Exenatide (Exendin-4)–Induced Pancreatitis
Abstract
Exenatide is a 39–amino acid peptide approved for the adjunctive treatment of type 2 diabetes. It is an incretin mimetic agent that is consistent in activity with the actions of glucagon-like peptide 1. Proposed mechanisms of action include enhanced glucose-dependent insulin secretion from pancreatic β-cells, restoration of first-phase insulin response, suppression of glucagon secretion, and delay of gastric emptying. Kendall et al. (1) found no evidence of cardiovascular, pulmonary, hepatic, or renal toxicities with exenatide. Nausea (39–48%) and hypoglycemia (19–27%) were the most common side effects reported. A 69-year-old man with type 2 diabetes of 15 years’ duration presented for follow-up. He had known diabetic neuropathy and retinopathy. His medical history was remarkable for coronary artery disease, gastroesophageal reflux disease, rheumatoid arthritis, and …
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Acute pancreatitis following exenatide administration has been documented in case reports since 2006.
“Acute pancreatitis following exenatide administration has been documented in case reports since 2006 [50].”
From Exploring the Side Effects of GLP-1 Receptor Agonist: To Ensure Its Optimal Positioning (2025) · cites this paper as [50]
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Safety and adverse effects associated with GLP-1 analogues
Stephens, J. W., & Bain, S. C. (2007) · Expert Opinion on Drug Safety · doi:10.1517/14740338.6.4.417 · Cited by 10 · see citing works
- Authors
- Denker, P. S., & Dimarco, P. E.
- Affiliations
- Largo HCA Diabetes Center, Clearwater, Florida
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2006-02-01
- Volume
- 29
- Issue
- 2
- Pages
- 471-471
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2029214914
- Cited by
- 140
- References
- 1
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 8 · 2015: 9 · 2014: 17 · 2013: 15 · 2012: 12
- FWCI
- 6.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Keywords
- exenatide, exendin-4, pancreatitis, type 2 diabetes, incretin mimetics, glucagon-like peptide-1, adverse drug reactions, drug-induced pancreatitis
- MeSH terms
- Exenatide, Acute Disease, Aged, Diabetes Mellitus, Type 2, Humans, Hypoglycemic Agents, Male, Pancreatitis, Peptides, Venoms, Abdominal Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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