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c/cagrilintide·submitted 1 year ago by u/pancreatitis_scare

how much of what we believe about amylin actually comes from co-agonism threads

Trial Databranch of 8 comments

Question in the title, detail here: how much of what we believe about amylin actually comes from co-agonism threads. Dosing intuitions from the GLP-1 boards do not transfer. Different receptor family, different exposure-response, and no published schedule for members to reason from. Carried an assumption over from…

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8 comments, started 1 year ago
u/nl_verzekering61 points·1 year ago·edited

Bought small deliberately because the evidence base is thin. That felt like the only defensible approach.

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u/kavya_kravchenko73 points·1 year ago

I would not extrapolate the tolerability profile from the monotherapy arm to the combination. The trials report them separately for a reason.

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u/teodor_lokken51 points·1 year ago

Sent a vial to Janoshik because there was almost nothing on file for this compound. 97.7% against a claimed 97.5%, and I posted it because the log needs entries.

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u/ferran_mensah14 points·1 year ago

Yes. The combination is where the interesting effect sizes are, and the monotherapy arms read very differently.

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u/protein_first_pnutrition15 points·1 year ago

long-acting amylin is the whole point of the molecule

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u/controversial_only23 points·1 year ago

Push back: the evidence base here is thin enough that a confident ranking against the established compounds is not supportable.

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u/wrong_network_w19 points·1 year ago

Correction: that is the combination programme, not the monotherapy readout. Different arms, different numbers.

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u/ahmed_fonseca8 points·1 year ago

Yes. Anyone reading this board should hold their conclusions loosely until phase 3 reports.

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Amylin analog pharmacology and the CagriSema combination: why amylin and GLP-1 co-agonism produces a different satiety profile, the REDEFINE readouts, and the very limited pool of people handling cagrilintide as research material.

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