, and discusses the role of DPP-4 inhibitors in the treatment of type 2 diabetes.
机译:二肽基肽酶-4(DPP-4)抑制剂是一类新型的口服降糖药,可通过抑制内分泌降血糖素DPP-4来增强内源性降血糖素的作用,从而增加葡萄糖依赖性胰岛素分泌并抑制胰高血糖素水平。 DPP-4抑制剂由于其低血糖和其他不良事件的风险较低而通常具有良好的耐受性。此外,DPP-4抑制剂具有改善β细胞功能(2型糖尿病的核心缺陷)的潜力,正成为2型糖尿病治疗的主要组成部分。苯甲酸阿格列汀是一种新开发的高选择性DPP-4抑制剂,已在世界许多国家/地区得到批准。每天一次与其他口服抗糖尿病药或胰岛素一起作为单一疗法或联合疗法施用阿格列汀具有有效的降糖作用,与其他DPP-4抑制剂相似,低血糖和体重增加的风险较低。该药物的心血管安全性已在最近的一项随机对照试验中得到证实。这篇综述总结了阿格列汀的疗效和安全性,并讨论了DPP-4抑制剂在2型糖尿病治疗中的作用。

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