Pharmacokinetics and pharmacodynamic effects of oral GLP-1 and PYY3-36: a proof-of-concept study in healthy subjects

Clin Pharmacol Ther. 2008 Oct;84(4):468-74. doi: 10.1038/clpt.2008.35.

Abstract

This proof-of-concept study was performed in order to establish the pharmacokinetics and pharmacodynamics of increasing oral doses of the satiety peptides glucagon-like peptide-1 (GLP-1) and peptide YY3-36 (PYY3-36). Six healthy male subjects were given oral doses of either a placebo or GLP-1 in a dose-escalating schedule (doses of 0.5, 1.0, 2.0, and 4.0 mg). Next, another group of six healthy male subjects were given oral doses of either a placebo or PYY3-36 in the same pattern of escalating doses (doses of 0.25, 0.5, 1.0, 2.0, and 4.0 mg). In healthy male volunteers, (i) oral administration of either of the peptides induced a rapid and dose-dependent increase in plasma drug concentrations; (ii) oral administration of GLP-1 induced a potent effect on insulin release; and (iii) both peptides suppressed ghrelin secretion. In conclusion, this study showed, for the first time, that satiety peptides such as GLP-1 and PYY3-36 can be orally delivered safely and effectively in humans.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Adult
  • Area Under Curve
  • Dose-Response Relationship, Drug
  • Feasibility Studies
  • Ghrelin / blood
  • Ghrelin / metabolism
  • Glucagon-Like Peptide 1 / administration & dosage
  • Glucagon-Like Peptide 1 / adverse effects
  • Glucagon-Like Peptide 1 / pharmacokinetics*
  • Humans
  • Insulin / blood
  • Insulin / metabolism
  • Insulin Secretion
  • Male
  • Peptide Fragments
  • Peptide YY / administration & dosage
  • Peptide YY / adverse effects
  • Peptide YY / pharmacokinetics*

Substances

  • Ghrelin
  • Insulin
  • Peptide Fragments
  • Peptide YY
  • peptide YY (3-36)
  • Glucagon-Like Peptide 1