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

hepatic fat — 19 things I got wrong before I got it right

Trial Data Sourced ×4 Slow Clap ×3

Posting this as a discussion rather than a claim: hepatic fat — 19 things I got wrong before I got it right.

Went slowly because everything published describes a deliberate escalation. That is the extent of what I will say about it.

Assumed the weight numbers were the point and was corrected. They are secondary to what this is being developed for.

Sent a vial to Janoshik because there was nothing on file. 97.9% against a claimed 97.0%. First entry for this compound in my own log.

Research-use-only material is not approved for human use and nothing here should be read as a recommendation to use it.

1,449 up / 294 down83% upvoted48 commentsid 1wdaq818 Feb 2025

48 comments

20 in this archive, depth 3

best — the order this archive was captured in

u/annika_fonseca104 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/patient_labslip_log72 points·1 year ago

It is a dual agonist at the GLP-1 and glucagon receptors.

Disagreeing with this bit: that number comes from a different programme with a different population.

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u/santiago_villalobos73 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/trialwatch_theoMOD41 points·1 year ago

Independent result logged. There are almost none for this compound, so it is genuinely valuable.

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u/milan_mensah33 points·1 year ago

the hepatic data is what makes this compound different from the others

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u/tomas_lokken38 points·1 year ago

independent testing on this compound is very thin

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u/cato_girardOP21 points·1 year ago

Spent an evening on the histology scoring system and understood the trial literature far better afterwards.

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u/border_paperwork12 points·1 year ago

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

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[deleted]15 points·1 year ago

[deleted]

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u/slow_logbook_notes3055 points·1 year ago

Histological endpoints in this field are scored on biopsy: resolution of steatohepatitis without worsening of fibrosis, or improvement in fibrosis without worsening of steatohepatitis. Both are harder to achieve and to interpret than an imaging surrogate.

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u/runa_pires27 points·1 year ago

this board is small because the compound is early

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u/tuva_kirchner21 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/elin_ferrari10 points·1 year ago

Nothing containing this compound is approved anywhere.

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

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u/lina_ndiaye27 points·1 year ago

research material is not approved for human use, which is why the clinical record here is thin

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u/quant_not_qual25 points·1 year ago

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

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u/tired_ledger_ftw18 points·1 year ago

What does the tolerability table say at that dose?

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u/vikram_mbeki11 points·1 year ago

do not import intuitions from the obesity programmes

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u/sena_teixeira12 points·1 year ago

Is that a weight number from a different programme?

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u/dexa_twice_yearlybody comp7 points·1 year ago

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

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About c/survodutide

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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