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c/cagrilintide·posted 8 months ago by u/aa_analysis_andy

[Discussion] we are measuring CagriSema at the wrong time and calling it noise

Discussion

we are measuring CagriSema at the wrong time and calling it noise. I have gone back and forth on this for months.

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

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.

Sent a vial to VendorInvestigate because there was almost nothing on file for this compound. 99.1% against a claimed 98.5%, and I posted it because the log needs entries.

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

263 up / 73 down78% upvoted24 commentsid 1bkywj18 Nov 2025

24 comments

18 in this archive, depth 4

best — the order this archive was captured in

u/incretin_ivyMOD18 points·8 months ago

Left up. Thin evidence base, honestly labelled, which is the standard here.

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u/georgi_chowdhury4 points·8 months 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/slow_logbook_notes301 point·8 months ago

Nothing containing this compound is approved as a standalone product, and research-use-only material is not approved for human use.

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u/incretin_ivypharmacology5 points·8 months 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/noor_hovland4 points·8 months ago

nothing containing this is approved as a standalone product

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u/liv_dumitru4 points·8 months ago

Small fix — amylin analogue, not a GLP-1 analogue. The whole mechanism argument changes on that word.

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u/nl_verzekering3 points·8 months ago

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

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u/milos_vestergaard11 points·8 months ago

Read the combination paper twice before saying anything here. The monotherapy and combination arms tell genuinely different stories.

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[deleted]5 points·8 months ago

[deleted]

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u/rekha_mwangi7 points·8 months 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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u/aa_analysis_andyOP5 points·8 months ago

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

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u/pancreatitis_scare4 points·8 months ago

Reading the trial literature on this without misleading yourself.

Separate the monotherapy arms from the combination arms before you do anything else. They report different effect sizes and different tolerability, and almost every summary that circulates blends them.

Then read the tolerability tables rather than the headline. In combination work the interesting question is whether adding a second mechanism adds effect without adding proportionate side effects, and that question is answered in a table nobody quotes.

Finally, note the durations. Comparing a shorter readout here with a longer one from an established compound is not a comparison at all.

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u/hana_pereira-28 points·8 months ago

phase 3 data will change most of what gets said here

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u/ferran_halonen4 points·8 months ago

How many separate lots has anyone here tested?

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u/aa_analysis_andyOP3 points·8 months ago

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

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u/noor_hovland2 points·8 months ago

Correcting myself upthread: I gave the 49-week figure and the paper reports 92 weeks.

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u/wrong_network_w1 point·8 months ago

read the combination arms separately from the monotherapy arms

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u/ahmed_fonseca1 point·8 months ago

Which receptor family are you attributing that effect to?

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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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