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Peptide research, regulation, discovery. Every story links to the peptide it’s about.

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GLP-1 users came through spine surgery clean, and fused better

A meta-analysis of 20 studies and 546,668 patients found no rise in eight surgical complications for GLP-1 drug users after spine surgery, and about 50 percent higher odds of a successful bone fusion.

25d ago · Clinical · @pavel GLP-1R 4 min read
Cutting out the primary tumor first tracked with better survival on Lutathera

A pooled analysis of five studies and 1,186 people with metastatic neuroendocrine cancer found that removing the primary tumor before peptide receptor radionuclide therapy tracked with 38 percent lower progression risk (HR 0.62) and 54 percent lower death risk (HR 0.46). The authors call it an association, not proof, and name the two biases that could explain it.

26d ago · Clinical · @pavel SSTR2ANTICANCER 4 min read
A two-peptide stroke trial missed overall, but moved the sickest patients

COURAGE-2, a Phase 3 trial published July 16 in the Journal of Clinical Neuroscience, gave 188 acute ischemic stroke patients standard care or standard care plus intravenous EGF and GHRP-6, a growth-hormone-releasing peptide. In the full population it missed its primary endpoint: no difference in disability, function, or survival. Among the 27 most severe strokes (NIHSS 15 and up) the treated patients were less disabled at six months (Rankin 2.6 vs 4.7) and far less likely to die (HR 0.18). A subgroup that small, carved out after a flat main result, is a lead for a future trial, not a verdict.

27d ago · Clinical · @pavel GHSRNEUROPROTECTIVE 4 min read
A virtual screen found a peptide that turns the STING alarm down

Most STING research tries to switch the innate-immune alarm on to fight cancer. A docking screen of 59,319 peptides went the other way and found one, Peptide-1, that binds STING at 0.15 micromolar and quiets cGAMP-driven inflammation in mouse macrophages. It is the mirror image of a peptide we covered last month.

29d ago · Clinical · @pavel IMMUNE 4 min read
A stimulant's reward only formed in company, and two peptides ran the switch

Mephedrone built a place preference in rats only when dosed socially, not alone. Blocking that reward took opposite moves on two peptide receptors: turning the oxytocin receptor up (carbetocin) or the vasopressin V1A receptor down (SR49059). Peripheral vasopressin did nothing, so the switch is central.

Jul 11, 2026 · Clinical · @pavel OXTRAVPR1A 3 min read
Tuning a peptide ring's shape let PET probes tell integrins apart

Integrins share the same RGD binding address, so PET probes built on it cannot tell the subtypes apart. A Journal of Medicinal Chemistry study tuned the shape of cyclic RGD peptides instead of their sequence, building a 25-member ring library. Two of three lead probes imaged their target integrin in tumor-bearing mice; the third stayed selective in cells but failed in the animal.

Jul 10, 2026 · Clinical · @pavel ANTICANCERTISSUE-REPAIR 4 min read
A two-week GLP-1 hold cleared the stomach before endoscopy. Obesity didn't.

GLP-1 drugs slow the stomach, and food left behind before an upper endoscopy can be inhaled under sedation. A retrospective study of 16,067 scopes found that keeping the drug on board raised the odds of retained stomach contents about tenfold, while a two-week hold brought them back near normal. Obese patients stayed high-risk even after holding.

Jul 10, 2026 · Clinical · @pavel GLP-1RGIPR 4 min read
Migraine shots tracked with fewer nerve-pain pills after spinal cord injury

A TriNetX records study published July 7 in the American Journal of Physical Medicine and Rehabilitation found that spinal cord injury patients started on a CGRP inhibitor were less likely to need a gabapentinoid within a month than those started on topiramate (odds ratio 0.62) or propranolol (0.75). CGRP is the pain-signaling peptide these migraine antibodies block, and it sprouts abnormally in the injured spinal cord, giving the repurposing idea a mechanism. It is an association, not a trial.

Jul 9, 2026 · Clinical · @pavel CALCR 4 min read
Setmelanotide cut BMI 16 percent where the brain's satiety switch is broken

The full phase 3 TRANSCEND data published July 9 in the New England Journal of Medicine: setmelanotide dropped body-mass index 16.5 percent over a year in acquired hypothalamic obesity while placebo gained 3.3 percent. Read against Rhythm's EMANATE failure in partial-loss obesity two months ago, it draws a clean line: the MC4R agonist works only where the melanocortin satiety circuit is fully broken, whether a mutation silenced it or a tumor destroyed the tissue around it.

Jul 9, 2026 · Clinical · @pavel MC4R 4 min read
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