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Pipeline › exenatide

exenatide

FDA-approved since 2005 and marketed in the US as Bydureon, Byetta, Exenatide, authorised in the EU as Bydureon, Byetta, with no open FDA shortage or discontinuation records. 5 active trials.

GLP-1 agonist, SC, from AstraZeneca. Every figure below is taken directly from ClinicalTrials.gov, Drugs@FDA, the FDA Drug Shortage Database, the EMA register or Europe PMC, and re-checked every four hours.

Status
marketed
Target
GLP-1
Route
SC
Sponsor
AstraZeneca
Brand names
Bydureon, Byetta, Exenatide
First FDA approval
2005-04-28
EU authorisation
Bydureon (2017), Byetta (2018)
Active trials
5 (3 in phase 3)
Participants enrolled
487
Trials with a reporting date
0
Approved FDA submissions
87

Approved indications

Quoted from the current FDA label for each application. This is what the drug is approved to treat in the US — separate from the conditions it is being studied in.

Exenatide ANDA206697
label effective 2026-05-27 · full label

Exenatide injection is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Exenatide injection is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. ( 1 , 14 ) Limitations of Use Co-administration with other exenatide-containing products is not recommended. ( 1 ) Limitations of Use Exenatide injection contains exenatide. Co-administration with other exenatide-containing products is not recommended.

Byetta NDA021773
label effective 2025-09-02 · full label

BYETTA is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Limitations of Use • BYETTA contains exenatide. Coadministration with other exenatide-containing products is not recommended. BYETTA (exenatide) is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. ( 1 , 14 ) Limitations of Use • Coadministration with other exenatide-containing products is not recommended ( 1 ).

Regulatory history

DateActionBrandsApplication
2025-09-02LabelingBYETTANDA021773 · label
2025-05-28LabelingBYDUREON, BYDUREON PENNDA022200 · label
2025-05-28LabelingBYDUREON BCISENDA209210 · label
2025-05-28LabelingBYETTANDA021773 · label
2024-11-19Generic approval (ANDA) originalEXENATIDE SYNTHETICANDA206697
2024-11-01LabelingBYDUREON, BYDUREON PENNDA022200 · label
2024-11-01LabelingBYDUREON BCISENDA209210 · label
2024-11-01LabelingBYETTANDA021773 · label
2024-03-06LabelingBYDUREON BCISENDA209210 · label
2022-12-21LabelingBYDUREON, BYDUREON PENNDA022200 · label
2022-12-21LabelingBYDUREON BCISENDA209210 · label
2022-12-21LabelingBYETTANDA021773 · label
2022-07-26LabelingBYDUREON, BYDUREON PENNDA022200 · label
2022-07-26LabelingBYDUREON BCISENDA209210 · label
2022-06-10LabelingBYDUREON, BYDUREON PENNDA022200 · label
2022-06-10LabelingBYDUREON BCISENDA209210 · label
2022-06-10LabelingBYETTANDA021773 · label
2022-06-10LabelingBYETTANDA021773 · label
2021-11-04EfficacyBYETTANDA021773 · label
2021-07-22EfficacyBYDUREON, BYDUREON PENNDA022200 · label
2021-07-22EfficacyBYDUREON BCISENDA209210 · label
2021-06-17LabelingBYETTANDA021773 · label
2020-12-02LabelingBYDUREON BCISENDA209210 · label
2020-02-28LabelingBYDUREON, BYDUREON PENNDA022200 · label
2020-02-28LabelingBYDUREON BCISENDA209210 · label

Indications under study

Childhood Obesity; Gestational Diabetes; Multiple Sclerosis; Type 1 Diabetes Mellitus; Type 2 Diabetes Mellitus.

