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c/cagrilintide·submitted 7 months ago by u/nz_unfunded

reading REDEFINE threads from 2024 and half of it aged badly

Labbranch of 7 comments

reading REDEFINE threads from 2024 and half of it aged badly. Making the case below, and I expect to lose some of it in the comments. Complementary mechanisms are the rationale for pairing: satiety signalling alongside incretin signalling, rather than more agonism at the same receptor. The engineering problem was…

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7 comments, started 7 months ago
u/yara_mensah199 points·7 months ago

Same view — long-acting is the engineering achievement here, and it is why the molecule exists at all.

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u/emil_agyeman124 points·7 months ago

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

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u/noor_ivaturi-19 points·7 months 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/rina_sobczak91 points·7 months ago

Same view — long-acting is the engineering achievement here, and it is why the molecule exists at all.

Disagreeing with this line: that figure is from a combination arm and is being quoted as monotherapy.

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u/clara_weiss56 points·7 months ago

Disagreeing with this line: that figure is from a combination arm and is being quoted as monotherapy.

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

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u/rania_marchand71 points·7 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/nz_unfunded165 points·7 months ago

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

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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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