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c/survodutide·posted 1 year ago by u/whois_wanda

the biopsy question that gets asked weekly, answered properly

Discussion

Something I keep coming back to: the biopsy question that gets asked weekly, answered properly.

Sent a vial to Janoshik because there was nothing on file. 99.4% against a claimed 98.5%. First entry for this compound in my own log.

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.

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

Tell me where this is wrong. That is the useful part of posting it.

138 up / 45 down75% upvoted9 commentsid 1vtbiu20 Jun 2025

9 comments

9 in this archive, depth 4

best — the order this archive was captured in

u/protein_first_pnutrition25 points·1 year 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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[removed]9 points·1 year ago

[removed by moderator]

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u/kaia_wojcik2 points·1 year ago

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

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u/honest_syringe_pls14 points·1 year 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/vitamin_d_void9 points·1 year ago

Imaging-derived liver fat fraction is a surrogate.

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

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u/marisol_frisk2 points·1 year ago

Bought small because the evidence base is early. That is the only defensible position I could construct.

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u/throwaway_wl20261 point·1 year ago

Is that a weight number from a different programme?

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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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