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A woman restarted semaglutide at the top dose and ruptured her esophagus

The first documented case of Boerhaave's syndrome tied to a GLP-1 drug followed a restart at the maximum 2.4 mg dose with no titration, a flag for the common pause-and-resume pattern.

Jun 13, 2026 · Clinical · @pavel GLP-1R 3 min read
The scan you get can decide who qualifies for a radioactive peptide

In 115 patients with gut and pancreatic neuroendocrine tumors, a newer DOTATOC PET scan reclassified more than half of the patients ruled ineligible on the older octreotide scan as eligible for peptide receptor radionuclide therapy. The camera, not the disease, moved the gate.

Jun 13, 2026 · Clinical · @pavel SSTR2 3 min read
A GLP-1 gene therapy regrew insulin cells, but mostly in young rats

A lentivirus carrying the GLP-1 gene regrew insulin-making beta cells in diabetic rats. The newborn pancreas rebuilt itself; the adult one only partly recovered, and digestive-enzyme cells stayed out of it entirely.

Jun 12, 2026 · Clinical · @pavel GLP-1R 3 min read
A virtual screen of 59,319 peptides found one that grips KRAS G12V

The approved KRAS drugs were built for the G12C mutation. A computational screen turned up a peptide that binds G12V, the version that drives many colorectal tumors, and a knockdown test argues the effect runs through the target.

Jun 12, 2026 · Clinical · @pavel ANTICANCER 3 min read
A peptide from amphibian skin eased vascular aging in mice

AL-VI10, the first amphibian-derived peptide shown to act on blood-vessel aging, reversed senescence signs in old mice and human endothelial cells. Block one enzyme, SIRT1, and the benefit faded, which turns a vague antioxidant story into a specific, testable pathway.

Jun 11, 2026 · Clinical · @pavel LONGEVITYMITOCHONDRIAL 4 min read
GLP-1 was linked to 63 percent fewer cirrhosis deaths. The number is too good.

A retrospective database study tied GLP-1 drugs to a 63 percent lower death rate in cirrhosis patients, with tight confidence intervals. The size of the mortality signal, and a complications result at war with it, are the reasons to distrust it rather than headline it.

Jun 11, 2026 · Clinical · @pavel GLP-1R 4 min read
A peptide gel stopped more bleeding than a balloon during endoscopy

In the first head-to-head trial, a self-assembling peptide sprayed onto a fresh ooze after a bile-duct cut sealed it on the first try in 92 percent of patients, against 77 percent for the standard balloon, and needed a backup device a third as often.

Jun 11, 2026 · Clinical · @pavel TISSUE-REPAIR 4 min read
A peptide the body makes held muscle in cancer-wasting mice.

MOTS-c, a peptide cells make from their own mitochondrial DNA, preserved leg muscle in mice with cancer cachexia by quieting the genes that take muscle apart. It did not stop the weight or fat loss, and the work is still in mice.

Jun 10, 2026 · Clinical · @pavel MITOCHONDRIALLONGEVITY 4 min read
A peptide that lights up B7-H3, the cancer target everyone is chasing.

B7-H3 is on many solid tumors and the subject of a wave of antibody-drug conjugates and CAR-T trials, but those only help patients whose tumors carry it. A Fudan team built a gallium-68 bicyclic peptide PET tracer whose signal tracked B7-H3 levels in mice, a step toward imaging who to treat. Preclinical.

Jun 10, 2026 · Clinical · @pavel ANTICANCER 4 min read
Semaglutide's Alzheimer's trials failed. A lone re-analysis says look past week 104.

Novo Nordisk shut down EVOKE and EVOKE+ when semaglutide missed its week-104 endpoint. A single-author paper re-ran the unanalyzed week-130 and 156 data and found a late signal. The caveats, post-hoc tests on summary statistics by a conflicted author, are heavy.

Jun 9, 2026 · Clinical · @pavel GLP-1R 4 min read
One cyclic peptide stopped a deadly child brain tumor in dishes. Its near-twins did nothing.

A de novo macrocyclic peptide blocked the Wnt5a-to-ROR1 handshake and halted DIPG cells, while equally tight-binding relatives had no effect. Cell-line only, but it gives an incurable childhood brainstem tumor its first validated receptor target.

Jun 9, 2026 · Clinical · @pavel ANTICANCER 3 min read
First-trimester GLP-1 use showed no clear birth-risk signal. The data stays thin.

A target trial emulation of 3,572 pregnancies found that continuing a GLP-1 drug into the first trimester did not clearly raise the risk of pregnancy loss, growth problems, or birth defects, but the confidence intervals were wide enough that a real increase could not be ruled out.

Jun 9, 2026 · Clinical · @pavel GLP-1R 4 min read
CGRP antibodies changed migraine care. In cluster headache they barely beat placebo.

A meta-analysis of four trials and 655 patients found CGRP monoclonal antibodies cut cluster headache attacks by 0.81 per week, an effect too small and too uncertain to call, with a placebo response between 27 and 53 percent doing much of the work.

Jun 9, 2026 · Clinical · @pavel CALCR 4 min read
GLP-1 users had 41 percent fewer obesity cancers, except in black patients

A target trial emulation of 161,798 obese, nondiabetic adults found GLP-1 users had a hazard ratio of 0.59 for obesity-associated cancers, about 41 percent fewer diagnoses. The protection held in every subgroup but one.

Jun 8, 2026 · Clinical · @pavel GLP-1R 3 min read
An amylin drug lost 10.7 percent. Fewer patients vomited than on placebo.

Petrelintide's full Phase 2 data landed at the diabetes meeting. The weight loss trailed the incretins, but vomiting came in below the placebo arm, which is the whole case for the amylin class.

Jun 8, 2026 · Clinical · @pavel CALCR 3 min read
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