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c/orforglipron·posted 1 year ago by u/freya_marchand

three years of oral GLP-1 threads, summarised so you do not have to read them

Question Clean Column ×3 Sourced ×2

three years of oral GLP-1 threads, summarised so you do not have to read them. Change my mind, genuinely — I have no stake in being right about this.

Analytically this is a small-molecule identity and purity problem, not a peptide one. The methods, the impurity classes and the reference standards are all different.

Oral semaglutide is a peptide co-formulated with an absorption enhancer and carries food and water timing requirements. A small molecule does not have that constraint, which is the practical distinction.

Daily dosing gives a very different exposure profile from a weekly injectable: peaks and troughs within each day rather than a smoothed weekly curve.

If two or three other people have done the same thing we might actually learn something. Alone it is an anecdote.

2,188 up / 295 down88% upvoted65 commentsid 1uoj8e5 Nov 2024

65 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/lina_novak238 points·1 year ago

Nothing containing this compound is approved by any regulator, and research-use-only material is not approved for human use.

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u/kavya_radich113 points·1 year ago

Careful — purity methods for peptides do not read across to a small molecule and the numbers are not equivalent.

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u/ines_lindqvist138 points·1 year ago

Because it is not a peptide, it is not subject to the same degradation pathways, does not require the absorption enhancers used for oral peptides, and can be formulated as a conventional tablet.

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u/freya_marchandOP101 points·1 year ago

Because it is not a peptide, it is not subject to the same degradation pathways, does not require the absorption enhancers used for oral peptides, and

ines_lindqvist is right that milligram comparisons across classes tell you nothing.

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u/batch_number_bertievetting87 points·1 year ago

It is a non-peptide small-molecule agonist at the GLP-1 receptor. That is a substantial medicinal chemistry achievement: getting a small molecule to activate a receptor evolved for a peptide ligand.

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u/anders_karlsen29 points·1 year ago

Daily dosing, so what does the exposure profile look like across the day?

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u/marit_sandvik44 points·1 year ago

Milligram-for-milligram comparison with an injectable peptide is not meaningful and I should not have made it.

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u/freya_marchandOP0 points·1 year ago

Correction: that is the oral peptide product, which is a different thing entirely. This one is a small molecule.

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u/nils_ferreira69 points·1 year ago

Not convinced. Oral semaglutide is a peptide formulated with an absorption enhancer; the comparison you are making does not hold.

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u/incretin_ivypharmacology57 points·1 year ago

Not convinced.

This is the fact the whole board hangs on. Small molecule, not peptide.

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u/paloma_stanescu16 points·1 year ago

This is the fact the whole board hangs on.

Agreed, and it is why the oral peptide comparison keeps misleading people.

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u/ice_pack_auditcold chain-26 points·1 year ago

Are you comparing doses across a small molecule and a peptide?

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u/ravi_sandvik38 points·1 year ago

Small fix — the two programme names got swapped upthread and it changes which population the figure came from.

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u/freya_marchandOP33 points·1 year ago

Phase 2 or phase 3?

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u/deleted_my_history9 points·1 year ago

small molecule, not a peptide, and that changes everything about it

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u/joaquin_trevino10 points·1 year ago

daily dosing changes adherence in both directions

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[deleted]4 points·1 year ago

[deleted]

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u/cloudy_vial_carol45 points·1 year ago

What analytical method was used — this is not the usual peptide assay question?

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u/marit_sandvik22 points·1 year ago·edited

What analytical method was used — this is not the usual peptide assay question?

Disagreeing with this bit: daily dosing is a different adherence problem, not a better one.

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u/viktor_laurent15 points·1 year ago

I would not assume the tolerability profile transfers exactly. Similar class effects, different exposure profile.

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u/emil_agyeman10 points·1 year ago

That is a phase 2 result being quoted as though the programme had reported.

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u/yara_boateng4 points·1 year ago

Yes — nothing containing this is approved anywhere, and the threads keep forgetting it.

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u/hamza_weiss14 points·1 year ago

Which programme and which readout are you quoting?

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u/scam_taxonomyc/scamalerts29 points·1 year ago

a non-peptide agonist does not degrade the way a peptide does

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u/ines_lindqvist20 points·1 year ago·edited

Is that from the publication or the press release?

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u/dilara_weiss14 points·1 year ago

Disagree. You are comparing doses across a small molecule and a peptide, which is not a comparison of anything.

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u/nils_ferreira19 points·1 year ago·edited

Has anyone here seen independent identity testing on this?

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u/marit_laurent23 points·1 year ago

The no-timing-restriction thing is the part I would care about most in practice, and it barely gets mentioned here.

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u/incretin_ivyMOD16 points·1 year ago

Standing reminder: unapproved compound, research material is not for human use, and no schedules for other members.

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The small-molecule oral: why a non-peptide agonist escapes the absorption problems of oral semaglutide, what the ATTAIN and ACHIEVE readouts showed, and what a pill with no refrigeration requirement would do to the entire supply conversation this site is built around.

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