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Dipeptidyl peptidase-4 inhibitor

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In response to a report of precancerous changes in the pancreases of rats and organ donors treated with the DPP-4 inhibitor sitagliptin, the United States FDA and the European Medicines Agency each undertook independent reviews of all clinical and preclinical data related to the possible association
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may cause joint pain that can be severe and disabling. FDA has added a new Warning and Precaution about this risk to the labels of all medicines in this drug class, called dipeptidyl peptidase-4 (DPP-4) inhibitors. However, studies assessing risk of rheumatoid arthritis among DPP-4 inhibitor users
1168:"Association Between Use of Sodium-Glucose Cotransporter 2 Inhibitors, Glucagon-like Peptide 1 Agonists, and Dipeptidyl Peptidase 4 Inhibitors With All-Cause Mortality in Patients With Type 2 Diabetes: A Systematic Review and Meta-analysis" 612:"Association Between Use of Sodium-Glucose Cotransporter 2 Inhibitors, Glucagon-like Peptide 1 Agonists, and Dipeptidyl Peptidase 4 Inhibitors With All-Cause Mortality in Patients With Type 2 Diabetes: A Systematic Review and Meta-analysis" 377:
A 2018 observational study suggested an elevated risk of developing inflammatory bowel disease (specifically, ulcerative colitis), reaching a peak after three to four years of use and decreasing after more than four years of use.
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of DPP-4 inhibitors with pancreatic cancer. In a joint letter to the New England Journal of Medicine, the agencies stated that they had not yet reached a final conclusion regarding a possible causative relationship.
898: 1364:"Marked expansion of exocrine and endocrine pancreas with incretin therapy in humans with increased exocrine pancreas dysplasia and the potential for glucagon-producing neuroendocrine tumors" 884: 1148: 1512: 1315:"Beneficial endocrine but adverse exocrine effects of sitagliptin in the human islet amyloid polypeptide transgenic rat model of type 2 diabetes: interactions with metformin" 374:
A 2018 meta analysis showed that use of DPP-4 inhibitors was associated with a 58% increased risk of developing acute pancreatitis compared with placebo or no treatment.
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Dupre J, Behme MT, Hramiak IM, McFarlane P, Williamson MP, Zabel P, McDonald TJ (June 1995). "Glucagon-like peptide I reduces postprandial glycemic excursions in IDDM".
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A 2020 Cochrane systematic review did not find enough evidence of reduction of all-cause mortality, serious adverse events, cardiovascular mortality, non-fatal
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Monami M, Dicembrini I, Mannucci E (January 2014). "Dipeptidyl peptidase-4 inhibitors and pancreatitis risk: a meta-analysis of randomized clinical trials".
2517: 1505: 821: 926:"Design, Synthesis and Biological Evaluation of Neogliptin, a Novel 2-Azabicyclo[2.2.1]heptane-Based Inhibitor of Dipeptidyl Peptidase-4 (DPP-4)" 924:
Maslov IO, Zinevich TV, Kirichenko OG, Trukhan MV, Shorshnev SV, Tuaeva NO, Gureev MA, Dahlén AD, Porozov YB, Schiöth HB, Trukhan VM (February 2022).
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McIntosh CH, Demuth HU, Pospisilik JA, Pederson R (June 2005). "Dipeptidyl peptidase IV inhibitors: how do they work as new antidiabetic agents?".
441: 1217:"Dipeptidyl peptidase-4 inhibitors and incidence of inflammatory bowel disease among patients with type 2 diabetes: population based cohort study" 413:
risk in people treated with DPP-4 inhibitors, but owing to the modest amount of data available, was not able to completely exclude possible risk.
1498: 1490: 237:; research showed that omarigliptin can be used as once-weekly treatment and generally well tolerated throughout the base and extension studies) 2209: 1979: 737: 2229: 273: 252: 262: 1073: 2685: 3108: 845:"Safety and Efficacy of Omarigliptin (MK-3102), a Novel Once-Weekly DPP-4 Inhibitor for the Treatment of Patients With Type 2 Diabetes" 1264:
Gnesin F, Thuesen AC, Kähler LK, Madsbad S, Hemmingsen B, et al. (Cochrane Metabolic and Endocrine Disorders Group) (June 2020).
2088: 1026:"Addition of dipeptidyl peptidase-4 inhibitors to sulphonylureas and risk of hypoglycaemia: systematic review and meta-analysis" 899:"SatRx LLC Announces First Registration in Russia of SatRx (gosogliptin), an Innovative Drug for Treatment of Type 2 Diabetes" 2625: 1715: 2482: 977:"Inhibition of dipeptidyl peptidase IV (DPP IV) is one of the mechanisms explaining the hypoglycemic effect of berberine" 89:
levels, and DPP-4 inhibitors reduce glucagon and blood glucose levels. The mechanism of DPP-4 inhibitors is to increase
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concomitantly with additive effect to increase the level of glucagon-like peptide 1 (GLP-1) which also decreases
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with saxagliptin and alogliptin, prompting the FDA in 2016 to add warnings to the relevant drug labels.
2817: 2759: 2722: 2671: 2280: 2146: 1679: 3083: 2906: 2587: 2487: 2477: 2772: 807: 744: 312:, inhibits dipeptidyl peptidase-4 which may at least partly explains its antihyperglycemic activity. 3039: 2901: 2562: 2467: 65: 3014: 2992: 2958: 2717: 2630: 2602: 2577: 2557: 2522: 2502: 2492: 2472: 2462: 2385: 1720: 1166:
Zheng SL, Roddick AJ, Aghar-Jaffar R, Shun-Shin MJ, Francis D, Oliver N, Meeran K (April 2018).
