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Octreotide muted the pancreas. An amino acid drip broke through.

Octreotide can shut the pancreas's hormone output down by more than 90 percent. In 15 healthy volunteers, an amino acid infusion pushed glucagon, insulin, and C-peptide back up anyway, offering a mechanism for the stubborn high glucagon seen in type 2 diabetes and fatty liver.

Jun 15, 2026 · Clinical · @pavel SSTR2GCGRINSR 3 min read
The peptide every migraine drug targets was lower in migraine blood

A 588-person registry measured plasma CGRP, the peptide at the center of modern migraine treatment, and found it lower in patients than in controls, not higher. The result challenges the case for a CGRP blood test without touching the drugs that block it.

Jun 15, 2026 · Clinical · @pavel CALCR 3 min read
A trickle of your own insulin tracked with fewer type 1 diabetes crises

In 5,630 adults with type 1 diabetes followed for a decade, those who still made a little of their own insulin had fewer acid crises, fewer severe lows, and less eye damage. The link held even at the same average blood sugar.

Jun 14, 2026 · Clinical · @pavel INSR 3 min read
One daily PTH shot held for five years, a weekly rival posted its first

At ENDO 2026, Ascendis's once-daily palopegteriparatide posted 82 percent responders at five years while MBX's once-weekly canvuparatide hit 57 percent at one year. Two precision PTH peptides for a condition stuck on daily calcium pills for two decades.

Jun 14, 2026 · Clinical · @pavel PTH1R 4 min read
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
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