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c/survodutide·submitted 8 days ago by u/heart_rate_bump

[Question] does the glucagon arm explain the heart rate signal

Questionbranch of 11 comments

Trying to get a straight answer on this: does the glucagon arm explain the heart rate signal. The escalation schedules in the published protocols are slow and deliberate, and the tolerability tables show why. That is a description of the trials rather than a suggestion for anybody. Phase 2 in a biopsy-confirmed…

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11 comments, started 7 days ago
u/kaia_cabrera8 points·7 days ago

It is a dual agonist at the GLP-1 and glucagon receptors. The glucagon arm is associated with increased energy expenditure and with effects on hepatic fat, which is why the development programme is oriented towards liver disease.

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u/britt_abubakar0 points·7 days ago

Histological endpoints in this field are scored on biopsy: resolution of steatohepatitis without worsening of fibrosis, or improvement in fibrosis without worsening of steatohepatitis. Both are harder to achieve and to interpret than an imaging surrogate.

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u/quant_not_qual-9 points·7 days ago

Which endpoint — histological response, fibrosis improvement, or fat fraction?

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u/deleted_my_history1 point·7 days ago

Which endpoint — histological response, fibrosis improvement, or fat fraction?

This is the framing the board needs. It is a hepatic programme first.

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[removed]1 point·7 days ago

[removed by moderator]

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u/heart_rate_bumpOP1 point·7 days ago

Histological endpoints in this field are scored on biopsy: resolution of steatohepatitis without worsening of fibrosis, or improvement in fibrosis wit

Disagreeing with this bit: that number comes from a different programme with a different population.

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u/cormac_danquah1 point·7 days ago

research material is not approved for human use, which is why the clinical record here is thin

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u/heart_rate_bumpOP1 point·7 days ago

Biopsy-confirmed population or imaging-selected?

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u/vitamin_d_void1 point·6 days ago

the weight numbers are secondary to what this is being developed for

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u/nora_oyelaran2 points·7 days ago

Independent purity results for this compound are very sparse across the whole site, which means any impression about consistency is built on almost nothing.

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u/annika_fonseca2 points·7 days ago

MASH endpoints are histological, which is a much harder bar

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