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Zheng SL, Roddick AJ, Aghar-Jaffar R, Shun-Shin MJ, Francis D, Oliver N, Meeran K (April 2018).
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found no favorable effect of DPP-4 inhibitors on all-cause mortality, cardiovascular mortality,
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Egan AG, Blind E, Dunder K, de Graeff PA, Hummer BT, Bourcier T, Rosebraugh C (February 2014).
1074:"DPP-4 Inhibitors for Type 2 Diabetes: Drug Safety Communication - May Cause Severe Joint Pain" 912: 390: 347:
The U.S. Food and Drug Administration (FDA) is warning that the type 2 diabetes medicines like
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Sheu WH, Gantz I, Chen M, Suryawanshi S, Mirza A, Goldstein BJ, et al. (November 2015).
674: 658: 382: 178: 121: 2457: 1101:"DPP-4 Inhibitor-Induced Rheumatoid Arthritis Among Diabetics: A Nested Case-Control Study" 182: 1313:
Matveyenko AV, Dry S, Cox HI, Moshtaghian A, Gurlo T, Galasso R, et al. (July 2009).
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Butler AE, Campbell-Thompson M, Gurlo T, Dawson DW, Atkinson M, Butler PC (July 2013).
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monotherapy to dipeptidyl peptidase-4 inhibitors for the treatment of type 2 diabetes.
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Salvo F, Moore N, Arnaud M, Robinson P, Raschi E, De Ponti F, et al. (May 2016).
552: 525: 201:(approved in Japan as Suiny in 2012, marketed by Sanwa Kagaku Kenkyusho Co., Ltd. and 2997: 2158: 1804: 1691: 1577: 1469: 1434: 1393: 1344: 1295: 1246: 1197: 1130: 1055: 998: 957: 866: 781: 641: 592: 557: 498: 410: 54: 50: 1010: 2732: 2698: 2445: 1661: 1623: 1481: 1461: 1424: 1383: 1375: 1334: 1326: 1285: 1281: 1277: 1236: 1228: 1187: 1179: 1120: 1112: 1045: 1037: 988: 947: 937: 911:"Forest Splits With Phenomix", San Diego Business Journal, Tuesday, April 20, 2010 856: 773: 631: 623: 584: 547: 537: 510: 490: 2663: 3002: 2809: 1618: 1600: 494: 429: 30: 1215:
Abrahami D, Douros A, Yin H, Yu OH, Renoux C, Bitton A, Azoulay L (March 2018).
885:"Dong-A ST's DPP4 inhibitor, SUGANON, got approved for type 2 diabetes in Korea" 822:"Merck MARIZEV Once-Weekly DPP-4 Inhibitor For Type2 Diabetes Approved In Japan" 2855: 2842: 2749: 2636: 2380: 2045: 1974: 1726: 1675: 1582: 1572: 1552: 1530: 421:
Some DPP-4 inhibitor drugs have received approval from the FDA to be used with
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Bronson J, Black A, Dhar TM, Ellsworth BA, Merritt JR (2012).
233:(MK-3102) (approved as Marizev in Japan in 2015, developed by 3049: 1904: 94: 913:
http://www.sdbj.com/news/2010/apr/20/forest-splits-phenomix/
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Kathe N, Shah A, Said Q, Painter JT (February 2018).
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A 2014 meta-analysis found no evidence for increased
243:(approved as Suganon/ Evodine for use in South Korea) 109:
secretion, decreases gastric emptying, and decreases
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Journal of Enzyme Inhibition and Medicinal Chemistry
2693: 1214: 975:Al-masri IM, Mohammad MK, Tahaa MO (October 2009). 217:(FDA approved 2013 as Nesina/ Vipidia, marketed by 770:Teneligliptin (Antidiabetic). To Market, To Market 523: 295:Other chemicals which may inhibit DPP-4 include: 3100: 692:"FDA approves new treatment for Type 2 diabetes" 442:Development of dipeptidyl peptidase-4 inhibitors 329:when taking a medicine in the DPP-4 drug class. 177:(FDA approved in 2011, marketed as Tradjenta by 2679: 1506: 524:Behme MT, DuprĂ© J, McDonald TJ (April 2003). 