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

someone explain survodutide to me like I have not read a paper in years

Discussion Cold Box ×1

someone explain survodutide to me like I have not read a paper in years. I am not trying to be the "source?" guy. I would just like a source.

Assumed the weight numbers were the point and was corrected. They are secondary to what this is being developed for.

Went slowly because everything published describes a deliberate escalation. That is the extent of what I will say about it.

Spent an evening on the histology scoring system and understood the trial literature far better afterwards.

Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.

1,041 up / 310 down77% upvoted52 commentsid 1vt8dc26 Jun 2024

52 comments

21 in this archive, depth 5

best — the order this archive was captured in

u/farid_kuipers136 points·2 years ago·edited

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/incretin_ivyMOD90 points·2 years ago

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

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u/isabela_nilsen75 points·2 years ago

Careful with the mechanism claim. Glucagon agonism is plausible as an explanation and it has not been isolated as the operative one.

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u/renzo_asante59 points·2 years ago

Asked here what the difference was between the imaging and biopsy endpoints and got a genuinely excellent answer.

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u/honest_syringe_plsOP30 points·2 years ago

the hepatic data is what makes this compound different from the others

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u/elin_tamm26 points·2 years ago

phase 2 in liver disease is a different evidence question from weight

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u/honest_syringe_plsOP-22 points·2 years ago

Is that a weight number from a different programme?

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u/honest_syringe_plsOP1 point·2 years ago

Are you reading the publication or a summary?

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u/rafael_sjoberg24 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/cesar_ivaturi14 points·2 years ago

Biopsy-confirmed population or imaging-selected?

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u/fibre_forward4 points·2 years ago

MASH endpoints are histological, which is a much harder bar

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u/sofia_ferreira8 points·2 years ago

That is an escalation schedule for an unapproved compound and this board does not host those.

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u/cormac_danquah12 points·2 years ago

independent testing on this compound is very thin

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u/nora_ramos18 points·2 years ago

the titration in the trials was slow and deliberate

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u/liver_enzyme_liz4 points·2 years ago

Same. Very thin independent data on this one, which should make everybody here more tentative than they are.

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u/kasper_cabrera3 points·2 years ago

I would not read across from the obesity programmes. Different population, different endpoint, different question.

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u/andres_dahlberg4 points·2 years ago

Correction: that is the imaging endpoint, not the histological one. The paper reports both and they differ substantially.

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u/liver_enzyme_liz5 points·2 years ago·edited

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/throwaway_wl20262 points·2 years ago

Agreed. The hepatic programme is the point of this compound and the weight discussion is a side effect of the side effect.

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u/chidi_demir14 points·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/honest_syringe_pls5 points·2 years ago

Push back: the evidence here is phase 2, in a specific population, and it does not support a general ranking.

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About c/survodutide

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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