Novel Developments & Latest Clinical Results With Long-Acting GLP-1 Receptor Agonists.

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Mikhail Kosiborod, MD Professor of Medicine (Cardiology)
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In the Know.
Presentation transcript:

Novel Developments & Latest Clinical Results With Long-Acting GLP-1 Receptor Agonists

Introduction/Background

Diabetes Is an Independent Risk Factor for Micro- and Macrovascular Disease and Stroke

T2DM and Obesity Are Closely Interlinked

Managing a Multifactorial Condition (Like T2DM) Requires a Multifactorial Approach

Glycemic Control Alone Is Not Always Sufficient to Improve Diabetes Outcomes in the Long Term

Effects of a Multifactorial Therapeutic Approach in T2DM (STENO-2 Study)

Weight Effects of Glucose-Lowering Therapies

What Is GLP-1?

GLP-1 Secretion and Receptor Expression

Amino Acid Sequences of Exendin-4 and GLP-1

Liraglutide Is a Once-Daily Human GLP-1 Analogue

Molecular Structure: Dulaglutide and Albiglutide

Results From SUSTAIN 1-5: Change in HbA1c

Results From SUSTAIN 1-5: Change in Body Weight

SUSTAIN-7: Topline Results, HbA1c, Body Weight

LEADER: Primary Outcome Results*

SUSTAIN-6 (Semaglutide): Primary Outcome Results

Topline Results: EXSCEL

EMPA-REG: Primary Outcome (3-Point MACE) - CV Death, Nonfatal MI, or Nonfatal Stroke

Clear-Cut Clinical Roles for GLP-1 RAs and SGLT2 Inhibitors in T2DM

Pancreatitis in the LEADER Trial (Confirmed by Adjudication)

Explaining the Differences in CVOT Outcomes

Guidelines' Changes as a Result of CVOT Findings

Despite Proven Advantages, Uptake of Newer Glucose-Lowering Agents Remains Low

The Case for Using Newer Glucose-Lowering Agents

Summary and Conclusions

Abbreviations

Abbreviations (cont)