Dulaglutide
GLP-1 receptor agonist designed as a fusion protein of two modified GLP-1(7-37) sequences covalently linked to a human IgG4-Fc fragment. FDA-approved 2014 (Trulicity) for type 2 diabetes; EMA approval 2014.
Mechanism of action
Dulaglutide consists of two modified GLP-1(7-37) sequences covalently linked to a human IgG4-Fc. The Fc fusion increases molecular weight substantially (~60 kDa), reduces renal filtration and extends the half-life to several days. GLP-1 receptor activation glucose-dependently stimulates insulin secretion, inhibits glucagon, delays gastric emptying and modulates central satiety signalling.
Evidence at a glance
What the studies show
Where studies disagree
Does dulaglutide raise the risk of thyroid cancer (medullary C-cell carcinoma)?
Pharmacokinetics
Theoretical concentration curve at a half-life of 110 h. Pure pharmacokinetic model — not a dosing recommendation.
Open in PK tool →Routes of administration in the literature
Amounts reported in sources
Safer use & risks
Known adverse events from studies
Interactions & combinations
Risks & hygiene aspects in the literature
Thyroid C-cell carcinoma (boxed warning)
Anecdotal observations
What online communities discuss
Legal status by country
Reconstitution calculator
Peptides ship as a dry powder. Once dissolved in a liquid (reconstitution), this calculator answers a single question: how much substance is in one millilitre of solution afterwards?
- 1Enter the vial's substance amount (printed on the label).
- 2Enter how much solvent you add.
- 3Result = concentration in mg per mL.
Cofactors
These cofactors relate to the peptide class, not to a specific use. No recommendation, no dosing.
Study register
Once-weekly dulaglutide versus exenatide twice daily in patients with type 2 diabetes (AWARD-1)
Dulaglutide and cardiovascular outcomes in type 2 diabetes (REWIND)
Efficacy and safety of dulaglutide 3.0 mg and 4.5 mg versus dulaglutide 1.5 mg in metformin-treated patients with type 2 diabetes (AWARD-11)
Efficacy and safety of once-weekly dulaglutide versus insulin glargine in patients with type 2 diabetes and moderate-to-severe chronic kidney disease (AWARD-7)
Trulicity (dulaglutide) — European Public Assessment Report
Sources & method
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