1547: 1270:The Cochrane Database of Systematic Reviews 517: 474: 2686: 2672: 1513: 1499: 568: 453: 27:Enzyme blocker and diabetes treatment drug 1428: 1387: 1338: 1289: 1240: 1191: 1124: 1049: 992: 951: 941: 860: 635: 551: 541: 461:"FDA Approves New Treatment for Diabetes" 332:Adverse effects include nasopharyngitis, 255:(PHX- 1149 free base, being developed by 157:(EU approved 2007, marketed in the EU by 191:(approved in Korea in 2012, marketed by 29: 344:, hypersensitivity and skin reactions. 249:(approved as Saterex for use in Russia) 14: 3101: 887:. pipelinereview.com. October 2, 2015. 675:Banting and Best Diabetes Centre at UT 659:Banting and Best Diabetes Centre at UT 367:A 2014 review found increased risk of 211:(approved in Japan as Tenelia in 2012) 2667: 1755: 1546: 1494: 1533:, and other drugs used in diabetes ( 416: 39:Inhibitors of dipeptidyl peptidase 4 2503:Glibenclamide (glyburide)/metformin 2483:Dapagliflozin/saxagliptin/metformin 1417:The New England Journal of Medicine 167:(FDA approved in 2009, marketed as 136:Drugs belonging to this class are: 64:(DPP-4). They can be used to treat 24: 1454:Diabetes, Obesity & Metabolism 778:10.1016/b978-0-12-417150-3.00028-4 772:. Vol. 48. pp. 523–524. 316: 128:in patients with type 2 diabetes. 25: 3120: 3109:Dipeptidyl peptidase-4 inhibitors 105:release, which in turn increases 1756: 325:, there is an increased risk of 143:(FDA approved 2006, marketed by 1445: 1404: 1355: 1306: 1257: 1208: 1159: 1141: 1092: 1066: 1017: 968: 917: 905: 891: 877: 814: 761: 738:"New Drugs Approved in FY 2012" 730: 71:The first agent of the class – 1282:10.1002/14651858.CD012906.pub2 705: 684: 668: 652: 603: 13: 1: 447: 306:found in plants of the genus 270:(SP-2086), approved in China. 219:Takeda Pharmaceutical Company 2319:Alpha-glucosidase inhibitors 495:10.1016/j.regpep.2004.06.001 7: 2281:Aldose reductase inhibitors 901:(Press release). SatRx LLC. 824:. NASDAQ. 28 September 2015 435: 131: 10: 3125: 2864:Dihydropteroate synthetase 2723:Non-competitive inhibition 2147:GLP1 poly-agonist peptides 715:. Lgls.com. Archived from 34:DPP-4 inhibitors and GLP-1 3084:Steroidogenesis inhibitor 3076: 3048: 2924: 2831: 2748: 2741: 2705: 2593:Sitagliptin/ertugliflozin 2588:Sitagliptin/dapagliflozin 2508:Glimepiride/rosiglitazone 2488:Empagliflozin/linagliptin 2478:Dapagliflozin/saxagliptin 2453: 2444: 2414: 2345: 2317: 2279: 2272: 2184: 2087: 2054: 2006:Glibenclamide (glyburide) 1951: 1939: 1930: 1899: 1866: 1803: 1775: 1766: 1762: 1751: 1689: 1652: 1609: 1591: 1563: 1559: 1542: 1117:10.1007/s13300-017-0353-5 994:10.1080/14756360802610761 589:10.2337/diabetes.44.6.626 400: 3020:Matrix metalloproteinase 2823:Ribonucleotide reductase 2718:Uncompetitive inhibition 2573:Pioglitazone/sitagliptin 2563:Pioglitazone/glimepiride 2553:Phenformin/sulfonylureas 2498:Gemigliptin/rosuvastatin 2468:Cagrilintide/semaglutide 364:have been inconclusive. 321:In those already taking 66:diabetes mellitus type 2 2789:Dihydrofolate reductase 2603:Sitagliptin/simvastatin 2578:Rosiglitazone/metformin 2558:Pioglitazone/alogliptin 2548:Metformin/teneligliptin 2543:Metformin/sulfonylureas 2523:Metformin/ertugliflozin 2493:Empagliflozin/metformin 2473:Dapagliflozin/metformin 2463:Canagliflozin/metformin 2089:GLP-1 receptor agonists 530:BMC Endocrine Disorders 391:end-stage renal disease 281:(HSK- 7653, compound 2) 2885:Nucleotidyltransferase 2713:Competitive inhibition 2608:Vildagliptin/metformin 2568:Pioglitazone/metformin 1184:10.1001/jama.2018.3024 1153:Pharmacy Practice News 628:10.1001/jama.2018.3024 75:– was approved by the 62:dipeptidyl peptidase-4 35: 2895:Reverse transcriptase 2598:Sitagliptin/metformin 2583:Saxagliptin/metformin 2538:Metformin/repaglinide 2533:Metformin/gemigliptin 2513:Linagliptin/metformin 694:. Fda.gov. 2011-05-02 543:10.1186/1472-6823-3-3 383:myocardial infarction 195:) Marketed as Zemiglo 179:Eli Lilly