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c/survodutide·posted 9 months ago by u/elin_ferrari

small win: hepatic fat stopped being a problem at week 91

Caution Sourced ×7

Check-in as promised in the title: small win: hepatic fat stopped being a problem at week 91.

Nothing containing this compound is approved anywhere. Research-use-only material is not approved for human use.

Independent purity results for this compound are very sparse across the whole site, which means any impression about consistency is built on almost nothing.

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

981 up / 220 down82% upvoted66 commentsid wv7kju5 Oct 2025

66 comments

27 in this archive, depth 5

best — the order this archive was captured in

u/old_account_2023143 points·9 months ago

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 liver disease.

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u/farid_kuipers59 points·9 months ago

How fast was the escalation in that protocol?

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u/lyophile_lou29 points·9 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/nora_oyelaran7 points·9 months ago

the weight numbers are secondary to what this is being developed for

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u/deleted_my_history5 points·9 months ago

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

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u/joaquin_ivaturi5 points·9 months ago

Correction: that is the imaging endpoint, not the histological one. The paper reports both and they differ substantially.

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u/crosspost_bot_no2 points·9 months ago

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

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u/julia_mensa22 points·9 months ago

Histological endpoints in this field are scored on biopsy: resolution of steatohepatitis without worsening of fibrosis, or improvement in fibrosis wit

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

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u/farid_kuipers6 points·9 months ago

Are you reading the publication or a summary?

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u/draw_up_dizzy8 points·9 months ago

Yes — nothing containing this is approved anywhere, which is the first fact and usually the last one mentioned.

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u/border_paperwork-18 points·9 months ago

Yes — histological endpoints are a far harder bar than the surrogate measures people are used to quoting.

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u/quant_not_qual1 point·9 months ago

Small fix — dual agonist, GLP-1 and glucagon. No GIP arm in this molecule.

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u/elin_ferrariOP1 point·9 months ago

read the histology endpoint definitions before quoting a response rate

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u/kaia_kuusela1 point·9 months ago

read the histology endpoint definitions before quoting a response rate

Adding the standing caveat — unapproved compound, research material is not for human use.

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[deleted]1 point·9 months ago

[deleted]

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u/kaia_cabrera39 points·9 months ago·edited

The escalation schedules in the published protocols are slow and deliberate, and the tolerability tables show why. That is a description of the trials rather than a suggestion for anybody.

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u/liver_enzyme_lizMOD16 points·9 months ago

Independent result logged. There are almost none for this compound, so it is genuinely valuable.

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u/ismael_nwosu5 points·9 months ago

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

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u/elin_ferrariOP30 points·9 months ago

a liver endpoint is not a weight endpoint with better marketing

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u/liv_vukovic14 points·9 months ago

fibrosis improvement without worsening steatohepatitis is the phrase to learn

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u/customs_seizure_sid26 points·9 months ago

Biopsy-confirmed population or imaging-selected?

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u/elin_ferrariOP18 points·9 months ago

not approved anywhere, and the boards forget that constantly

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u/whois_wanda14 points·9 months ago

this board is small because the compound is early

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u/kaia_wojcik3 points·9 months ago

the titration in the trials was slow and deliberate

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Survodutide-specific discussion: glucagon-receptor co-agonism, the hepatic fat and MASH resolution data, and how the side-effect profile compares with GIP-based dual agonism. Small community, high signal.

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