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c/survodutide·submitted 2 years ago by u/ismael_nwosu

why does nobody talk about biopsy

Cautionbranch of 6 comments

Slightly embarrassed to be asking this, but: why does nobody talk about biopsy. Bought small because the evidence base is early. That is the only defensible position I could construct. The honest evidence position, written out so this board does not drift. Phase 2 data exists in a specific, biopsy-characterised…

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6 comments, started 2 years ago
u/nadia_kjaer96 points·2 years 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/chidi_demir43 points·2 years 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/cesar_ivaturi-27 points·2 years ago

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

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u/ismael_nwosuOP39 points·2 years ago·edited

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

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u/incretin_ivypharmacology18 points·2 years ago

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

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u/certified_referenceQC13 points·2 years ago

Which phase and which arm are you quoting?

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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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