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c/survodutide·posted 1 months ago by u/marisol_frisk

three years of glucagon threads, summarised so you do not have to read them

Paper Clean Column ×3

three years of glucagon threads, summarised so you do not have to read them, which sounds obvious until you try to state the evidence for it.

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.

Phase 2 in a biopsy-confirmed population is a demanding design: recruitment is slow, the population is specific, and the results do not generalise to people who have not been characterised that way.

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

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

488 up / 108 down82% upvoted24 commentsid t96fj99 Jun 2026

24 comments

19 in this archive, depth 4

best — the order this archive was captured in

u/elin_ferrari47 points·1 months ago

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.

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u/marisol_friskOP21 points·1 months ago

biopsy-confirmed is not the same as imaging-suggested

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u/border_paperwork11 points·1 months ago

The escalation schedules in the published protocols are slow and deliberate, and the tolerability tables show why.

Adding the standing caveat — unapproved compound, research material is not for human use.

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[deleted]4 points·1 months ago

[deleted]

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u/mod_cold_roommod · c/coldchain16 points·1 months ago

Which phase and which arm are you quoting?

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u/britt_abubakar10 points·1 months ago·edited

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

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u/fibre_forward9 points·1 months ago

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

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u/patient_labslip_log31 points·1 months ago·edited

Bought small because the evidence base is early. That is the only defensible position I could construct.

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u/andres_dahlberg25 points·1 months ago

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

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u/kian_ferreira8 points·1 months ago

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

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

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u/nora_ramos25 points·1 months ago

Sent a vial to PeptideMeter because there was nothing on file. 98.4% against a claimed 98.0%. First entry for this compound in my own log.

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u/liver_enzyme_liz11 points·1 months ago

glucagon agonism and energy expenditure is the mechanistic thread

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u/kaia_kuusela12 points·1 months ago

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

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u/hana_lehtinen6 points·1 months ago

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

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u/annika_fonseca4 points·1 months ago

Right, and the trial titration was slow for reasons that are visible in the tolerability tables.

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u/hugo_bergstrom4 points·1 months ago

Asked here what the difference was between the imaging and biopsy endpoints and got a genuinely excellent answer.

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u/certified_referenceQC3 points·1 months ago

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

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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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