Upper and/or lower gastrointestinal adverse events with glucagon‐like peptide‐1 receptor agonists: I ncidence and consequences

Jan 7, 2017Diabetes, obesity & metabolism

Stomach and intestinal side effects of glucagon-like peptide-1 receptor drugs: how often they occur and their impact

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Abstract

Fewer 34% of patients treated with exenatide once weekly reported gastrointestinal adverse events compared to 45% with exenatide twice daily and 41% with liraglutide.

  • Nausea was the most common gastrointestinal adverse event across all treatments.
  • Fewer patients treated with exenatide once weekly reported upper and lower gastrointestinal events compared to those on liraglutide.
  • The incidence of gastrointestinal adverse events was similar between exenatide once weekly and twice daily, with no significant difference.
  • More women than men reported gastrointestinal adverse events within each treatment group.
  • Gastrointestinal adverse events were typically mild, occurring early in the treatment process.
  • Weight loss was greater among patients experiencing gastrointestinal adverse events with exenatide treatments.

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Key numbers

34% vs 45%
Gastrointestinal AE Incidence Reduction
Incidence of gastrointestinal AEs in pooled analysis for exenatide once weekly and twice daily.
25% vs 41%
Gastrointestinal AE Incidence with Liraglutide
Incidence of gastrointestinal AEs for exenatide once weekly compared to liraglutide.
−2.7 kg vs −2.0 kg
Weight Loss Difference
Weight loss in patients with and without gastrointestinal AEs for exenatide once weekly.

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