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c/cagrilintide·posted 1 year ago by u/yara_mensah

[Results] 2 weeks on 7.5mg, full numbers, ask me anything boring

Lab Receipts ×1

2 weeks on 7.5mg, full numbers, ask me anything boring. Full detail below, and I have tried to keep the editorialising out of it.

Pulling the figures out of the title: 2 weeks and 7.5mg. All of it is written down as it happened rather than reconstructed.

The engineering problem was duration: native amylin is short-acting and aggregation-prone. A long-acting analogue suitable for weekly administration is what makes the combination clinically interesting.

Amylin is co-secreted with insulin and acts on satiety and gastric emptying through its own receptor complexes. An amylin analogue is therefore not a variant of an incretin agonist — it is a different signalling axis.

Ask me anything specific. Anything general I will probably get wrong.

1,069 up / 351 down75% upvoted53 commentsid 19cdsw27 May 2025

53 comments

23 in this archive, depth 5

best — the order this archive was captured in

u/iman_castellanos0 points·1 year ago

Complementary mechanisms are the rationale for pairing: satiety signalling alongside incretin signalling, rather than more agonism at the same receptor.

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u/zeynep_duarte49 points·1 year ago

Asked a question here that turned out to be based on a mechanism confusion. Three people untangled it patiently.

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u/zaid_grimaldi24 points·1 year ago

Independent purity data on this compound is sparse compared with the older molecules, simply because far fewer members have paid for testing. Sparse data means wide uncertainty, not a verdict.

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u/liv_dumitru12 points·1 year ago

long-acting amylin is the whole point of the molecule

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u/ilias_kaufmann39 points·1 year ago

phase 3 data will change most of what gets said here

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u/hydration_hank32 points·1 year ago

Cosigning on the thin independent data. Fewer members test this, so the bands are wider and should be treated that way.

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[deleted]13 points·1 year ago

[deleted]

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u/nadia_bakker30 points·1 year ago

Read the combination paper twice before saying anything here. The monotherapy and combination arms tell genuinely different stories.

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u/noor_vermeulen34 points·1 year ago

nausea profile in the combination trials is the thing to read carefully

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u/crosspost_bot_no21 points·1 year ago

Dosing intuitions from the GLP-1 boards do not transfer. Different receptor family, different exposure-response, and no published schedule for members to reason from.

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u/zeynep_weiss19 points·1 year ago

Disagree — you are quoting a combination arm as though it were monotherapy. Those are different results.

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u/milos_vestergaard9 points·1 year ago

Push back: the evidence base here is thin enough that a confident ranking against the established compounds is not supportable.

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u/lucia_bruun15 points·1 year ago

Do you have the publication or a summary of it?

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u/yara_mensahOP8 points·1 year ago

Small fix — amylin analogue, not a GLP-1 analogue. The whole mechanism argument changes on that word.

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u/hydration_hank3 points·1 year ago

Correcting myself upthread: I gave the 48-week figure and the paper reports 94 weeks.

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u/signe_grimaldi2 points·1 year ago

do not assume the dosing intuitions from the GLP-1 boards transfer

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u/milan_mensah0 points·1 year ago

Correction: that is the combination programme, not the monotherapy readout. Different arms, different numbers.

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u/rt_shift_reggie6 points·1 year ago

That result is preclinical. Worth flagging, since the thread has been reading it as human data.

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u/andres_dahlberg9 points·1 year ago

Kept a log purely because so few people are logging this one. It is one person and it is not data.

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u/sulphur_burps_sue6 points·1 year ago

Monotherapy arm or combination arm?

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u/emil_agyeman9 points·1 year ago

The tolerability tables were more informative than the headline numbers, which is usually the case and never how it gets summarised.

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u/yara_mensahOP7 points·1 year ago

the monotherapy numbers are modest and that is not the point

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u/pavel_halvorsen2 points·1 year ago

Nothing containing this compound is approved as a standalone product, and research-use-only material is not approved for human use.

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Amylin analog pharmacology and the CagriSema combination: why amylin and GLP-1 co-agonism produces a different satiety profile, the REDEFINE readouts, and the very limited pool of people handling cagrilintide as research material.

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