Dulaglutide/ja: Difference between revisions

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[[multiple endocrine neoplasia/ja|甲状腺髄様癌]]（MTC）の個人歴や家族歴のある人、あるいは[[multiple endocrine neoplasia/ja|多発性内分泌腫瘍]]2型に罹患している人は、これらの癌のリスクを高める可能性があるため、デュラグルチドを服用すべきではない。

~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~

==作用機序==

==Mechanism of action==

~~Dulaglutide binds to glucagon~~-like peptide 1 receptors, slowing gastric emptying and increases insulin secretion by pancreatic Beta cells. Simultaneously the compound reduces the elevated glucagon secretion by inhibiting alpha cells of the pancreas, as glucagon is known to be inappropriately elevated in diabetic patients. GLP-1 is normally secreted by [[L cell]]~~s of the gastrointestinal mucosa in response to a meal.~~

デュラグルチドはグルカゴン様ペプチド1受容体に結合し、胃排出を遅らせ、膵β細胞からのインスリン分泌を増加させる。同時に、糖尿病患者ではグルカゴンが不適切に上昇することが知られているため、この化合物は膵臓のα細胞を阻害することにより、上昇したグルカゴンの分泌を抑える。GLP-1は通常、食事に反応して消化管粘膜の[[L cell/ja|L細胞]]から分泌される。

~~</div>~~

~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~

==歴史==

==History==

~~The safety and effectiveness of dulaglutide were evaluated in six clinical trials in which 3~~,342 subjects with type 2 diabetes received dulaglutide. Subjects receiving dulaglutide had an improvement in their blood sugar control as observed with reductions in HbA1c level (hemoglobin A1c is a measure of blood sugar control).

デュラグルチドの安全性と有効性は、3,342人の2型糖尿病患者を対象とした6つの臨床試験で評価された。デュラグルチドを投与された被験者は、HbA1c値（ヘモグロビンA1cは血糖コントロールの指標）の低下により観察されるように、血糖コントロールの改善を認めた。

~~</div>~~

~~<div lang="en" dir="ltr" class="mw-content-ltr">~~

米国[[Food and Drug Administration/ja|食品医薬品局]]（FDA）はデュラグルチドを[[Risk Evaluation and Mitigation Strategies/ja|リスク評価と軽減戦略]]（REMS）付きで承認し、[[Eli Lilly and Company|イーライリリー・アンド・カンパニー]]にトルリシティの承認を認めた。REMSは、膵炎のリスクと薬物に関連する[[medullary thyroid carcinoma/ja|甲状腺髄様癌]]の潜在的なリスクを医師に認識させるためにイーライリリーがとるいくつかのステップから構成されている。

~~The U.S.~~ [[Food and Drug Administration]] ~~(FDA) approved dulaglutide with a~~ [[Risk Evaluation and Mitigation Strategies|~~Risk Evaluation and Mitigation Strategy~~]] ~~(REMS), and granted the approval of Trulicity to~~ [[Eli Lilly and Company]]~~. The REMS consists of a number of steps that Eli Lilly will take to make physicians aware of the risk of pancreatitis and the potential risk of~~ [[medullary thyroid carcinoma]] ~~associated with the drug.~~

~~</div>~~

~~<div lang="en" dir="ltr" class="mw~~-~~content-ltr">~~

2020年、FDAはAWARD-11試験の結果に基づいて、3.0 mgと4.5 mgの2種類の高用量医薬品を承認した。

~~In 2020, the FDA approved two higher doses of the medication, 3~~.0 ~~mg and 4~~.5 ~~mg, based on results of the AWARD-11 trial demonstrating improved glucose lowering and weight benefits.~~

~~</div>~~

~~<div lang="en" dir="ltr" class="mw-content-ltr">~~

== Further reading ==

* {{cite journal | vauthors = Scott LJ | title = Dulaglutide: A Review in Type 2 Diabetes | journal = Drugs | volume = 80 | issue = 2 | pages = 197–208 | date = February 2020 | pmid = 32002850 | doi = 10.1007/s40265-020-01260-9 | s2cid = 210954338 }}

* {{cite journal | vauthors = Edwards KL, Minze MG | title = Dulaglutide: an evidence-based review of its potential in the treatment of type 2 diabetes | journal = Core Evidence | volume = 10 | pages = 11–21 | date = 2015 | pmid = 25657615 | pmc = 4295897 | doi = 10.2147/CE.S55944 | doi-access = free }}

* {{cite journal | vauthors = Romera I, Cebrián-Cuenca A, Álvarez-Guisasola F, Gomez-Peralta F, Reviriego J | title = A Review of Practical Issues on the Use of Glucagon-Like Peptide-1 Receptor Agonists for the Management of Type 2 Diabetes | journal = Diabetes Therapy | volume = 10 | issue = 1 | pages = 5–19 | date = February 2019 | pmid = 30506340 | pmc = 6349277 | doi = 10.1007/s13300-018-0535-9 }}

~~</div>~~

~~<div lang="en" dir="ltr" class="mw-content-ltr">~~

~~</div>~~

~~<div lang="en" dir="ltr" class="mw-content-ltr">~~

~~{{二次利用|date=7 February 2024}}~~

[[Category:Drugs developed by Eli Lilly and Company]]

[[Category:GLP-1 receptor agonists]]

[[Category:Peptide therapeutics]]

