Long-acting glucagon-like peptide-1 (GLP-1) receptor agonist (GLP-1 analogue fused to a modified human IgG4 Fc fragment)

Dulaglutide

Approvedaka Trulicity, LY2189265

Dulaglutide is an approved once-weekly GLP-1 therapy for type 2 diabetes. It is a GLP-1 analogue fused to an antibody (IgG4 Fc) fragment, a design that extends its half-life. Randomized trials in the AWARD program show reductions in HbA1c and body weight, and the REWIND trial demonstrated a reduction in major adverse cardiovascular events in a broad type 2 diabetes population. It is not approved as a stand-alone weight-management medicine.

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Mechanism

In plain terms, dulaglutide copies a natural gut hormone that lowers blood sugar and curbs appetite. Technically, it is a GLP-1 receptor agonist consisting of GLP-1 analogue peptides covalently linked to a modified human immunoglobulin G4 (IgG4) Fc fragment; the Fc fusion increases molecular size and slows clearance to allow once-weekly dosing. Receptor activation enhances glucose-dependent insulin secretion, suppresses glucagon, slows gastric emptying, and reduces food intake.

Regulatory Status by Region

  • United States (FDA)Approved. Trulicity for type 2 diabetes (2014); an indication to reduce major adverse cardiovascular events in adults with type 2 diabetes was added in 2020.
  • Australia (TGA)Registered on the ARTG (Trulicity) for type 2 diabetes, available on prescription.
  • European Union (EMA)Authorized (Trulicity) for type 2 diabetes (marketing authorization granted 2014).
  • WADANot prohibited. GLP-1 receptor agonists are not on the WADA Prohibited List and are not banned substances.

See the full regulatory status matrix

Key Studies

Related Clinical Trials

Latest research

See all recent Dulaglutide research

Common Questions

What is Dulaglutide?
Dulaglutide is a once-weekly injectable GLP-1 receptor agonist from Eli Lilly, marketed as Trulicity for type 2 diabetes and for cardiovascular risk reduction in adults with type 2 diabetes. It is FDA- and EMA-approved and TGA-registered, supported by the AWARD trial program and the REWIND cardiovascular outcomes trial. It is a prescription medicine used under medical supervision.
Is Dulaglutide approved for medical use?
Dulaglutide is approved for one or more medical uses in at least one major jurisdiction. United States (FDA): Approved. Trulicity for type 2 diabetes (2014); an indication to reduce major adverse cardiovascular events in adults with type 2 diabetes was added in 2020. European Union (EMA): Authorized (Trulicity) for type 2 diabetes (marketing authorization granted 2014). Australia (TGA): Registered on the ARTG (Trulicity) for type 2 diabetes, available on prescription.
How does Dulaglutide work?
In plain terms, dulaglutide copies a natural gut hormone that lowers blood sugar and curbs appetite. Technically, it is a GLP-1 receptor agonist consisting of GLP-1 analogue peptides covalently linked to a modified human immunoglobulin G4 (IgG4) Fc fragment; the Fc fusion increases molecular size and slows clearance to allow once-weekly dosing.
Is Dulaglutide legal in Australia?
Dulaglutide in Australia (TGA): Registered on the ARTG (Trulicity) for type 2 diabetes, available on prescription.
Is Dulaglutide banned in sport?
Dulaglutide under the World Anti-Doping Agency (WADA) code: Not prohibited. GLP-1 receptor agonists are not on the WADA Prohibited List and are not banned substances.