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Polyethylene glycol loxenatide (PEX168) is a long-acting glucagon-like peptide-1 (GLP-1) receptor agonist developed for the treatment of type 2 diabetes mellitus. It is a modified version of exenatide, where the addition of a polyethylene glycol (PEG) moiety extends its half-life and duration of action, allowing for once-weekly subcutaneous administration. By activating the GLP-1 receptor, it enhances glucose-dependent insulin secretion, suppresses glucagon secretion, and slows gastric emptying, thereby improving glycemic control and potentially aiding in weight reduction. It was developed by Hansoh Pharmaceutical and is approved in China for the treatment of type 2 diabetes. Nanjing First Hospital, Nanjing Medical University has been involved in conducting Phase 4 clinical studies to further evaluate its efficacy on metabolic factors and body composition.
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