and Company 122:myocardial infarction 33: 2941:Acetylcholinesterase 2848:Thymidylate synthase 2528:Metformin/evogliptin 2458:Alogliptin/metformin 1430:10.1056/NEJMp1314078 257:Phenomix Corporation 183:Boehringer Ingelheim 3035:Histone deacetylase 2869:Farnesyltransferase 1768:Insulin sensitizers 1523:diabetes medication 483:Regulatory Peptides 3068:Carbonic anhydrase 3060:Dopa decarboxylase 2728:Suicide inhibition 2647:Never to phase III 2518:Metformin/acarbose 1868:Dual PPAR agonists 1737:Never to phase III 1644:Ultralente insulin 943:10.3390/ph15030273 430:glucose production 203:Kowa Company, Ltd. 51:oral hypoglycemics 36: 3096: 3095: 3092: 3091: 2964:Alpha-glucosidase 2954:Polygalacturonase 2936:Phosphodiesterase 2877:GABA transaminase 2781:Monoamine oxidase 2765:HMG-CoA reductase 2699:enzyme inhibition 2661: 2660: 2657: 2656: 2620: 2619: 2616: 2615: 2440: 2439: 2268: 2267: 2180: 2179: 2083: 2082: 1926: 1925: 1747: 1746: 1710: 1709: 1654:ultra-long-acting 1578:Insulin glulisine 1466:10.1111/dom.12176 1380:10.2337/db12-1686 1331:10.2337/db09-0058 1178:(15): 1580–1591. 1042:10.1136/bmj.i2231 862:10.2337/dc15-0109 713:"LG Life Science" 622:(15): 1580–1591. 417:Combination drugs 411:pancreatic cancer 101:), which inhibit 49:) are a class of 16:(Redirected from 3116: 2818:Xanthine oxidase 2760:Aldose reductase 2746: 2745: 2733:Mixed inhibition 2688: 2681: 2674: 2665: 2664: 2451: 2450: 2347:SGLT2 inhibitors 2277: 2276: 2186:DPP-4 inhibitors 2167:(GLP-1/GIP/GCGR) 2143: 2142: 1949: 1948: 1937: 1936: 1773: 1772: 1764: 1763: 1753: 1752: 1662:Insulin degludec 1624:Insulin glargine 1561: 1560: 1544: 1543: 1515: 1508: 1501: 1492: 1491: 1486: 1485: 1449: 1443: 1442: 1432: 1408: 1402: 1401: 1391: 1359: 1353: 1352: 1342: 1310: 1304: 1303: 1293: 1261: 1255: 1254: 1244: 1233:10.1136/bmj.k872 1212: 1206: 1205: 1195: 1163: 1157: 1156: 1145: 1139: 1138: 1128: 1105:Diabetes Therapy 1096: 1090: 1089: 1087: 1085: 1070: 1064: 1063: 1053: 1021: 1015: 1014: 996: 972: 966: 965: 955: 945: 921: 915: 909: 903: 902: 895: 889: 888: 881: 875: 874: 864: 840: 834: 833: 831: 829: 818: 812: 811: 805: 801: 799: 791: 765: 759: 758: 756: 755: 749: 743:. Archived from 742: 734: 728: 727: 725: 724: 709: 703: 702: 700: 699: 688: 682: 672: 666: 656: 650: 649: 639: 607: 601: 600: 572: 566: 565: 555: 545: 521: 515: 514: 478: 472: 471: 469: 468: 457: 193:LG Life Sciences 43:DPP-4 inhibitors 21: 18:DPP-4 inhibitors 3124: 3123: 3119: 3118: 3117: 3115: 3114: 3113: 3099: 3098: 3097: 3088: 3072: 3044: 2920: 2907:Tyrosine kinase 2827: 2737: 2701: 2692: 2662: 2653: 2652: 2637:Clinical trials 2612: 2436: 2410: 2341: 2313: 2264: 2176: 2141: 2079: 2050: 1944: 1922: 1895: 1862: 1807:/"glitazones" ( 1799: 1758: 1743: 1742: 1727:Clinical trials 1706: 1685: 1666:+insulin aspart 1648: 1619:Insulin detemir 1605: 1601:Regular insulin 1587: 1555: 1553:insulin analogs 1538: 1531:insulin analogs 1519: 1489: 1450: 1446: 1409: 1405: 1374:(7): 2595–604. 1360: 1356: 1311: 1307: 1276:(6): CD012906. 1262: 1258: 1213: 1209: 1164: 1160: 1147: 1146: 1142: 1097: 1093: 1083: 1081: 1072: 1071: 1067: 1022: 1018: 973: 969: 930:Pharmaceuticals 922: 918: 910: 906: 897: 896: 892: 883: 882: 878: 855:(11): 2106–14. 841: 837: 827: 825: 820: 819: 815: 803: 802: 793: 792: 788: 766: 762: 753: 751: 747: 740: 736: 735: 731: 722: 720: 711: 710: 706: 697: 695: 690: 689: 685: 673: 669: 657: 653: 608: 604: 573: 569: 522: 518: 479: 475: 466: 464: 459: 458: 454: 450: 438: 419: 403: 393:when comparing 327:low blood sugar 319: 317:Adverse effects 235:Merck & Co. 145:Merck & Co. 134: 28: 23: 22: 15: 12: 11: 5: 3122: 3112: 3111: 3094: 3093: 3090: 3089: 3087: 3086: 3080: 3078: 3074: 3073: 3071: 3070: 3063: 3062: 3055: 3053: 3046: 3045: 3043: 3042: 3040:Beta-lactamase 3037: 3030: 3029: 3028: 3027: 