Recent papers

PublishedTitleJournal
2026-07-15Exenatide Attenuates Doxorubicin-Induced Acute Hepatic Injury Through Modulation of SIRT1-HMGB1 Signaling and Oxidative Stress
Karakullukcu HK, Gül SS, Aygun H, Kalın M, Karakullukcu M, Arslan A, Özkan ÖF, Ercan G.
Pharmaceuticals (Basel)
2026-06-22Expression of Concern: Exenatide once a week versus placebo as a potential disease-modifying treatment for people with Parkinson's disease in the UK: a phase 3, multicentre, double-blind, parallel-group, randomised, placebo-controlled trial
The Editors Of The Lancet.
Lancet
2026-06-15Effects of insulin and exenatide therapy on glycemic control and β-cell function in patients newly diagnosed with type 2 diabetes and severe hyperglycemia
Wu TH, Kuo CS, Chen HS.
J Chin Med Assoc
2026-06-11Change in circulating irisin level and its association with lipid metabolism after exenatide treatment in patients with type 2 diabetes mellitus
Gao Y, Hong X, Yang K, Le Y, Wei R, Yang J, Hong T, Tian Q.
J Clin Transl Endocrinol
2026-06-02The GLP-1 Agonist Exenatide Is Associated with Improved Adherence to Health Behavior and Lifestyle Treatment in Adolescents with Obesity: A Randomized Controlled Trial
Stenlid R, Cerenius SY, Torbahn G, Aydin BK, Ciba I, Vilén H, Mörwald K, Geiersberger S, Roomp K, Cadamuro J, Gomahr J, Lischka J, Weghuber D, Bergsten P, Forslund A, Manell H.
Obes Facts
2026-06-01Exenatide induces an enhanced endogenous glucagon-like peptide-1 secretory response in patients receiving basal insulin
Parikh M, Pu J, Shen J, Kramer CK, Zinman B, Beaudry JL, Retnakaran R.
J Clin Endocrinol Metab
2026-05-30Reply: Genetically proxied GLP1R expression does not predict exenatide response in the Exenatide-PD3 trial
Woo KA, Jang Y, Kim HJ, Park PJ.
Brain
2026-05-23Genetically proxied GLP1R expression does not predict exenatide response in the Exenatide-PD3 trial
Gurney R, Girges C, Vijiaratnam N, Athauda D, Gandhi S, Morris H, Foltynie T.
Brain
2026-05-22Hemodynamic and metabolomic responses to infusion of GLP-1 agonist exenatide in pulmonary arterial hypertension
Samaranayake CB, Niglas M, Baxan N, Kempny A, Ashek A, Gatzoulis M, Price LC, Dimopoulos K, Wilkins MR, Wort S, Rhodes CJ, Zhao L, McCabe C.
JCI Insight
2026-03-20Study on chitosan/carrageenan core-shell nanoparticles for oral co-administration of insulin/exenatide enhance insulin secretion in type 2 diabetes
Nguyen TV, Cao-Luu NH, Nguyen TB, Dang HG, Luong HV.
Int J Biol Macromol
2026-03-03Circulating GDF15 and HbA1c Response to Add-On Exenatide Therapy in Type 2 Diabetes: A Post Hoc Analysis from a Multicenter Trial
Wu Q, Yang K, Liao X, Zheng S, Zheng X, Wang H, Yang J, Hong T.
Biomedicines
2026-02-24Exenatide attenuates neuroinflammation and rescues sepsis-induced depressive behavior and cognitive dysfunction in a mouse model
Liu S, Chen Q, Liu H, Chen Z, Ding N, Sun T, Wang L.
Neuroscience
2026-02-21Exenatide through PPARδ improved hepatic insulin resistance in patients of type 2 diabetes mellitus via suppressing pyroptosis
Li X, Zhou T, Wu Y, Sun J, Wang Z, Huang Y, Xu K, Ling H, Li N, Yang T, Wang T.
Int Immunopharmacol
2026-02-19Baseline metabolite profiles predict the glucose-lowering efficacy of exenatide in patients with type 2 diabetes
Le Y, Yang J, Wu Q, Li F, Fu W, Xiao W, Wang H, Hong T, Wei R.
Metabol Open
2026-02-19A study to evaluate the impact of PB-119 injection (a pegylated exenatide formulation) on the pharmacokinetic profiles of Digoxin and Warfarin sodium in healthy subjects
Yu Y, Hu W, Zhang T, Peng Y, Ding J, Wang X, He H, Zhou D, Han D, Cao J, Cheng N, Zhou J, Zhou H.
SAGE Open Med

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