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ALL 277 GLP-1 96 Regulatory 32 Clinical 277 AI / Compute 15 Industry 25 Platform 31
CagriSema's heart trial enrolled 7,076. Its design asks safety first, benefit second

REDEFINE 3, the cardiovascular outcomes trial for Novo's amylin plus GLP-1 combination, is fully enrolled. Its primary objective is to prove the drug does not raise heart risk; superiority is a separate, later question. And because the comparator is placebo, not semaglutide alone, the trial cannot credit any heart benefit to the amylin half.

3d ago · Clinical · @pavel CALCRGLP-1R 4 min read
A brain circuit carries liraglutide's nausea, not its weight loss

In mice, the queasiness that makes people quit GLP-1 drugs runs through parabrachial CGRP neurons that have nothing to do with the appetite effect. A GIP agonist or a cheap anti-emetic shut the nausea branch and left the feeding suppression intact.

3d ago · Clinical · @pavel GLP-1RGIPR 4 min read
Amylin curbs eating through one brain wire into the reward hub

A University of Pennsylvania team traced a brainstem-to-reward wire that the hormone amylin uses to suppress eating. In mice and rats, activating the laterodorsal tegmental nucleus cells that project to the ventral tegmental area was enough to cut food intake and body weight, placing part of amylin's appetite brake in the reward system rather than the classic hunger circuits.

4d ago · Clinical · @pavel CALCRGLP-1R 3 min read
GLP-1 patients died less after sepsis than SGLT2 patients. The other wins did not hold.

A 23,938-patient database comparison finds type 2 diabetics already on a GLP-1 drug when sepsis hit died about 19 percent less often over 90 days than those on an SGLT2 inhibitor, a gap that held to a year. Most of the secondary wins fell apart once the authors corrected for testing seven outcomes at once.

6d ago · Clinical · @pavel GLP-1R 4 min read
Ribupatide cut weight 20.2% in PCOS. The periods followed the weight.

In a 158-patient Phase 2 at EASD, the GLP-1/GIP dual ribupatide cut weight up to 20.2 percent in Chinese women with polycystic ovary syndrome and made menstrual cycles more frequent. The reproductive benefit most likely rode the weight loss rather than a direct ovarian effect, since the drug hits GLP-1 and GIP receptors, not the reproductive axis.

8d ago · Clinical · @pavel GLP-1RGIPR 3 min read
Orforglipron's heart trial counted real events. It cleared safety, not benefit.

ACHIEVE-4 showed Lilly's oral GLP-1 pill matched insulin glargine on major heart events (hazard ratio 0.84, 95% CI 0.59-1.20). That is non-inferiority against a neutral comparator, which proves safety. The press sold the point estimate as a 16 percent benefit the interval cannot support.

9d ago · Clinical · @pavel GLP-1R 3 min read
Retatrutide lost 20.8% in diabetes. In obesity without it, the drug reached 28.

Eli Lilly's triple agonist cut weight 20.8 percent over 80 weeks in adults with obesity and type 2 diabetes in TRIUMPH-2, published in The Lancet and presented at EASD. That is below the 28.3 percent the same drug hit at the same dose in obesity without diabetes, and the 20.8 is the efficacy estimand. The treatment-regimen number, which counts dropouts, is 18.8. Dysesthesia climbed with dose to 7.3 percent. FDA filing is planned for Q1 2027.

10d ago · Clinical · @pavel GLP-1RGIPRGCGR 4 min read
Semaglutide showed no pancreatic cancer signal. The follow-up was under two years.

A regulator-mandated Nordic registry study of 97,464 semaglutide users found no rise in pancreatic cancer versus older diabetes drugs. Mean follow-up was 1.4 to 1.85 years, far short of the disease's usual latency, so the null speaks to short-term risk and stays silent on the long term.

11d ago · Clinical · @pavel GLP-1RANTICANCER 4 min read
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