3022: 3017: 3007: 3006: 3005: 3000: 2990: 2989: 2988: 2983: 2967: 2966: 2961: 2956: 2949: 2948: 2943: 2938: 2931: 2929: 2922: 2921: 2919: 2918: 2917: 2916: 2915: 2914: 2902:Protein kinase 2899: 2898: 2897: 2892: 2880: 2879: 2872: 2871: 2866: 2859: 2858: 2851: 2850: 2845: 2838: 2836: 2829: 2828: 2826: 2825: 2820: 2813: 2812: 2807: 2800: 2799: 2792: 2791: 2784: 2783: 2776: 2775: 2768: 2767: 2762: 2755: 2753: 2750:Oxidoreductase 2743: 2739: 2738: 2736: 2735: 2730: 2725: 2720: 2715: 2709: 2707: 2703: 2702: 2691: 2690: 2683: 2676: 2668: 2659: 2658: 2655: 2654: 2651: 2650: 2649: 2648: 2645: 2634: 2628: 2622: 2621: 2618: 2617: 2614: 2613: 2611: 2610: 2605: 2600: 2595: 2590: 2585: 2580: 2575: 2570: 2565: 2560: 2555: 2550: 2545: 2540: 2535: 2530: 2525: 2520: 2515: 2510: 2505: 2500: 2495: 2490: 2485: 2480: 2475: 2470: 2465: 2460: 2454: 2448: 2442: 2441: 2438: 2437: 2435: 2434: 2429: 2424: 2418: 2416: 2412: 2411: 2409: 2408: 2403: 2398: 2393: 2388: 2383: 2381:Luseogliflozin 2378: 2373: 2368: 2363: 2358: 2352: 2350: 2343: 2342: 2340: 2339: 2334: 2329: 2323: 2321: 2315: 2314: 2312: 2311: 2306: 2301: 2296: 2291: 2285: 2283: 2274: 2270: 2269: 2266: 2265: 2263: 2262: 2257: 2252: 2247: 2242: 2237: 2232: 2227: 2222: 2217: 2212: 2207: 2202: 2197: 2191: 2189: 2182: 2181: 2178: 2177: 2175: 2174: 2168: 2162: 2151: 2149: 2140: 2139: 2134: 2129: 2124: 2119: 2114: 2109: 2104: 2099: 2093: 2091: 2085: 2084: 2081: 2080: 2078: 2077: 2072: 2067: 2061: 2059: 2052: 2051: 2049: 2048: 2046:Glyclopyramide 2043: 2038: 2033: 2028: 2023: 2018: 2013: 2008: 2002:2nd generation 1998: 1997: 1992: 1987: 1982: 1977: 1975:Chlorpropamide 1972: 1967: 1961:1st generation 1957: 1955: 1946: 1942: 1934: 1928: 1927: 1924: 1923: 1921: 1920: 1915: 1909: 1907: 1897: 1896: 1894: 1893: 1888: 1883: 1878: 1872: 1870: 1864: 1863: 1861: 1860: 1855: 1850: 1845: 1840: 1835: 1830: 1825: 1820: 1814: 1812: 1801: 1800: 1798: 1797: 1792: 1787: 1781: 1779: 1770: 1760: 1759: 1749: 1748: 1745: 1744: 1741: 1740: 1739: 1738: 1735: 1724: 1718: 1712: 1711: 1708: 1707: 1705: 1704: 1701: 1697: 1695: 1687: 1686: 1684: 1683: 1676:Insulin icodec 1673: 1658: 1656: 1650: 1649: 1647: 1646: 1641: 1636: 1631: 1621: 1615: 1613: 1607: 1606: 1604: 1603: 1597: 1595: 1589: 1588: 1586: 1585: 1583:Insulin lispro 1580: 1575: 1573:Insulin aspart 1569: 1567: 1557: 1556: 1540: 1539: 1518: 1517: 1510: 1503: 1495: 1488: 1487: 1444: 1403: 1354: 1325:(7): 1604–15. 1305: 1256: 1207: 1158: 1140: 1111:(1): 141–151. 1091: 1065: 1016: 967: 916: 904: 890: 876: 835: 813: 804:|journal= 786: 760: 729: 704: 683: 667: 651: 602: 567: 516: 473: 451: 449: 446: 445: 444: 437: 434: 418: 415: 402: 399: 323:sulphonylureas 318: 315: 314: 313: 293: 292: 287: 282: 276: 271: 265: 260: 250: 244: 238: 228: 222: 212: 206: 196: 186: 172: 162: 152: 133: 130: 26: 9: 6: 4: 3: 2: 3121: 3110: 3107: 3106: 3104: 3085: 3082: 3081: 3079: 3077:Miscellaneous 3075: 3069: 3065: 3064: 3061: 3057: 3056: 3054: 3051: 3047: 3041: 3038: 3036: 3032: 3031: 3026: 3023: 3021: 3018: 3016: 3015:Enkephalinase 3013: 3012: 3011: 3008: 3004: 3001: 2999: 2996: 2995: 2994: 2993:Endopeptidase 2991: 2987: 2984: 2982: 2979: 2978: 2977: 2973: 2969: 2968: 2965: 2962: 2960: 2959:Neuraminidase 2957: 2955: 2951: 2950: 2947: 2944: 2942: 2939: 2937: 2933: 2932: 2930: 2927: 2923: 2913: 2910: 2909: 2908: 2905: 2904: 2903: 2900: 2896: 2893: 2891: 2888: 2887: 2886: 2882: 2881: 2878: 2874: 2873: 2870: 2867: 2865: 2861: 2860: 2857: 2853: 2852: 2849: 2846: 2844: 2840: 2839: 2837: 2834: 2830: 2824: 2821: 2819: 2815: 2814: 2811: 2808: 2806: 2802: 2801: 2798: 2794: 2793: 2790: 2786: 2785: 2782: 2778: 2777: 2774: 2770: 2769: 2766: 2763: 2761: 2757: 2756: 2754: 2751: 2747: 2744: 2740: 2734: 2731: 2729: 2726: 2724: 2721: 2719: 2716: 2714: 2711: 2710: 2708: 2704: 2700: 2696: 