DPP4 MOA
Inhibit enzyme that activates incretin hormones
Increases insulin secretion in response to meals
DPP4 expected change in A1c
Low
How are DPP4 administered?
Orally
DPP4 ADEs
Generally well tolerated
Nasopharyngitis, HA, HF
DPP4 risk of hypoglycemia
Low
DPP4 impact on weight
Neutral
DPP4 CV impact
Neutral, may worsen HF outcomes
DPP4 renal impact
Neutral
DPP4 precautions/CIs
Renal dysfunction
DPP4 drug interactions
CYP3A4/5 inhibitors
DPP4 cost
High