Boyuoping is a biosimilar approved by the National Medical Products Administration (NMPA) in accordance with Technical Guidelines for Evaluation on Similarities and Extrapolation of Indications of Biosimilars promulgated in February 2021.
This product is indicated for glycemic control in adult patients with type 2 diabetes mellitus:
Monotherapy
As an adjunct to diet and exercise in patients whose blood glucose is inadequately controlled by diet and exercise alone.
Combination Therapy
In combination with metformin, sulfonylureas, or metformin plus sulfonylureas, as an adjunct to diet and exercise in adult patients with type 2 diabetes mellitus whose blood glucose remains inadequately controlled despite these treatments.
In combination with insulin, as an adjunct to diet and exercise, to improve glycemic control in adult patients with type 2 diabetes mellitus.
GLP-1 is secreted by L cells in the mucosal layer of the ileum and colon. It primarily promotes insulin secretion in a glucose-dependent manner by binding to specific receptors on the membrane of pancreatic β-cells. This means that when blood glucose levels rise, GLP-1 secretion increases, stimulating insulin release and thereby lowering blood sugar levels.
GLP-1 is widely distributed in various organs and tissues throughout the body. However, natural GLP-1 is rapidly degraded by the enzyme dipeptidyl peptidase-4 (DPP-4) in the body, resulting in a half-life of less than 2 minutes.
Dulaglutide is a fusion protein of glucagon-like peptide-1 (GLP-1) analogues and Fc, which belongs to GLP-1 receptor agonist. It promotes insulin release and inhibits glucagon secretion to lower blood sugar by stimulating GLP-1 receptor. In addition, postprandial blood glucose increase is reduced by delaying gastric emptying.
Dulaglutide only needs to be injected once a week; and its unique mechanism of action makes it less likely to cause hypoglycemic events when used alone.