2689: 2684: 2682: 2677: 2675: 2670: 2669: 2666: 2646: 2644: 2641: 2640: 2638: 2635: 2632: 2629: 2627: 2624: 2623: 2609: 2606: 2604: 2601: 2599: 2596: 2594: 2591: 2589: 2586: 2584: 2581: 2579: 2576: 2574: 2571: 2569: 2566: 2564: 2561: 2559: 2556: 2554: 2551: 2549: 2546: 2544: 2541: 2539: 2536: 2534: 2531: 2529: 2526: 2524: 2521: 2519: 2516: 2514: 2511: 2509: 2506: 2504: 2501: 2499: 2496: 2494: 2491: 2489: 2486: 2484: 2481: 2479: 2476: 2474: 2471: 2469: 2466: 2464: 2461: 2459: 2456: 2455: 2452: 2449: 2447: 2443: 2433: 2430: 2428: 2427:Bromocriptine 2425: 2423: 2420: 2419: 2417: 2413: 2407: 2406:Velagliflozin 2404: 2402: 2401:Tofogliflozin 2399: 2397: 2396:Sotagliflozin 2394: 2392: 2389: 2387: 2386:Remogliflozin 2384: 2382: 2379: 2377: 2376:Ipragliflozin 2374: 2372: 2371:Ertugliflozin 2369: 2367: 2366:Empagliflozin 2364: 2362: 2361:Dapagliflozin 2359: 2357: 2356:Canagliflozin 2354: 2353: 2351: 2349:/"gliflozins" 2348: 2344: 2338: 2335: 2333: 2330: 2328: 2325: 2324: 2322: 2320: 2316: 2310: 2307: 2305: 2302: 2300: 2297: 2295: 2292: 2290: 2287: 2286: 2284: 2282: 2278: 2275: 2271: 2261: 2258: 2256: 2253: 2251: 2250:Teneligliptin 2248: 2246: 2243: 2241: 2238: 2236: 2233: 2231: 2228: 2226: 2223: 2221: 2218: 2216: 2213: 2211: 2208: 2206: 2203: 2201: 2198: 2196: 2193: 2192: 2190: 2187: 2183: 2172: 2169: 2166: 2163: 2160: 2156: 2153: 2152: 2150: 2148: 2144: 2138: 2135: 2133: 2130: 2128: 2125: 2123: 2120: 2118: 2115: 2113: 2110: 2108: 2105: 2103: 2100: 2098: 2095: 2094: 2092: 2090: 2086: 2076: 2073: 2071: 2068: 2066: 2063: 2062: 2060: 2057: 2053: 2047: 2044: 2042: 2039: 2037: 2034: 2032: 2029: 2027: 2024: 2022: 2019: 2017: 2014: 2012: 2009: 2007: 2003: 2000: 1999: 1996: 1993: 1991: 1988: 1986: 1983: 1981: 1978: 1976: 1973: 1971: 1968: 1966: 1965:Acetohexamide 1962: 1959: 1958: 1956: 1954: 1953:Sulfonylureas 1950: 1947: 1945: 1938: 1935: 1933: 1932:Secretagogues 1929: 1919: 1916: 1914: 1911: 1910: 1908: 1906: 1902: 1898: 1892: 1889: 1887: 1884: 1882: 1879: 1877: 1874: 1873: 1871: 1869: 1865: 1859: 1856: 1854: 1853:Rosiglitazone 1851: 1849: 1848:Rivoglitazone 1846: 1844: 1841: 1839: 1838:Netoglitazone 1836: 1834: 1833:Lobeglitazone 1831: 1829: 1826: 1824: 1821: 1819: 1816: 1815: 1813: 1810: 1806: 1802: 1796: 1793: 1791: 1788: 1786: 1783: 1782: 1780: 1778: 1774: 1771: 1769: 1765: 1761: 1754: 1750: 1736: 1734: 1731: 1730: 1728: 1725: 1722: 1719: 1717: 1714: 1713: 1702: 1699: 1698: 1696: 1694: 1693: 1688: 1681: 1677: 1674: 1671: 1667: 1663: 1660: 1659: 1657: 1655: 1651: 1645: 1642: 1640: 1639:Lente insulin 1637: 1635: 1632: 1629: 1628:+lixisenatide 1625: 1622: 1620: 1617: 1616: 1614: 1612: 1608: 1602: 1599: 1598: 1596: 1594: 1590: 1584: 1581: 1579: 1576: 1574: 1571: 1570: 1568: 1566: 1562: 1558: 1554: 1550: 1545: 1541: 1536: 1532: 1528: 1524: 1516: 1511: 1509: 1504: 1502: 1497: 1496: 1493: 1483: 1479: 1475: 1471: 1467: 1463: 1459: 1455: 1448: 1440: 1436: 1431: 1426: 1422: 1418: 1414: 1407: 1399: 1395: 1390: 1385: 1381: 1377: 1373: 1369: 1365: 1358: 1350: 1346: 1341: 1336: 1332: 1328: 1324: 1320: 1316: 1309: 1301: 1297: 1292: 1287: 1283: 1279: 1275: 1271: 1267: 1260: 1252: 1248: 1243: 1238: 1234: 1230: 1226: 1222: 1218: 1211: 1203: 1199: 1194: 1189: 1185: 1181: 1177: 1173: 1169: 1162: 1155:. April 2016. 1154: 1150: 1144: 1136: 1132: 1127: 1122: 1118: 1114: 1110: 1106: 1102: 1095: 1079: 1075: 1069: 1061: 1057: 1052: 1047: 1043: 1039: 1035: 1031: 1027: 1020: 1012: 1008: 1004: 1000: 995: 990: 987:(5): 1061–6. 986: 982: 978: 971: 963: 959: 954: 949: 944: 939: 935: 931: 927: 920: 914: 908: 900: 894: 886: 880: 872: 868: 863: 858: 854: 850: 849:Diabetes Care 846: 839: 823: 817: 809: 797: 789: 787:9780124171503 783: 779: 775: 771: 764: 750:on 2013-07-18 746: 739: 733: 719:on 2013-09-06 718: 714: 708: 693: 687: 681: 680: 676: 671: 665: 664: 660: 655: 647: 643: 638: 633: 629: 625: 621: 617: 613: 606: 598: 594: 590: 586: 583:(6): 626–30. 