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CasNo: 197922-42-2
Molecular Formula: C164H252N44O55S
Overview |
Teduglutide is a 33-membered polypeptide and a glucagon-like peptide-2 (GLP-2) analog. |
Therapeutic Application | Used in the treatment of Short Bowel Syndrome (SBS). |
Mechanism of Action | Acts as a GLP-2 analogue, promoting mucosal growth in the intestine. Possible restoration of gastric emptying and secretion. |
Pharmacological Effects | Activates GLP-2 receptors in the gut. Stimulates the release of insulin-like growth factor, nitric oxide, and keratinocyte growth factor. |
Promoting Repair and Growth | Enhances the repair and normal growth of the intestinal mucosa. Increases villi height and crypt depth in the intestine. |
In a real-world experience, teduglutide therapy results in rapid and sustained reductions in PS. Larger postmarketing studies will be required to reliably predict response to treatment and the factors associated with enteral autonomy.
In a phase III trial in adults with SBS intestinal failure (IF) dependent on parenteral support (PS), a significantly greater proportion of teduglutide 0.05 mg/kg/day than placebo recipients achieved a ≥20% reduction in weekly PS volume from baseline to week 20 and maintained it to week 24. The proportion of patients who had a reduction in one or more days on PS was also significant with teduglutide compared with placebo.