A Once-Weekly Diabetes Treatment that Aids with Weight Loss?

February 10, 2009

Amy Tenderich of DiabetesMine.com

Amylin Pharmaceuticals is working on something they’re hailing as a potential miracle drug: the first-ever once-weekly diabetes treatment that’s guaranteed to bring down your blood sugar levels and help you lose weight and keep it off. It certainly sounds amazing, no?

The drug is a new “extended” version of exenatide (commercial name: Byetta, an injectable used to treat Type 2 diabetes) that will be submitted for FDA approval by the end of 2009. It belongs to a class of drugs called GLP-1s, gut hormones that lower glucose levels by increasing insulin secretion from the pancreas and suppressing the release of glucagon (glucose in the bloodstream). It also curbs your appetite by slowing gastric emptying.

In studies, patients testing the new long-acting drug achieved an AVERAGE of a two percentage-point drop in their A1C (measure of glucose levels over the last three months), and also lost an average of 9.5 pounds and kept the weight off for at least six months, Amylin reports. That kind of impact is extraordinary, to be sure
The company is positioning this new once-weekly as the “missing link” in diabetes care due to the killer combination of these unprecedented results, and the fact that it will be so easy to use that patients can and will more consistently stick to their treatment regimen.
They say it can also be safely combined with metformin and other oral drugs, and they’ll be studying its efficacy against these drugs and also against insulin itself in the next few years.
At a recent healthcare investor’s conference in San Francisco, where I learned about the drug, Amylin was even quoting prominent physicians as saying this drug – when it’s ready for market – will create an entirely “new class of treatment for Type 2 diabetes.”
Wow! I hope they are right. We hear about potential miracle meds all the time, so it’s wise to take this news with a grain of salt as well. As always, there are some good reasons for optimism and pessimism alike:
A bit about Byetta:
The current version of Byetta is administered in an injection pen with a tiny needle twice daily, usually before the first and last meal of the day. Because of its effectiveness with glucose control and weight loss, Byetta has quickly become one of the most widely prescribed diabetes treatments in the US.
However, its main side effect is nausea and other gastrointestinal discomfort, so it’s not meant for people who already have problems in that area. Also, there was a recent safety scare when several patients using the drug showed up with acute pancreatitis, including several deaths. But the FDA has continued to sanction the drug since no definite causal relationship has been established.

FDA hurdles:
One potential roadblock is tightening FDA regulations for approval of all new diabetes drugs. After the evidence that a controversial drug called Avandia may significantly increase patients’ risk of heart attack, the FDA is cracking down with stringent new research requirements. Some folks are worried that this may slow down approvals of new diabetes drugs “to the pace of molasses.”
Let’s hope they can strike a balance between safety and progress towards innovative new treatments. Because according to experts like diabetes researcher Andre J. Scheen, MD, PhD, of Belgium's University of Liege, the once-weekly version of exenatide will provide better blood sugar control and reduced nausea. “This new strategy might substantially change the management of Type 2 diabetes," he writes.

From	Comment
Rod Johnson	February 23, 2009 10:47 PM I have read about this, I have used Byetta before being put on Janumet. Byetta being an appettite suppressor also helped me lose some weight, Iam not on it any more but I have went from 350+ to 290# since taking both drugs (1/2008).
Goddess	February 23, 2009 12:30 AM I was never on insulin. Just put straight on byetta. It works rapid acting and I gained weight. My endo is putting me on insulin tues.
Mrs. Vega	February 23, 2009 12:17 AM thank you for the info on type 2. my husband has type 1 and i'm new on the computer and trying to get my printer fixed so i'll be reading all i can to help him manage his health while incorporating me and my health as well.
colect roosters	February 20, 2009 5:37 AM My Dr says that Janueva is about the same as byetta only in pill form, so I tried that and I started swelling and she said it was not from the Janueva, but I still think it was and I have long since stopped taking it, and haven't hade any more swelling of my tounge . On the other hand my daughter was on insulin for a few years and the Dr started her on the byetta and finally weened her from the insulin, she has lost around 80 pds in about 2 years, but she has to stick to the diet plan, wish I had her willpower.
2catty	February 18, 2009 4:34 AM I was on insulin for a long time and the criteria to get byetta is to have tried most and not at what you need. Then they put you on byetta. I take byetta lantus and novolog and glyburide. Something odd there. I would ask your doc. again. But it did not make me lose weight. Just get sick off it.