~~</div>~~

@@ Line 126: / Line 126: @@
 [[multiple endocrine neoplasia/ja|甲状腺髄様癌]]（MTC）の個人歴や家族歴のある人、あるいは[[multiple endocrine neoplasia/ja|多発性内分泌腫瘍]]2型に罹患している人は、これらの癌のリスクを高める可能性があるため、デュラグルチドを服用すべきではない。
-<div lang="en" dir="ltr" class="mw-content-ltr">
+==作用機序==
-==Mechanism of action==
+{{Anchor|Mechanism of action}}
-Dulaglutide binds to glucagon-like peptide 1 receptors, slowing gastric emptying and increases insulin secretion by pancreatic Beta cells. Simultaneously the compound reduces the elevated glucagon secretion by inhibiting alpha cells of the pancreas, as glucagon is known to be inappropriately elevated in diabetic patients. GLP-1 is normally secreted by [[L cell]]s of the gastrointestinal mucosa in response to a meal.
+デュラグルチドはグルカゴン様ペプチド1受容体に結合し、胃排出を遅らせ、膵β細胞からのインスリン分泌を増加させる。同時に、糖尿病患者ではグルカゴンが不適切に上昇することが知られているため、この化合物は膵臓のα細胞を阻害することにより、上昇したグルカゴンの分泌を抑える。GLP-1は通常、食事に反応して消化管粘膜の[[L cell/ja|L細胞]]から分泌される。
-</div>
-<div lang="en" dir="ltr" class="mw-content-ltr">
+==歴史==
-==History==
+{{Anchor|History}}
-The safety and effectiveness of dulaglutide were evaluated in six clinical trials in which 3,342 subjects with type 2 diabetes received dulaglutide. Subjects receiving dulaglutide had an improvement in their blood sugar control as observed with reductions in HbA1c level (hemoglobin A1c is a measure of blood sugar control).
+デュラグルチドの安全性と有効性は、3,342人の2型糖尿病患者を対象とした6つの臨床試験で評価された。デュラグルチドを投与された被験者は、HbA1c値（ヘモグロビンA1cは血糖コントロールの指標）の低下により観察されるように、血糖コントロールの改善を認めた。
-</div>
-<div lang="en" dir="ltr" class="mw-content-ltr">
+米国[[Food and Drug Administration/ja|食品医薬品局]]（FDA）はデュラグルチドを[[Risk Evaluation and Mitigation Strategies/ja|リスク評価と軽減戦略]]（REMS）付きで承認し、[[Eli Lilly and Company|イーライリリー・アンド・カンパニー]]にトルリシティの承認を認めた。REMSは、膵炎のリスクと薬物に関連する[[medullary thyroid carcinoma/ja|甲状腺髄様癌]]の潜在的なリスクを医師に認識させるためにイーライリリーがとるいくつかのステップから構成されている。
-The U.S. [[Food and Drug Administration]] (FDA) approved dulaglutide with a [[Risk Evaluation and Mitigation Strategies|Risk Evaluation and Mitigation Strategy]] (REMS), and granted the approval of Trulicity to [[Eli Lilly and Company]]. The REMS consists of a number of steps that Eli Lilly will take to make physicians aware of the risk of pancreatitis and the potential risk of [[medullary thyroid carcinoma]]  associated with the drug.
-</div>
-<div lang="en" dir="ltr" class="mw-content-ltr">
+年、FDAはAWARD-11試験の結果に基づいて、3.0&nbsp;mgと4.5&nbsp;mgの2種類の高用量医薬品を承認した。
-In 2020, the FDA approved two higher doses of the medication, 3.0&nbsp;mg and 4.5&nbsp;mg, based on results of the AWARD-11 trial demonstrating improved glucose lowering and weight benefits.
-</div>
-<div lang="en" dir="ltr" class="mw-content-ltr">
 == Further reading ==
 * {{cite journal | vauthors = Scott LJ | title = Dulaglutide: A Review in Type 2 Diabetes | journal = Drugs | volume = 80 | issue = 2 | pages = 197–208 | date = February 2020 | pmid = 32002850 | doi = 10.1007/s40265-020-01260-9 | s2cid = 210954338 }}
 * {{cite journal | vauthors = Edwards KL, Minze MG | title = Dulaglutide: an evidence-based review of its potential in the treatment of type 2 diabetes | journal = Core Evidence | volume = 10 | pages = 11–21 | date = 2015 | pmid = 25657615 | pmc = 4295897 | doi = 10.2147/CE.S55944 | doi-access = free }}
 * {{cite journal | vauthors = Romera I, Cebrián-Cuenca A, Álvarez-Guisasola F, Gomez-Peralta F, Reviriego J | title = A Review of Practical Issues on the Use of Glucagon-Like Peptide-1 Receptor Agonists for the Management of Type 2 Diabetes | journal = Diabetes Therapy | volume = 10 | issue = 1 | pages = 5–19 | date = February 2019 | pmid = 30506340 | pmc = 6349277 | doi = 10.1007/s13300-018-0535-9 }}
-</div>
-<div lang="en" dir="ltr" class="mw-content-ltr">
+{{Oral hypoglycemics and insulin analogs/ja|state=expanded}}
-{{Oral hypoglycemics and insulin analogs|state=expanded}}
 {{Portal bar | Medicine}}
-</div>
-<div lang="en" dir="ltr" class="mw-content-ltr">
-{{二次利用|date=7 February 2024}}
 [[Category:Drugs developed by Eli Lilly and Company]]
 [[Category:GLP-1 receptor agonists]]
 [[Category:Peptide therapeutics]]
-</div>