582: 578: 571: 563: 559: 554: 549: 544: 539: 535: 531: 527: 520: 512: 508: 504: 500: 496: 492: 489:(2): 159–65. 488: 484: 477: 462: 456: 452: 443: 440: 439: 433: 431: 428: 424: 414: 412: 407: 398: 396: 392: 388: 384: 379: 375: 372: 370: 369:heart failure 365: 362: 358: 354: 350: 345: 343: 342:heart failure 339: 335: 330: 328: 324: 311: 310: 305: 301: 298: 297: 296: 291: 288: 286: 283: 280: 277: 275: 272: 269: 266: 264: 261: 258: 254: 251: 248: 245: 242: 239: 236: 232: 229: 226: 223: 220: 216: 213: 210: 209:Teneligliptin 207: 204: 200: 197: 194: 190: 187: 184: 180: 176: 173: 170: 166: 163: 160: 156: 153: 150: 146: 142: 139: 138: 137: 129: 127: 123: 119: 118:meta-analysis 114: 112: 111:blood glucose 108: 104: 100: 96: 92: 88: 87:blood glucose 84: 80: 78: 74: 69: 67: 63: 60: 56: 52: 48: 44: 40: 32: 19: 3009: 2980: 2976:Exopeptidase 2946:Ribonuclease 2912:Janus kinase 2797:Lipoxygenase 2773:5α-Reductase 2695:Pharmacology 2446:Combinations 2391:Sergliflozin 2260:Vildagliptin 2255:Trelagliptin 2235:Omarigliptin 2210:Garvagliptin 2185: 2137:Taspoglutide 2127:Orforglipron 2122:Lixisenatide 2056:Meglitinides 2011:Glibornuride 2001: 1985:Metahexamide 1980:Glycyclamide 1960: 1913:Cagrilintide 1903:analogs and 1891:Tesaglitazar 1886:Saroglitazar 1881:Muraglitazar 1858:Troglitazone 1843:Pioglitazone 1823:Darglitazone 1757:Non-insulins 1690: 1680:+semaglutide 1670:+liraglutide 1653: 1610: 1593:short-acting 1592: 1564: 1460:(1): 48–56. 1457: 1453: 1447: 1423:(9): 794–7. 1420: 1416: 1406: 1371: 1367: 1357: 1322: 1318: 1308: 1273: 1269: 1259: 1224: 1220: 1210: 1175: 1171: 1161: 1152: 1143: 1108: 1104: 1094: 1082:. Retrieved 1080:. 2015-08-28 1077: 1068: 1033: 1029: 1019: 984: 980: 970: 933: 929: 919: 907: 893: 879: 852: 848: 838: 828:29 September 826:. Retrieved 816: 769: 763: 752:. Retrieved 745:the original 732: 721:. Retrieved 717:the original 707: 696:. Retrieved 686: 679:vildagliptin 677: 670: 661: 654: 619: 615: 605: 580: 576: 570: 533: 529: 519: 486: 482: 476: 465:. Retrieved 455: 420: 408: 404: 385:, non-fatal 380: 376: 373: 366: 346: 331: 320: 307: 294: 290:Prusogliptin 279:Cofrogliptin 259:), Phase III 231:Omarigliptin 225:Trelagliptin 155:Vildagliptin 135: 115: 81: 70: 46: 42: 38: 37: 3025:Oxytocinase 2833:Transferase 2633:from market 2245:Sitagliptin 2240:Saxagliptin 2230:Melogliptin 2225:Linagliptin 2220:Gosogliptin 2215:Gemigliptin 2188:/"gliptins" 2173:(GLP-1/GIP) 2171:Tirzepatide 2165:Retatrutide 2132:Semaglutide 2117:Liraglutide 2107:Dulaglutide 2102:Danuglipron 2097:Albiglutide 2075:Repaglinide 2070:Nateglinide 2065:Mitiglinide 2058:/"glinides" 2041:Glisoxepide 2026:Glimepiride 2016:Glicaramide 1995:Tolbutamide 1970:Carbutamide 1918:Pramlintide 1876:Aleglitazar 1828:Englitazone 1818:Ciglitazone 1723:from market 1634:NPH insulin 1611:long-acting 1565:fast-acting 1084:1 September 663:sitagliptin 357:linagliptin 353:saxagliptin 349:sitagliptin 285:Fotagliptin 274:Denagliptin 268:Retagliptin 253:Dutogliptin 247:Gosogliptin 189:Gemigliptin 175:Linagliptin 165:Saxagliptin 141:Sitagliptin 73:sitagliptin 2422:Benfluorex 2309:Zenarestat 2299:Ranirestat 2294:Fidarestat 2289:Epalrestat 2205:Evogliptin 2200:Anagliptin 2195:Alogliptin 2036:Gliquidone 2021:Gliclazide 1990:Tolazamide 1795:Phenformin 1777:Biguanides 936:(3): 273. 754:2013-08-07 723:2013-04-15 698:2013-04-15 467:2006-10-17 448:References 361:alogliptin 263:Neogliptin 241:Evogliptin 215:Alogliptin 199:Anagliptin 161:as Galvus) 85:increases 2926:Hydrolase 2890:Integrase 2805:Aromatase 2742:Substrate 2643:Phase III 2631:Withdrawn 2432:Imeglimin 2337:Voglibose 2304:Tolrestat 2155:Mazdutide 2112:Exenatide 2031:Glipizide 1790:Metformin 1733:Phase III 1721:Withdrawn 1692:inhalable 1036:: i2231. 