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c/survodutide·posted 2 years ago by u/cormac_danquah

[Lab] 8th independent test on JEEP — 97.2% on a claimed 97.0%, and the trend is the interesting part

Trial Data Slow Clap ×3

Result first, context after: 8th independent test on JEEP — 97.2% on a claimed 97.0%, and the trend is the interesting part. Everything below is how it was ordered, stored and sent.

Numbers, in the order they matter: 97.2% and 97.0%.

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.

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.

Happy to answer the boring questions. Those are usually the ones worth asking.

423 up / 12 down97% upvoted24 commentsid 1s7djc8 Apr 2024
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24 comments

23 in this archive, depth 6

best — the order this archive was captured in

u/nora_oyelaran69 points·2 years ago

Imaging-derived liver fat fraction is a surrogate. It correlates with histology imperfectly, and a trial reporting one is not reporting the other.

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u/trialwatch_theoMOD36 points·2 years ago

Removed the escalation schedule. Unapproved compound, no protocols for other members, no exceptions.

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u/cormac_danquahOP35 points·2 years ago·edited

read the histology endpoint definitions before quoting a response rate

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u/trialwatch_theotrial nerd28 points·2 years ago

biopsy-confirmed is not the same as imaging-suggested

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u/julia_mensa36 points·2 years ago

Phase 2 in a biopsy-confirmed population is a demanding design: recruitment is slow, the population is specific, and the results do not generalise to people who have not been characterised that way.

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u/cold_chromatogram_only17 points·2 years ago

Phase 2 in a biopsy-confirmed population is a demanding design: recruitment is slow, the population is specific, and the results do not generalise to

julia_mensa is right that biopsy and imaging endpoints are not interchangeable.

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u/cormac_danquah7 points·2 years ago

That figure is from the obesity programme, and this thread is about the hepatic one.

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u/elin_tamm3 points·2 years ago

That figure is from the obesity programme, and this thread is about the hepatic one.

Agreed — and the endpoint definitions are where the actual claim lives.

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u/zeynep_villalobos1 point·2 years ago

Small fix — dual agonist, GLP-1 and glucagon. No GIP arm in this molecule.

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u/georgi_adebayo1 point·2 years ago

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.

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u/paper_trail_paulavetting1 point·2 years ago

What does the tolerability table say at that dose?

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u/chidi_demir4 points·2 years ago

This. Biopsy-confirmed and imaging-suggested are different evidentiary categories and get run together constantly.

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u/sofia_ferreira26 points·2 years 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/liv_vukovic11 points·2 years ago

MASH endpoints are histological, which is a much harder bar

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u/cesar_ivaturi8 points·2 years ago

MASH endpoints are histological, which is a much harder bar

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

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u/yannick_petrov4 points·2 years ago

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

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u/cormac_danquahOP6 points·2 years ago

Correcting myself: the readout I quoted was the 44-week interim rather than the endpoint.

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u/hana_pereira18 points·2 years ago

Nothing containing this compound is approved anywhere. Research-use-only material is not approved for human use.

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u/milan_mensah14 points·2 years ago

Cosigning on the glucagon arm. It is the mechanistic thread that connects the hepatic and the metabolic effects.

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u/incretin_ivypharmacology4 points·2 years ago·edited

not approved anywhere, and the boards forget that constantly

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u/customs_seizure_sid1 point·2 years ago

Yes — nothing containing this is approved anywhere, which is the first fact and usually the last one mentioned.

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u/fibre_forward1 point·2 years ago

Read the phase 2 hepatic paper properly and the endpoint definitions were more interesting than the headline response rate.

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u/customs_seizure_sid13 points·2 years ago

Not convinced. Imaging-based fat fraction is not the same as a histological response and the paper is explicit about that.

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Survodutide-specific discussion: glucagon-receptor co-agonism, the hepatic fat and MASH resolution data, and how the side-effect profile compares with GIP-based dual agonism. Small community, high signal.

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