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Efpeglenatide

LAPS-Exendin-4, HM11260C

Research useEducational entry
Mechanism

A long-acting, exendin-4-based GLP-1 receptor agonist conjugated to an IgG4 Fc fragment, designed for once-weekly subcutaneous dosing. Studied for glucose-dependent insulin secretion, appetite/glycaemic regulation, and cardiovascular/renal risk.

Evidence

Human clinical data exist: the AMPLITUDE-O trial (n=4076, type 2 diabetes) reported fewer major cardiovascular events and better renal outcomes versus placebo. Despite positive results, the drug is not widely marketed and not approved in most jurisdictions.

Applications
  • Type 2 diabetes glycaemic-control research
  • Cardiovascular-outcomes research (AMPLITUDE-O)
  • Renal-outcomes research in high-risk diabetes
Protocol

Educational overview only — no dosing instructions in the public hub.

Risks

As a GLP-1 agonist class effect, gastrointestinal effects (nausea, vomiting, diarrhoea) are the most common in trials. Long-term real-world safety is limited by its restricted approval status; sourcing/purity is an additional practical risk.

Quality

Third-party CoA (purity + quantification + MS) is the minimum verification.

Legal status

Not approved for general marketing in most jurisdictions (including the US and EU) as of 2026; investigational/research status in most markets.

✓ Last reviewed · 2026-07-21

Frequently asked questions

What is Efpeglenatide used for?
Type 2 diabetes glycaemic-control research. Cardiovascular-outcomes research (AMPLITUDE-O). Renal-outcomes research in high-risk diabetes. Human clinical data exist: the AMPLITUDE-O trial (n=4076, type 2 diabetes) reported fewer major cardiovascular events and better renal outcomes versus placebo. Despite positive results, the drug is not widely marketed and not approved in most jurisdictions.
Is Efpeglenatide legal in Europe?
Not approved for general marketing in most jurisdictions (including the US and EU) as of 2026; investigational/research status in most markets.
What are the risks and side effects of Efpeglenatide?
As a GLP-1 agonist class effect, gastrointestinal effects (nausea, vomiting, diarrhoea) are the most common in trials. Long-term real-world safety is limited by its restricted approval status; sourcing/purity is an additional practical risk.
How is the quality of Efpeglenatide assessed?
Third-party CoA (purity + quantification + MS) is the minimum verification.