Effect of exenatide on cholecystokinin-induced gallbladder emptying in fasting healthy subjects
Abstract
Exenatide is a glucagon-like peptide-1 receptor agonist for the treatment of type 2 diabetes and has been shown to lower blood glucose through multiple mechanisms, including glucose-dependent insulin secretion, suppression of postprandial glucagon release and slowing of gastric emptying. The effects of exenatide on biliary motility are unknown. This study evaluated the effect of a single dose of exenatide on cholecystokinin (CCK)-induced gallbladder emptying. Healthy subjects participated in this randomized, 2-period, double-blind crossover study. Fasting subjects received a single subcutaneous injection of exenatide (10 μg) or placebo 60 min before CCK infusion. Gallbladder volume and ejection fraction (EF) were assessed by ultrasonography before, during, and after CCK infusion (0.003 μg/kg infused over 50 min at 2 mL/min). The diameters of the main pancreatic duct and common bile duct were measured sonographically at the same time points before, during, and following CCK infusion. Administration of exenatide did not affect pre-CCK infusion gallbladder volume or EF compared to placebo. During the CCK-infusion, the mean minimum gallbladder volume was similar for exenatide (13.68 mL) and placebo (11.05 mL) (least squares mean [LSM] difference of 2.62 mL; 95% confidence interval [CI], -0.53, 5.78), but the mean maximum EF was lower for exenatide (28.79%) versus placebo (46.13%) (LSM difference of -17.34%; 95% CI, -30.54, -4.13). Exenatide had no clinically significant effects on pancreatic or bile duct diameters. In conclusion, exenatide reduced CCK-induced gallbladder emptying compared with placebo in fasting healthy subjects.
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Small-scale clinical trials have reported that exenatide and liraglutide can diminish gallbladder emptying or extend the time to reach the peak postprandial gallbladder ejection fraction.
“Small-scale clinical trials have reported that exenatide and liraglutide can diminish gallbladder emptying or extend the time to reach the peak postprandial gallbladder ejection fraction [42,45].”
From Exploring the Side Effects of GLP-1 Receptor Agonist: To Ensure Its Optimal Positioning (2025) · cites this paper as [45]
In acute intervention studies, exenatide and albiglutide reduced cholecystokinin-induced gallbladder emptying.
“In acute intervention studies, exenatide and albiglutide reduced cholecystokinin-induced gallbladder emptying”
From Safety of Semaglutide (2021) · cites this paper as [91]
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- Authors
- Keller, J., Trautmann, M. E., Haber, H., Tham, L. S., Hunt, T., Mace, K., & Linnebjerg, H.
- Affiliations
- Universität Hamburg (DE)
- Eli Lilly (Germany) (DE)
- National University of Singapore (SG)
- Eli Lilly (United States) (US)
- Corresponding author
- Linnebjerg, Helle
- Venue
- Regulatory Peptides
- Publisher
- Elsevier BV
- Published
- 2012-11
- Volume
- 179
- Issue
- 1-3
- Pages
- 77-83
- ISSN
- 0167-0115 (ISSN-L)
- OpenAlex
- W2048290927
- Cited by
- 61
- References
- 37
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 7 · 2023: 2 · 2022: 6 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 8 · 2017: 5 · 2016: 8 · 2015: 5 · 2013: 2
- FWCI
- 1.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Regulatory Peptides (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Amylin Pharmaceuticals
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Gallbladder and Bile Duct Disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- exenatide, cholecystokinin, gallbladder emptying, gallbladder ejection fraction, GLP-1 receptor agonists, biliary motility, gallbladder volume, pancreatic duct diameter, common bile duct diameter, fasting
- MeSH terms
- Exenatide, Adolescent, Adult, Aged, Bile Ducts, Blood Glucose, Cholecystokinin, Double-Blind Method, Fasting, Female, Gallbladder, Humans, Male, Middle Aged, Organ Size, Pancreatic Ducts, Peptides, Ultrasonography, Venoms, Confidence Intervals, Least-Squares Analysis, Gallbladder Emptying, Cross-Over Studies, Glucagon-Like Peptide 1, Young Adult
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