RPEP-05011 · 2020Dulaglutide reduced HbA1c 0.24% more than liraglutide in real-world clinical practice (p=0.003), confirmed by meta-analysis of observational studies.
Morieri, Mario Luca; Rigato, Mauro; Frison, Vera; Simioni, Natalino; D'Ambrosio, Michele; Tadiotto, Federica; Paccagnella, Agostino; Lapolla, Annunziata; Avogaro, Angelo; Fadini, Gian Paolo · Observational
RPEP-05055 · 2020Semaglutide subcutaneous was superior to dulaglutide and exenatide ER for HbA1c and weight reduction in head-to-head trials, with both semaglutide and dulaglutide showing cardiovascular and renal benefits.
Patel, Dhiren · Review
RPEP-05056 · 2020GLP-1 RAs (liraglutide, semaglutide, albiglutide, dulaglutide) reduce MACE in T2DM patients with CV disease, while DPP-4 inhibitors show CV safety but no MACE benefit, with saxagliptin increasing HF risk.
Patel, Kershaw V; Sarraju, Ashish; Neeland, Ian J; McGuire, Darren K · Review
RPEP-05299 · 2021GLP-1 RAs increased bone mineral density at multiple skeletal sites over 52 weeks, while placebo showed significant bone loss at the spine, femoral neck, and total hip.
Cai, Ting-Ting; Li, Hui-Qin; Jiang, Lan-Lan; Wang, Hui-Ying; Luo, Meng-Hui; Su, Xiao-Fei; Ma, Jian-Hua · Rct
RPEP-09085 · 2024Semaglutide outperformed dulaglutide in both HbA1c reduction and weight loss, making it the most sought-after GLP-1 drug. Clinicians began prescribing Ozempic (semaglutide for diabetes) off-label for weight loss, even though Wegovy (semaglutide for weight) existed. This drove shortages.
Insurance companies responded by requiring prior authorizations proving a type 2 diabetes diagnosis before covering these drugs. The commentary notes that most insurance plans still do not cover GLP-1 drugs solely for weight management, pushing weight-loss demand onto the diabetes supply chain.
Powell, Jason; Taylor, James · Review/Commentary
RPEP-09090 · 2024Among diabetes medications studied for stroke prevention, GLP-1 receptor agonists (specifically semaglutide and dulaglutide) reduced the risk of ischemic stroke in people with type 2 diabetes. Pioglitazone significantly reduced recurrent stroke risk. DPP-4 inhibitors, SGLT2 inhibitors, and insulin did not affect stroke incidence. Metformin monotherapy showed possible stroke reduction but evidence was less definitive.
Prentza, Vasiliki; Pavlidis, George; Ikonomidis, Ignatios; Pililis, Sotirios; Lampsas, Stamatios; Kountouri, Aikaterini; Pliouta, Loukia; Korakas, Emmanouil; Thymis, John; Palaiodimou, Lina; Tsegka, Aikaterini; Markakis, Konstantinos; Halvatsiotis, Panagiotis; Tsivgoulis, Georgios; Lambadiari, Vaia · Systematic Review
RPEP-09128 · 2024After 6 weeks of treatment in rats with metabolic syndrome:
- Exenatide improved ejection fraction by 3% vs untreated MetS group
- Dulaglutide improved ejection fraction by 7% vs untreated MetS group
- Histology showed reduced cardiomyocyte cross-sectional area: 11% reduction with exenatide, 18% with dulaglutide
- Both drugs reduced oxidative stress biomarkers
- Dulaglutide showed a slight advantage overall
Ravic, Marko; Srejovic, Ivan; Novakovic, Jovana; Andjic, Marijana; Sretenovic, Jasmina; Muric, Maja; Nikolic, Marina; Bolevich, Sergey; Alekseevich Kasabov, Kirill; Petrovich Fisenko, Vladimir; Stojanovic, Aleksandra; Jakovljevic, Vladimir · Animal Study
RPEP-09141 · 2024High-fat diet versus control: liver triglycerides increased 82%, steatosis increased 850%, glucose intolerance increased 71%, insulin increased 98%, and insulin resistance increased 68%.
Both drug combinations improved all parameters compared to untreated obese mice:
- Empagliflozin + linagliptin: glucose intolerance -60%, insulin -61%, insulin resistance -46%, TAG -61%, steatosis -58%
- Empagliflozin + dulaglutide: glucose intolerance -71%, insulin -58%, insulin resistance -62%, TAG -61%, steatosis -82%
Principal component analysis clearly separated the groups: the GLP-1 combination was furthest from the disease group, while the DPP-4 combination fell between control and the GLP-1 group.
Reis-Barbosa, Pedro H; Mandarim-de-Lacerda, Carlos A · Animal Study
RPEP-09893 · 2025Analysis of dulaglutide efficacy and safety for weight reduction in diabetic patients confirms meaningful weight loss with acceptable tolerability profile.
Alonazi, Gadah K; Alawuad, Lamia A · Cohort
RPEP-09929 · 2025Descriptive analysis from VigiAccess global pharmacovigilance database characterizes drug-related problems associated with semaglutide across international reporting systems.
Amirthalingam, Palanisamy · Cohort
RPEP-09935 · 2025Analysis of GLP-1 receptor agonist effects on cancer outcomes examines whether these metabolic drugs influence cancer risk, progression, or mortality.
An, Xuedong; Sun, WenJie; Wen, Zhige; Duan, LiYun; Zhang, YueHong; Kang, Xiaomin; Ji, Hangyu; Sun, Yuting; Jiang, Linlin; Zhao, Xuefei; Gao, Qing; Lian, Fengmei · Meta Analysis
RPEP-09965 · 2025Cost-effectiveness analysis shows tirzepatide 5 mg provides superior long-term value compared to dulaglutide through greater metabolic improvements and complication prevention.
Aranishi, Toshihiko; Igarashi, Ataru; Hara, Kazuo; Osumili, Beatrice; Cai, Zhihong; Mizogaki, Aska; Sato, Manaka; Takeuchi, Masakazu; Minghetti, Alice; Hunt, Barnaby; Kadowaki, Takashi · Review
RPEP-11662 · 2025Decreases in leptin and increases in obestatin independently predicted HbA1c reduction with dulaglutide, while changes in BMI or abdominal fat were not associated with glycemic improvement. Responders showed greater beta-cell function improvement and more pronounced food craving reductions.
Jung, Inha; Choi, Hangseok; Choi, In Young; Cho, Hyun Joo; Park, So Young; Lee, Da Young; Seo, Ji A; Kim, Nan Hee; Yu, Ji Hee · Prospective Observational
RPEP-12889 · 2025Tirzepatide at all doses (5, 10, 15 mg) significantly outperformed GLP-1 RAs for both blood sugar control and weight loss when combined with basal insulin.
Osumili, Beatrice; Sapin, Hélène; Yang, Zhengyu; Ranta, Kari; Paik, Jim S; Blüher, Matthias · Meta Analysis
RPEP-12900 · 2025Oral semaglutide reduced HbA1c by 0.85% in naive patients, 0.67% in DPP-4i switchers, and 0.13% in GLP-1 RA switchers.
Oya, Junko; Shimizu, Mika; Kubota, Ryo; Suda, Rika; Nagkagami, Tomoko · Retrospective Cohort