Dulaglutide
/ GLP-1 analog fused to IgG4 Fc fragment; long-acting GLP-1 receptor agonistALIAS · Trulicity
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FDA-approved for type 2 diabetes (2014). Eli Lilly's once-weekly GLP-1 predecessor to tirzepatide.
Dulaglutide is a GLP-1 analog fused to an IgG4 Fc fragment. The Fc fusion confers neonatal Fc receptor (FcRn) recycling and a half-life of approximately 5 days, enabling once-weekly subcutaneous dosing. AWARD clinical program established efficacy in type 2 diabetes.
Extensive. AWARD program supported FDA approval. REWIND cardiovascular outcomes trial (Gerstein 2019, Lancet) demonstrated MACE reduction in T2DM with and without established CV disease.
Class GLP-1 adverse event profile. Same thyroid C-cell boxed warning, pancreatitis, gallbladder disease, and AKI warnings. Discontinuation rates for GI events modestly lower than early-generation GLP-1 agonists.
Regulatory status
- FDA status:
- FDA-approved
- Compounding:
- Not eligible for compounding (approved, not in shortage)