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c/cagrilintide·posted 1 year ago by u/noor_vermeulen

[Results] 38 weeks, 6kg, and satiety was the hard part

Lab Clean Column ×2

38 weeks, 6kg, and satiety was the hard part. Posting the boring middle of the process, because the internet is full of the start and the end and nothing else.

Pulling the figures out of the title: 38 weeks and 6kg. All of it is written down as it happened rather than reconstructed.

The tolerability tables were more informative than the headline numbers, which is usually the case and never how it gets summarised.

Went looking for independent results on this and found a handful across the whole site. That is the honest state of the evidence.

Ask me anything specific. Anything general I will probably get wrong.

1,076 up / 374 down74% upvoted61 commentsid 1bkamf7 Dec 2024

61 comments

25 in this archive, depth 5

best — the order this archive was captured in

u/emil_agyeman137 points·1 year ago

Combination and monotherapy arms must be read separately. Efficacy and tolerability both differ substantially between them and summaries routinely blur the two.

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u/lucia_bruun81 points·1 year ago

Which trial and which readout?

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u/pavel_halvorsen18 points·1 year ago

Asked a question here that turned out to be based on a mechanism confusion. Three people untangled it patiently.

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u/noor_vermeulenOP10 points·1 year ago·edited

Monotherapy arm or combination arm?

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u/lipid_panel_larrybloodwork3 points·1 year ago

Complementary mechanisms are the rationale for pairing: satiety signalling alongside incretin signalling, rather than more agonism at the same receptor.

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u/titration_marshalmod · c/semaglutide21 points·1 year ago

Cosigning on the thin independent data. Fewer members test this, so the bands are wider and should be treated that way.

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[deleted]8 points·1 year ago

[deleted]

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u/noor_vermeulenOP3 points·1 year ago

Correcting myself upthread: I gave the 94-week figure and the paper reports 45 weeks.

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u/viktor_nkemelu11 points·1 year ago

satiety signalling rather than incretin signalling

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u/noor_ivaturi108 points·1 year ago

Carried an assumption over from the tirzepatide board and was corrected within an hour. Deserved.

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u/freya_baptista72 points·1 year ago

That result is preclinical. Worth flagging, since the thread has been reading it as human data.

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u/ines_ekstrom30 points·1 year ago

Kept a log purely because so few people are logging this one. It is one person and it is not data.

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u/ferritin_low73 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/milan_mensah42 points·1 year ago·edited

Independent purity data on this compound is sparse compared with the older molecules, simply because far fewer members have paid for testing. Sparse data means wide uncertainty, not a verdict.

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u/noor_vermeulenOP30 points·1 year ago

Are you comparing against a GLP-1 monotherapy result? They are not comparable.

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u/laila_dumitru25 points·1 year ago

Disagree — you are quoting a combination arm as though it were monotherapy. Those are different results.

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u/lucia_bruun-35 points·1 year ago

What does the tolerability table in that paper actually say?

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u/liv_kuipers1 point·1 year ago

What does the tolerability table in that paper actually say?

Adding the standing caveat — nothing here is approved standalone and research material is not for human use.

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u/lucia_bruun1 point·1 year ago

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.

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u/mateusz_adebayo1 point·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/rania_marchand1 point·1 year ago

this is a less-travelled board and the evidence base shows it

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u/clara_weiss1 point·1 year ago

the co-agonism argument is about complementary mechanisms

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u/incretin_ivypharmacology1 point·1 year ago

nothing here is approved as a standalone product and research material is not for human use

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u/plain_titration28 points·1 year ago

This. Complementary mechanisms rather than more of the same is the actual argument for the pairing.

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u/signe_grimaldi18 points·1 year ago·edited

Is there any independent purity data on this compound that you have seen?

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About c/cagrilintide

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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