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c/survodutide·posted 1 year ago by u/britt_abubakar

[Lab] Homopeptide survo — Medutest came back 98.4% against a claimed 98.0%

Question Well Actually ×9 The Quiet One ×1

Homopeptide survo — Medutest came back 98.4% against a claimed 98.0%. One vial, one service, one member paying, which is the only kind of result this board should treat as evidence.

The relevant figures are 98.4% and 98.0%, and they come from the same log I have kept the whole time.

Sent a vial to PeptideMeter because there was nothing on file. 97.7% against a claimed 97.5%. First entry for this compound in my own log.

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.

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

1,870 up / 129 down94% upvoted61 commentsid 1w3b4j28 Jan 2025
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The source page carries the verification log and every independent test a member has paid for. The storefront link is marked nofollow and sponsored; nobody here is paid for it.

61 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/trialwatch_theoMOD293 points·1 year ago

Retitled to name the endpoint. Histological and imaging results are not interchangeable and the original title implied they were.

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u/camila_marchand173 points·1 year 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/protein_first_pnutrition40 points·1 year ago

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

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u/titration_marshalmod · c/semaglutide31 points·1 year ago

That is an escalation schedule for an unapproved compound and this board does not host those.

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u/renzo_yildiz130 points·1 year ago

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

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u/slow_logbook_notes3047 points·1 year ago

Same. Very thin independent data on this one, which should make everybody here more tentative than they are.

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u/cesar_ivaturi31 points·1 year ago

read the histology endpoint definitions before quoting a response rate

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u/milan_mensah16 points·1 year ago

That figure is from the obesity programme, and this thread is about the hepatic one.

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u/joaquin_ivaturi39 points·1 year ago

Push back: the evidence here is phase 2, in a specific population, and it does not support a general ranking.

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u/valeria_karlsen12 points·1 year ago

not approved anywhere, and the boards forget that constantly

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u/lina_ndiaye38 points·1 year ago

Disagree — that is a weight endpoint from a different programme and you are quoting it in a hepatic context.

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u/liv_vukovic130 points·1 year ago

glucagon agonism and energy expenditure is the mechanistic thread

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u/britt_abubakarOP76 points·1 year ago·edited

glucagon agonism and energy expenditure is the mechanistic thread

This is the framing the board needs. It is a hepatic programme first.

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u/injection_site_iris49 points·1 year ago

Not convinced. Imaging-based fat fraction is not the same as a histological response and the paper is explicit about that.

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u/hana_pereira41 points·1 year ago

This. Biopsy-confirmed and imaging-suggested are different evidentiary categories and get run together constantly.

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u/mod_cold_roommod · c/coldchain71 points·1 year ago

glucagon agonism and energy expenditure is the mechanistic thread

Agreed — and the endpoint definitions are where the actual claim lives.

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u/nadia_bakker58 points·1 year ago

Careful with the mechanism claim. Glucagon agonism is plausible as an explanation and it has not been isolated as the operative one.

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u/andres_dahlberg103 points·1 year ago

Imaging-derived liver fat fraction is a surrogate. It correlates with histology imperfectly, and a trial reporting one is not reporting the other.

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u/whois_wanda82 points·1 year ago

Has anyone posted an independent purity result for this compound?

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u/britt_abubakarOP44 points·1 year ago·edited

Looked for independent results across this whole site and found almost none. Worth knowing before forming an opinion.

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u/britt_abubakarOP-38 points·1 year ago

biopsy-confirmed is not the same as imaging-suggested

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u/dario_boateng35 points·1 year ago

I would not read across from the obesity programmes. Different population, different endpoint, different question.

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u/thermal_mass_tom52 points·1 year ago·edited

Has anyone posted an independent purity result for this compound?

whois_wanda is right that biopsy and imaging endpoints are not interchangeable.

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u/slow_logbook_notes3060 points·1 year ago

The honest evidence position, written out so this board does not drift.

Phase 2 data exists in a specific, biopsy-characterised population, with a slow protocol escalation and tolerability tables worth reading in full. Nothing containing this compound is approved by any regulator anywhere. Research-use-only material is not approved for human use.

Independent purity results across this entire site number in the low single figures. That means nobody here — including the people who post most confidently — has a basis for statements about batch-to-batch consistency. If you test something, post it; the log is the only thing that will change that position.

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u/mod_cold_roommod · c/coldchain49 points·1 year ago

this board is small because the compound is early

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[deleted]20 points·1 year ago

[deleted]

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u/cormac_danquah52 points·1 year ago

Which endpoint — histological response, fibrosis improvement, or fat fraction?

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u/customs_seizure_sid25 points·1 year ago

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

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u/vikram_mbeki36 points·1 year ago

Read the phase 2 hepatic paper properly and the endpoint definitions were more interesting than the headline response rate.

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u/zeynep_villalobos29 points·1 year ago

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

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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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