Liraglutide
GLP-1 Receptor Agonist (Saxenda/Victoza)
aka Victoza · Saxenda · NN2211
A GLP-1 receptor agonist research describes as effective for weight reduction and glycaemic control.
Sequence
HAEGTFTSDVSSYLEGQAAKEFIAWLVRGRG
His-Ala-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Val-Ser-Ser-Tyr-Leu-Glu-Gly-Gln-Ala-Ala-Lys(N-epsilon-(gamma-L-glutamyl(N-alpha-hexadecanoyl)))-Glu-Phe-Ile-Ala-Trp-Leu-Val-Arg-Gly-Arg-Gly
Mechanism of action
Liraglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist. It mimics the action of the natural hormone GLP-1, which increases insulin secretion in response to meals, decreases glucagon release, and slows gastric emptying. This leads to improved blood glucose control and reduced appetite.
What the evidence actually shows
Numerous human trials have demonstrated liraglutide's efficacy in improving glycemic control and promoting weight loss in individuals with type 2 diabetes and obesity. These studies consistently show significant benefits, though long-term safety data is still being gathered.
Regulatory status
In the UK, liraglutide is licensed for the treatment of type 2 diabetes and weight management in certain populations.
Source ↗Pharmacokinetics
Dosing — what backs each figure
Liraglutide has fully established, FDA-approved human dosing: 0.6 mg subcutaneously once daily titrated weekly to a maximum of 1.8 mg for type 2 diabetes (VICTOZA) or 3 mg for chronic weight management (SAXENDA). It is chronic once-daily therapy, not a cycled compound.
VICTOZA: 0.6 mg subcutaneously once daily for one week, then increase to 1.2 mg once daily, then after at least one week increase to the maximum recommended 1.8 mg once daily. The 0.6 mg dose is a titration step only and is not effective for glycaemic control. Pediatric (>=10 y): start 0.6 mg once daily, increase in 0.6 mg increments after at least one week, maximum 1.8 mg once daily. Inject at any time of day, independently of meals, into the abdomen, thigh or upper arm
Adults and pediatric patients aged 10 years and older with type 2 diabetes mellitus, as an adjunct to diet and exercise · subcutaneous
FDA-approved prescribing information, VICTOZA (liraglutide) injection, NDA 022341 ↗
SAXENDA: weekly escalation - week 1: 0.6 mg; week 2: 1.2 mg; week 3: 1.8 mg; week 4: 2.4 mg; week 5 onward: 3 mg once daily. Maximum 3 mg daily; may be reduced to 2.4 mg if intolerance occurs. Pediatric escalation may extend up to 8 weeks based on tolerability. Inject once daily at any time of day without regard to meals, into the abdomen, thigh or upper arm
Adults with BMI >=30, or >=27 with a weight-related comorbidity; pediatric patients aged 12 years and older with body weight above 60 kg and BMI corresponding to adult 30 kg/m2 · subcutaneous
FDA-approved prescribing information, SAXENDA (liraglutide) injection, NDA 206321 ↗
Handling and storage
Freeze-thaw: not tolerated. The label instructs not to freeze and not to use product that has been frozen. Figures above are from the US Saxenda (liraglutide 3.0 mg) prescribing information, section 16 How Supplied/Storage and Handling.
Source ↗Safety
- ·Nausea
- ·Vomiting
- ·Diarrhea
- ·Constipation
- ·Pancreatitis
- ·"Gallbladder disease"
- ·"Renal impairment"
- ·Personal or family history of medullary thyroid carcinoma
- ·Multiple endocrine neoplasia syndrome type 2
- ·Hypersensitivity to liraglutide or any of its components
- ·May enhance the hypoglycemic effect of sulfonylureas and insulin
Nausea, vomiting, diarrhoea, gallbladder events
Reported combinations
- ·Metformin
- ·Dipeptidyl peptidase-4 (DPP-4) inhibitors
Combination claims in this dataset are largely unsourced and should be treated as folk knowledge until a citation appears beside them.
References (3)
- Pi-Sunyer X, Astrup A, Fujioka K, Greenway F, Halpern A, Krempf M, Lau DC, le Roux CW, Violante Ortiz R, Jensen CB, Wilding JP; SCALE Obesity and Prediabetes NN8022-1839 Study Group (2015) A Randomized, Controlled Trial of 3.0 mg of Liraglutide in Weight Management ↗The New England Journal of MedicinePMID 26132939DOI
SCALE Obesity and Prediabetes: 56-week randomised placebo-controlled trial of subcutaneous liraglutide 3.0 mg once daily in 3,731 adults without diabetes, the registration trial supporting the Saxenda weight-management indication.
- Marso SP, Daniels GH, Brown-Frandsen K, Kristensen P, Mann JF, Nauck MA, Nissen SE, Pocock S, Poulter NR, Ravn LS, Steinberg WM, Stockner M, Zinman B, Bergenstal RM, Buse JB; LEADER Steering Committee (2016) Liraglutide and Cardiovascular Outcomes in Type 2 Diabetes ↗The New England Journal of MedicinePMID 27295427DOI
LEADER: 9,340 patients with type 2 diabetes at high cardiovascular risk randomised to liraglutide or placebo; the primary composite cardiovascular outcome occurred less frequently with liraglutide.
- Mann JFE, Orsted DD, Brown-Frandsen K, Marso SP, Poulter NR, Rasmussen S, Tornoe K, Zinman B, Buse JB; LEADER Steering Committee and Investigators (2017) Liraglutide and Renal Outcomes in Type 2 Diabetes ↗The New England Journal of MedicinePMID 28854085DOI
Prespecified secondary renal analysis of LEADER: fewer composite renal outcome events with liraglutide than placebo, driven mainly by new-onset persistent macroalbuminuria.
Data provenance
Chemistry and citations on this page were checked against primary sources on 2026-08-14. Values that could not be verified were left blank rather than filled with a plausible guess.