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c/orforglipron·posted 2 years ago by u/zeynep_ndiaye

[Discussion] can we stop arguing about ATTAIN until somebody posts a number

Discussion Clean Column ×5 Slow Clap ×1 Well Actually ×3

can we stop arguing about ATTAIN until somebody posts a number. Searched first, found three threads that contradict each other, hence the post.

Assumed the peptide purity conversations transferred and they do not. Different analytical problem entirely.

Milligram comparisons across molecule classes are meaningless. Potency is a property of the molecule at its receptor, not of the number on the label.

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.

That is everything I have. The rest is opinion and I have tried to keep it out.

3,081 up / 280 down92% upvoted49 commentsid zbioig22 Mar 2024

49 comments

18 in this archive, depth 5

best — the order this archive was captured in

u/fasting_insulin_f215 points·2 years ago·edited

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.

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u/discount_math_dm178 points·2 years ago

The analytical point, which this board keeps getting wrong by importing habits from the peptide side.

For a peptide, purity is typically reported as area percent by HPLC with identity by mass spectrometry, and the impurity classes are things like deletion and oxidation products. For a small molecule the relevant impurities are synthetic intermediates, degradants and residual solvents, and identity is established differently.

So the certificate you would want looks different, the questions to ask are different, and a "purity" figure quoted here is not comparable to one quoted on the peptide boards. Anybody posting a result should say what method produced it, which is good practice everywhere and essential here.

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u/kenji_laurent63 points·2 years ago

identity testing on a small molecule is a different analytical problem

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u/bastian_ekstrom84 points·2 years ago

Which programme and which readout are you quoting?

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u/blank_injection45 points·2 years 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/kenji_kimani59 points·2 years ago

daily dosing changes adherence in both directions

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u/kenji_laurent0 points·2 years ago

Phase 2 or phase 3?

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u/ayesha_erdogan1 point·2 years ago

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

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u/quiet_moderatormod1 point·2 years ago

Phase 2 or phase 3?

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

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u/fabio_lehtinen1 point·2 years ago

daily dosing, not weekly, so the exposure profile is different

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u/nils_ferreira53 points·2 years ago

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

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u/erez_yilmaz14 points·2 years ago·edited

Is that from the publication or the press release?

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u/salma_almeida-2 points·2 years ago

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

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u/neha_rahimi1 point·2 years ago

Push back: daily dosing is not automatically better adherence. It is a different failure mode, not a solved problem.

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u/soren_yildiz1 point·2 years ago

the manufacturing story is genuinely different from the injectables

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u/tidy_vialdrawer_watch281 point·2 years 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/zeynep_ndiayeOP0 points·2 years ago

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

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u/preservative_free_p1 point·2 years ago

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

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About c/orforglipron

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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