806:ignored ( 796:cite book 423:metformin 395:metformin 300:Berberine 79:in 2006. 3103:Category 2972:Protease 2332:Miglitol 2327:Acarbose 1785:Buformin 1549:Insulins 1527:insulins 1474:23837679 1439:24571751 1398:23524641 1368:Diabetes 1349:19403868 1319:Diabetes 1300:32501595 1251:29563098 1227:: k872. 1202:29677303 1135:29236221 1060:27142267 1011:25517996 1003:19640223 962:35337071 871:26310692 646:29677303 577:Diabetes 562:12697069 536:(1): 3. 503:15780435 436:See also 334:headache 309:Berberis 304:alkaloid 159:Novartis 132:Examples 113:levels. 103:glucagon 93:levels ( 91:incretin 83:Glucagon 47:gliptins 2998:Trypsin 2157:(GLP-1/ 1703:Afrezza 1700:Exubera 1482:7642027 1389:3712065 1340:2699878 1291:7386876 1242:5861502 1193:5933330 1126:5801239 1051:4854021 953:8949241 637:5933330 597:7789625 511:9151210 427:hepatic 169:Onglyza 149:Januvia 116:A 2018 107:insulin 3052:(EC 4) 2928:(EC 3) 2835:(EC 2) 2795:1.13 2752:(EC 1) 2626:WHO-EM 1905:DACRAs 1901:Amylin 1716:WHO-EM 1480:  1472:  1437:  1396:  1386:  1347:  1337:  1298:  1288:  1249:  1239:  1200:  1190:  1133:  1123:  1058:  1048:  1009:  1001:  960:  950:  869:  784:  644:  634:  595:  560:  553:154101 550:  509:  501:  401:Cancer 387:stroke 359:, and 338:nausea 126:stroke 59:enzyme 3050:Lyase 3010:Mixed 3003:Renin 2981:DPP-4 2816:1.17 2810:COX-2 2803:1.14 2706:Class 2415:Other 2273:Other 1521:Oral 1478:S2CID 1007:S2CID 748:(PDF) 741:(PDF) 507:S2CID 302:, an 95:GLP-1 55:block 53:that 3066:4.2 3058:4.1 3033:3.5 2970:3.4 2952:3.2 2934:3.1 2883:2.7 2875:2.6 2862:2.5 2856:PARP 2854:2.4 2843:COMT 2841:2.1 2787:1.5 2779:1.4 2771:1.3 2758:1.1 2159:GCGR 1809:PPAR 1805:TZDs 1529:and 1470:PMID 1435:PMID 1394:PMID 1345:PMID 1296:PMID 1274:2020 1247:PMID 1198:PMID 1172:JAMA 1131:PMID 1086:2015 1056:PMID 999:PMID 958:PMID 867:PMID 830:2015 808:help 782:ISBN 642:PMID 616:JAMA 593:PMID 558:PMID 499:PMID 181:and 97:and 57:the 2986:ACE 1943:ATP 1535:A10 1462:doi 1425:doi 1421:370 1384:PMC 1376:doi 1335:PMC 1327:doi 1286:PMC 1278:doi 1237:PMC 1229:doi 1225:360 1221:BMJ 1188:PMC 1180:doi 1176:319 1121:PMC 1113:doi 1078:FDA 1046:PMC 1038:doi 1034:353 1030:BMJ 989:doi 948:PMC 938:doi 857:doi 774:doi 632:PMC 624:doi 620:319 585:doi 548:PMC 538:doi 491:doi 487:128 389:or 147:as 124:or 99:GIP 77:FDA 45:or 3105:: 2974:: 2697:: 2639:: 2004:: 1963:: 1729:: 1668:, 1525:, 1476:. 1468:. 1458:16 1456:. 1433:. 1419:. 1415:. 1392:. 1382:. 1372:62 1370:. 1366:. 1343:. 1333:. 1323:58 1321:. 1317:. 1294:. 1284:. 1272:. 1268:. 1245:. 1235:. 1223:. 1219:. 1196:. 1186:. 1174:. 1170:. 1151:. 1129:. 1119:. 1107:. 1103:. 1076:. 1054:. 1044:. 1032:. 1028:. 1005:. 997:. 985:24 983:. 979:. 956:. 946:. 934:15 932:. 928:. 865:. 853:38 851:. 847:. 800:: 798:}} 794:{{ 780:. 640:. 630:. 618:. 614:. 591:. 581:44 579:. 556:. 546:. 532:. 528:. 505:. 497:. 485:. 432:. 355:, 351:, 340:, 336:, 68:. 2687:e 2680:t 2673:v 2161:) 1941:K 1811:) 1682:) 1678:( 1672:) 1664:( 1630:) 1626:( 1551:/ 1537:) 1514:e 1507:t 1500:v 1484:. 1464:: 1441:. 1427:: 1400:. 1378:: 1351:. 1329:: 1302:. 1280:: 1253:. 1231:: 1204:. 1182:: 1137:. 1115:: 1109:9 1088:. 1062:. 1040:: 1013:. 991:: 964:. 940:: 873:. 859:: 832:. 810:) 790:. 776:: 757:. 726:. 701:. 648:. 626:: 599:. 587:: 564:. 540:: 534:3 513:. 493:: 470:. 221:) 205:) 185:) 171:) 151:) 41:( 20:)

Index

DPP-4 inhibitors

oral hypoglycemics
block
enzyme
dipeptidyl peptidase-4
diabetes mellitus type 2
sitagliptin
FDA
Glucagon
blood glucose
incretin
GLP-1
GIP
glucagon
insulin
blood glucose
meta-analysis
myocardial infarction
stroke
Sitagliptin
Merck & Co.
Januvia
Vildagliptin
Novartis
Saxagliptin
Onglyza
Linagliptin
Eli Lilly and Company
Boehringer Ingelheim

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