Austin Health

Title
Challenging Clinical Perspectives in Type 2 Diabetes with Tirzepatide, a First-in-Class Twincretin.
Publication Date
2023-10-12
Author(s)
MacIsaac, Richard J
Deed, Gary
D'Emden, Michael
Ekinci, Elif I
Hocking, Samantha
Sumithran, Priya
Rasalam, Roy
Subject
Body weight/drug therapy
Cardio-renal-metabolic disease
GIP/GLP-1 receptor agonist
SURPASS clinical trials
Tirzepatide
Twincretin
Type 2 diabetes/drug therapy
Type of document
Journal Article
OrcId
0000-0001-8058-6977
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DOI
10.1007/s13300-023-01475-5
Abstract
Tirzepatide is a first-in-class GIP/GLP-1 receptor agonist ('twincretin')-a single molecule that acts as an agonist at both glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) receptors. In the SURPASS clinical trial program in type 2 diabetes mellitus (T2D), tirzepatide was associated with unprecedented reductions in HbA1c, clinically significant weight loss and other metabolic benefits, combined with low rates of hypoglycaemia across a wide range of patient characteristics. The safety and adverse event rate for tirzepatide appears comparable to that of GLP-1 receptor agonists. Although results from dedicated cardiovascular (CV) and kidney trials are currently not available, information to date suggests that tirzepatide may have CV and kidney benefits in people with T2D. Tirzepatide has been approved for the treatment of T2D in the USA, United Arab Emirates, European Union, Japan and Australia. Here, we review how tirzepatide will fit into the T2D treatment continuum. We also consider future directions with tirzepatide in T2D, including its potential for targeting cardio-renal-metabolic disease in T2D, and discuss how tirzepatide-and other co-agonists in development-may challenge current approaches for management of T2D.
Link
Citation
Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders 2023-10-12
Jornal Title
Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders

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