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c/cagrilintide·posted 2 years ago by u/plain_titration

week 68 check-in — 34kg down, nausea manageable, one thing confusing me

Trial Data Sourced ×4 Slow Clap ×3 Receipts ×2

Six-word version is the title — week 68 check-in — 34kg down, nausea manageable, one thing confusing me — and the rest is context.

week 68 and 34kg. Those are measured, not estimated, and not rounded up in my favour.

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

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

I will update this if the picture changes rather than quietly leaving it up.

3,505 up / 369 down90% upvoted24 commentsid 1coc6p30 Mar 2024

24 comments

17 in this archive, depth 5

best — the order this archive was captured in

u/zeynep_duarte523 points·2 years ago

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/ledger_modMOD265 points·2 years ago

Independent result added to the log. Thank you for paying for it — there are very few on this compound.

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u/lipid_panel_larrybloodwork179 points·2 years 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/tomas_kimani58 points·2 years ago·edited

I would not extrapolate the tolerability profile from the monotherapy arm to the combination.

This is the distinction that keeps this board honest — different axis, not a stronger version of the same one.

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u/lane_map_larrylogistics81 points·2 years ago

amylin analogue, different receptor family, different story

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u/iman_castellanos-26 points·2 years ago

Which trial and which readout?

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u/plain_titrationOP1 point·2 years ago

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

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u/liv_dumitru1 point·2 years ago·edited

How many separate lots has anyone here tested?

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u/liv_dumitru1 point·2 years ago

satiety signalling rather than incretin signalling

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u/rania_salinas1 point·2 years ago

long-acting amylin is the whole point of the molecule

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u/zeynep_weiss215 points·2 years ago

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

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u/nadia_bakker134 points·2 years ago

Which receptor family are you attributing that effect to?

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u/tomas_kimani109 points·2 years ago

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

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u/plain_titration25 points·2 years ago

do not assume the dosing intuitions from the GLP-1 boards transfer

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u/ms_fragmenter11 points·2 years ago·edited

do not assume the dosing intuitions from the GLP-1 boards transfer

plain_titration is right that the evidence base here is thin. Conclusions should be held loosely.

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u/erez_perrin7 points·2 years ago

the co-agonism argument is about complementary mechanisms

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u/ferritin_low66 points·2 years ago

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

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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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