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Metabolic

Dulaglutide

GLP-1 receptor agonist (weekly)

A once-weekly GLP-1 with established CV outcomes data.

Half-life

~ 5 days (once-weekly dosing)

Mol. weight

~ 59.3 kDa (Fc-fusion construct)

Sequence

GLP-1 analog fused to modified IgG4 Fc

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Overview

Dulaglutide is a once-weekly GLP-1 receptor agonist approved for type 2 diabetes, with cardiovascular outcomes established in the REWIND trial. It uses a Fc-fusion protein approach to achieve its week-long half-life, providing an alternative long-acting option within the GLP-1 class.

Mechanism of action

Dulaglutide consists of two GLP-1 analog molecules each fused to a modified human IgG4 Fc fragment, which extends the half-life to ~5 days and enables once-weekly dosing. It acts on the GLP-1 receptor to increase glucose-dependent insulin secretion, suppress glucagon, slow gastric emptying, and reduce appetite.

Researched benefits

  • Once-weekly dosing convenience
  • Cardiovascular outcomes benefit (REWIND trial) in type 2 diabetes
  • Improved glycemic control
  • Long-acting alternative within the GLP-1 class

Considerations

  • Gastrointestinal side effects common
  • Primarily studied in type 2 diabetes (not obesity-approved at standard doses)
  • Rare risks: pancreatitis, gallbladder events
  • Requires medical supervision

Key Academic Literature & Studies

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Peer-reviewed citations and clinical trials evaluating Dulaglutide in scientific literature.

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View Dulaglutide index on PubMed (NCBI)

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