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c/cagrilintide·submitted 6 days ago by u/forest_plot_fiona

[Caution] CagriSema trial ratios are fixed-dose, do not extrapolate to self-mixing

Cautionbranch of 7 comments

CagriSema trial ratios are fixed-dose, do not extrapolate to self-mixing — a position I have arrived at slowly and would like tested. 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…

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7 comments, started 4 days ago
u/tomas_kimani69 points·4 days 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/rania_marchand23 points·4 days 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/clara_weiss7 points·4 days ago

phase 3 data will change most of what gets said here

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u/yara_mensah9 points·4 days ago

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

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u/zeynep_ndiaye5 points·4 days ago

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

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u/elin_lundgren100 points·4 days 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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[removed]71 points·4 days ago

[removed by moderator]

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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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