P11-4 vs Exendin-4

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

Research Score

PropertyP11-4Exendin-4
CategoryDental & OralDiabetes & Metabolic
Full NameSelf-assembling peptide P11-4 (Ac-QQRFEWEFEQQ-NH2)Exendin-4 (synthetic exenatide)
Molecular Weight1466 Da4186 Da
Half-Lifelocal activity for hours; peptide degraded over time2.4 hours
Amino Acids1139
Typical Dose0.5-5 mg per lesion5-10 mcg twice daily
RouteTopical/IntraoralSubcutaneous
Purity≥98%≥98%
Studies Count401800
Research StatusClinicalClinical

P11-4 Benefits

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

Exendin-4 Benefits

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

P11-4 Dosing

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

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 Side Effects

  • transient tooth sensitivity
  • local irritation
  • taste disturbance

Exendin-4 Side Effects

  • nausea
  • vomiting
  • injection-site reactions

Research Overview

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.

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.

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Common Stacking Partners

P11-4 stacks with:

fluoride varnishCPP-ACPxylitol

Exendin-4 stacks with:

SGLT2 inhibitorsDPP-4 inhibitorsdiet and exercise
enamel-remineralizationcariesbiomimetic-peptideoral-healthGLP-1 agonistbeta-cell protectionincretin