Liraglutide
Liraglutide is an approved GLP-1 therapy used for type 2 diabetes (Victoza) and, at a higher dose, for chronic weight management (Saxenda). Randomized trials show meaningful reductions in HbA1c and body weight, and the LEADER cardiovascular outcomes trial demonstrated a reduction in major adverse cardiovascular events in people with type 2 diabetes at high cardiovascular risk. It is a prescription medicine used under medical supervision.
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Mechanism
In plain terms, liraglutide copies a natural gut hormone that signals fullness and helps control blood sugar. Technically, it is an acylated GLP-1 analogue with high homology to human GLP-1 that agonizes the GLP-1 receptor, stimulating glucose-dependent insulin secretion, suppressing glucagon release, slowing gastric emptying, and acting on appetite-regulating centres to reduce energy intake. A fatty-acid side chain promotes albumin binding that extends its half-life to allow once-daily dosing.
Regulatory Status by Region
- United States (FDA)Approved. Victoza for type 2 diabetes (2010), with a cardiovascular risk reduction indication added in 2017; Saxenda (liraglutide 3.0 mg) for chronic weight management (2014), later extended to adolescents aged 12 to 17 with obesity (2020).
- Australia (TGA)Registered on the ARTG: Victoza for type 2 diabetes and Saxenda for weight management, available on prescription.
- European Union (EMA)Authorized: Victoza (2009) for type 2 diabetes and Saxenda (2015) for weight management.
- WADANot prohibited. GLP-1 receptor agonists are not on the WADA Prohibited List and are not banned substances.
Key Studies
- Liraglutide and Cardiovascular Outcomes in Type 2 Diabetes (LEADER; Marso et al.) (opens in a new tab) (N Engl J Med 2016;375:311-322; DOI 10.1056/NEJMoa1603827; PMID 27295427)
- A Randomized, Controlled Trial of 3.0 mg of Liraglutide in Weight Management (SCALE Obesity and Prediabetes; Pi-Sunyer et al.) (opens in a new tab) (N Engl J Med 2015;373:11-22; DOI 10.1056/NEJMoa1411892; PMID 26132939)
- Liraglutide once a day versus exenatide twice a day for type 2 diabetes (LEAD-6; Buse et al.) (opens in a new tab) (Lancet 2009;374:39-47)
Related Clinical Trials
- GLP-1/GIP Receptor Agonists in Obesity-Related HFpEF: The GLIDE-HF RegistryN/A · Not Yet Recruiting
- Metabolic Surgery for Atrial Fibrillation EliminationPhase 4 · Not Yet Recruiting
- Determination of Resistance Training Status for Patients on Glucagon-Like Peptide-1 Receptor AgonistsN/A · Recruiting
- TP04HN106 in the Treatment of Patients With Amyotrophic Lateral SclerosisPhase 1/Phase 2 · Recruiting
- RWS of of Liraglutide Alone and in Combination With Orlistat for Weight Loss in Overweight/Obese Patients.Phase 4 · Not Yet Recruiting
- A Study to Estimate Early Clinical Efficacy Signals of GLP-1 Agonist Administration in Conjunction With Levonorgestrel Intrauterine Device in Obese Patients With Endometrioid Intraepithelial NeoplasiaPhase 2 · Recruiting
- The Evira Study: Additional Support During Obesity TreatmentN/A · Recruiting
- Estimating the Impact of Obesity Medications on Clinical and Economic OutcomesN/A · Enrolling By Invitation
Related News & Research
Common Questions
- What is Liraglutide?
- Liraglutide is a once-daily injectable GLP-1 receptor agonist from Novo Nordisk, marketed as Victoza (type 2 diabetes) and Saxenda (chronic weight management). It is FDA- and EMA-approved and TGA-registered, supported by the LEAD, SCALE, and LEADER trial programs. It is a prescription medicine used under medical supervision.
- Is Liraglutide approved for medical use?
- Liraglutide is approved for one or more medical uses in at least one major jurisdiction. United States (FDA): Approved. Victoza for type 2 diabetes (2010), with a cardiovascular risk reduction indication added in 2017; Saxenda (liraglutide 3.0 mg) for chronic weight management (2014), later extended to adolescents aged 12 to 17 with obesity (2020). European Union (EMA): Authorized: Victoza (2009) for type 2 diabetes and Saxenda (2015) for weight management. Australia (TGA): Registered on the ARTG: Victoza for type 2 diabetes and Saxenda for weight management, available on prescription.
- How does Liraglutide work?
- In plain terms, liraglutide copies a natural gut hormone that signals fullness and helps control blood sugar. Technically, it is an acylated GLP-1 analogue with high homology to human GLP-1 that agonizes the GLP-1 receptor, stimulating glucose-dependent insulin secretion, suppressing glucagon release, slowing gastric emptying, and acting on appetite-regulating centres to reduce energy intake.
- Is Liraglutide legal in Australia?
- Liraglutide in Australia (TGA): Registered on the ARTG: Victoza for type 2 diabetes and Saxenda for weight management, available on prescription.
- Is Liraglutide banned in sport?
- Liraglutide 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.