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c/survodutide·submitted 2 months ago by u/whois_wanda

[Question] glucagon — what am I missing here

Questionbranch of 8 comments

The title is the whole question — glucagon — what am I missing here — but here is why I am asking. 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…

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8 comments, started 2 months ago
u/britt_okwuosa-30 points·2 months 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/titration_marshalmod · c/semaglutide1 point·2 months ago

Disagree — that is a weight endpoint from a different programme and you are quoting it in a hepatic context.

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u/lina_ndiaye1 point·2 months ago

Disagree — that is a weight endpoint from a different programme and you are quoting it in a hepatic context.

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

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u/border_paperwork-35 points·2 months ago

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

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u/cato_girard1 point·2 months ago

Agreed that the endpoint definitions matter enormously and almost nobody reads them before quoting a response rate.

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u/peak_area_peteanalytical1 point·2 months ago

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

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u/kasper_cabrera1 point·2 months ago

dual GLP-1 and glucagon agonist, and the glucagon arm is the story

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u/lyophile_lou0 points·2 months ago

dual GLP-1 and glucagon agonist, and the glucagon arm is the story

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

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