Vergelijking
Exenatide vs. Pramlintid
Twee peptiden naast elkaar — identiteit, bewijsbasis, juridische status en bekende bijwerkingen.
Identiteit
Categorie
Metabool
Metabool
CAS-nr.
141758-74-9
151126-32-8
Molecuulmassa
4186.6 g/mol
3949.4 g/mol
Halfwaardetijd
2.4 h
geen gegevens
Sequentie
HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPPSgeen gegevens
Werkingsmechanisme
Exenatide
Exenatide is a 39-amino-acid peptide with about 53% sequence homology to human GLP-1. A glycine substitution at position 2 prevents dipeptidyl-peptidase-IV cleavage and extends the half-life from native GLP-1 (minutes) to about 2.4 hours. GLP-1 receptor activation glucose-dependently stimulates insulin secretion, inhibits glucagon and delays gastric emptying.
Pramlintid
Pramlintide mimics the beta-cell hormone amylin, which is co-secreted with insulin. It slows gastric emptying, suppresses postprandial glucagon release and promotes satiety — thereby blunting post-meal blood-glucose spikes.
Bewijsbasis
Hoogste bewijs
Humane RCT
Humane RCT
Studies
5
0
waarvan bij mensen
4
0
Geregistreerde effecten
3
2
Openstaande tegenstrijdigheden
1
1
Gedocumenteerde bijwerkingen
2
2
Juridische status
Volledige vermeldingen
Frequently asked questions
- What is the difference between Exenatide and Pramlintid?
- Exenatide is classified as "Metabool", while Pramlintid is classified as "Metabool". Exenatide: Synthetic version of exendin-4, originally isolated from the saliva of the Gila monster (Heloderma suspectum). First GLP-1 receptor agonist, FDA-approved 2005 as Byetta. Weekly depot form Bydureon approved 2012. Pramlintid: Pramlintide is a synthetic analog of the hormone amylin. It is used as an adjunct to mealtime insulin therapy in type 1 and type 2 diabetes and, among other things, slows gastric emptying. This page contrasts both neutrally and source-based — with no usage or dosing recommendation.
- Which peptide is better supported by science, Exenatide or Pramlintid?
- The highest available evidence level is "Humane RCT" for Exenatide and "Humane RCT" for Pramlintid. A higher evidence level means more robust data, but says nothing about suitability for an individual. The full body of evidence is on each peptide's own page.
- What is the legal status of Exenatide and Pramlintid in Germany and the United States?
- Duitsland: Exenatide — Op recept, Pramlintid — Niet goedgekeurd. Verenigde Staten: Exenatide — Op recept, Pramlintid — Op recept. These are factual summaries with source and review date on the individual pages.