Exendin-4 vs P11-4

Head-to-head comparison of Exendin-4 (Exendin-4 (synthetic exenatide)) and P11-4 (Self-assembling peptide P11-4 (Ac-QQRFEWEFEQQ-NH2)) — benefits, dosing, side effects, research data, and where to buy.

Research Score

PropertyExendin-4P11-4
CategoryDiabetes & MetabolicDental & Oral
Full NameExendin-4 (synthetic exenatide)Self-assembling peptide P11-4 (Ac-QQRFEWEFEQQ-NH2)
Molecular Weight4186 Da1466 Da
Half-Life2.4 hourslocal activity for hours; peptide degraded over time
Amino Acids3911
Typical Dose5-10 mcg twice daily0.5-5 mg per lesion
RouteSubcutaneousTopical/Intraoral
Purity≥98%≥98%
Studies Count180040
Research StatusClinicalClinical

Exendin-4 Benefits

  • beta-cell survival
  • glucose-stimulated insulin secretion
  • reduced glucolipotoxicity
  • lowered HbA1c in clinical use

P11-4 Benefits

  • enamel remineralization
  • early caries arrest
  • biomimetic scaffold formation
  • minimally invasive repair

Exendin-4 Dosing

5 mcg SC twice daily for 4 weeks|increase to 10 mcg SC twice daily if tolerated|research: 0.1-1 µM in vitro or 1-10 µg/kg in animals

P11-4 Dosing

topical application to cleaned lesion|single-visit in-office application|repeat at follow-up if indicated

Exendin-4 Side Effects

  • nausea
  • vomiting
  • injection-site reactions

P11-4 Side Effects

  • transient tooth sensitivity
  • local irritation
  • taste disturbance

Research Overview

Exendin-4

Exendin-4 helped establish GLP-1 receptor biology in diabetes and remains a classic beta-cell protective peptide. Preclinical studies show reduced beta-cell apoptosis, improved insulin content, and better islet function under metabolic stress.

P11-4

P11-4 has been studied for its ability to penetrate initial carious lesions and self-assemble into a fibrillar matrix that nucleates hydroxyapatite. Human and preclinical studies support its role in non-invasive enamel repair.

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Common Stacking Partners

Exendin-4 stacks with:

SGLT2 inhibitorsDPP-4 inhibitorsdiet and exercise

P11-4 stacks with:

fluoride varnishCPP-ACPxylitol
GLP-1 agonistbeta-cell protectionincretinenamel-remineralizationcariesbiomimetic-peptideoral-health