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c/survodutide·submitted 3 months ago by u/meera_sandvik

why does nobody talk about dual agonist

Trial Databranch of 14 comments

why does nobody talk about dual agonist, and I want the answer with the reasoning attached rather than just the conclusion. Assumed the weight numbers were the point and was corrected. They are secondary to what this is being developed for. Independent purity results for this compound are very sparse across the whole…

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14 comments, started 3 months ago
u/titration_marshalmod · c/semaglutide37 points·3 months ago

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

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u/camila_marchand9 points·2 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/julia_mensa6 points·2 months ago

Correction: that is the imaging endpoint, not the histological one. The paper reports both and they differ substantially.

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u/isabela_nilsen2 points·2 months ago

do not import intuitions from the obesity programmes

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u/tomas_lokken1 point·2 months ago

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

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u/meera_sandvikOP1 point·2 months ago

Correcting myself: the readout I quoted was the 42-week interim rather than the endpoint.

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u/britt_abubakar29 points·2 months ago

read the histology endpoint definitions before quoting a response rate

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u/kaia_kuusela22 points·2 months 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/patient_labslip_log24 points·2 months ago

the titration in the trials was slow and deliberate

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u/teodor_szabo26 points·2 months 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/santiago_villalobos21 points·2 months ago

this board is small because the compound is early

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u/tuva_kirchner13 points·2 months ago

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

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u/marisol_frisk7 points·2 months ago·edited

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

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

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u/andres_dahlberg6 points·2 months ago

independent testing on this compound is very thin

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