I would like to share with everyone interesting study / review

milos

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I think everyone should read this:

New Developments in Pharmacological Treatment of Obesity and Type 2 Diabetes—Beyond and within GLP-1 Receptor Agonists

https://doi.org/10.3390/biomedicines12061320

The attached PDF is compressed because of file size limit here, for the original resolution click on the link directly.
 

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Lots of good info there. Thanks for that.
Seems Reta is the leader, but the look at some stacking is promising as well. Handy to see the doses used for the studies.
 
Thanks for sharing, very beneficial and glad I read it.

Seems like research is on the front end of the obesity epidemic and more promising studies/treatments are on the way. I'm especially interested in Retatrutide and it's progress through clinical trials.
 
The studies of Retatrutide are conducted by several renowned medical and academic institutions as well as by pharmaceutical companies. Here are some of the most important institutions involved in the studies:

1. **Eli Lilly and Company**: Eli Lilly is the pharmaceutical company that develops retatrutide and conducts most clinical trials. The company is responsible for the planning and implementation of the phase 2 and phase 3 study programs, including the TRIUMPH study series, which investigates the efficacy and safety of retatrutide in different populations [oai_citation:5,Lilly's phase 2 retatrutide results published in The New England Journal of Medicine show the investigational molecule achieved up to 17.5% mean weight reduction at 24 weeks in adults with obesity and overweight | Eli Lilly and Company](https://investor.lilly.com/news-releases/news-release-details/lillys-phase-2-retatrutide-results-published-new-england-journal) [oai_citation:4,Lilly's Most Potent Weight Loss Drug Yet Help Could Manage Liver Disease, Too](https://www.verywellhealth.com/lilly-retatrutide-obesity-medication-could-treat

2. **Yale School of Medicine**: Ania Jastreboff, MD, Ph.D., a leading researcher in endocrinology and metabolism and co-director of the Yale Center for Weight Management, is a prominent researcher in the Retatrutide studies. Her research focuses on the treatment of obesity and the development of new therapeutic approaches [oai_citation:3,Lilly's phase 2 retatrutide results published in The New England Journal of Medicine show the investigational molecule achieved up to 17.5% mean weight reduction at 24 weeks in adults with obesity and overweight | Eli Lilly and Company](https://investor.lilly.com/news-releases/news-release-details/lillys-phase-2-retatrutide-results-published-new-england-journal).

3. **University of Washington Diabetes Institute**: Subbulaxmi Trikudanathan, MD, MRCP, MMSc, Clinical Assistant Professor and Medical Director of the University of Washington Diabetes Institute, is also involved in research on retatrutide. Her focus is on investigating the effects of retatrutide on type 2 diabetes and related metabolic disorders [oai_citation:2,Lilly's Most Potent Weight Loss Drug Yet Could Help Manage Liver Disease, Too](https://www.verywellhealth.com/lilly-retatrutide-obesity-medication-could-treat-liver-disease-7560270).

4. **Several clinical trial centers in the USA**: The phase 2 trials of retatrutide were conducted at several clinical trial centers in the USA. These study sites are distributed in different regions and include both academic medical centers and specialized clinical research institutions [oai_citation:1,Retatrutide Showcases Historic Weight-Lowering, Glycemic Control Benefits in Phase 2 Data](https://www.hcplive.com/view/retatrutide-showcases-weight-lowering-glycemic-control-benefits-in-phase-2-data).

These institutions play a key role in the research of retatrutide and help to understand its potential use in the treatment of obesity, diabetes and other related diseases.
 
My RS is early in their weightloss journey and so far I have resisted the urge to stock up on their current med or purchase something that looks better to trial next. Current med has been effective so no reason to shift gears.

By the time my RS titrates up on current med and plateaus for a month or 2 (may or may not happen) it could very well be that something better comes along and that extra stock goes unused.

The info in this graphic is current as of mid August 2024. The landscape is very broad. How many will prove to be effective? No idea.

ETA: the graphic is limited to G protein-coupled receptors hence why cagri is not shown.
1725122470512.jpeg
 
Last edited:
Yes, there are specific studies on Mazdutide that have investigated its efficacy and safety in the treatment of obesity and type 2 diabetes. Here are the most important studies that have been conducted recently:

### 1. **DREAMS-1 Phase 3 Study**

The DREAMS-1 Phase 3 study was a randomized, double-blind, placebo-controlled study that investigated the efficacy and safety of Mazdutide in Chinese patients with type 2 diabetes. The results showed a significant reduction in HbA1c (an indicator of blood glucose control) and body weight. After 24 weeks, the reduction in HbA1c was 1.57% in the 4 mg group and 2.15% in the 6 mg group, compared to 0.14% in the placebo group. These glucose reduction effects remained stable until week 48. Innovent's DREAMS-1 phase 3 trial of mazdutide in Chinese patients with type 2 diabetes meets primary and all key secondary endpoints[https://www.pharmabiz.com/NewsDetails.aspx? Aid=171434&sid=2).

### 2. **GLORY-1 Phase 3 Study**

The GLORY-1 study, the first phase 3 study worldwide to examine a GLP-1R/GCGR dual agonist for weight loss, showed impressive results. The participants who received Mazdutide experienced an average weight reduction of 14.3% from the initial value after 48 weeks. In addition, Mazdutide showed a reduction in liver fat content of 80.2% in patients with a high baseline liver fat concentration. The study also showed significant improvements in several cardiovascular metabolic risk factors, including blood pressure, triglycerides, total cholesterol and LDL-C. The results showed a strong efficacy and a good safety profile of mazdutide for weight reduction and improving the metabolic profile [oai_citation:3,Innovent Presents the Results of the First Phase 3 Study of Mazdutide for Weight Management at the ADA's 84th Scientific Sessions - BioSpace](https://www.biospace.com/innovent-presents-the-the-results-of-the-first-phase-3-study-of-of-mazdutide-for-weight-management-at-the-the-ada-s-s-84th-scientific-sessions) [oai_citation:2,Innovent Provides Interpretation and Updates on Clinical Data fr](https://www.gurufocus.com/news/2465480/innov

### 3. **Safety and compatibility profiles**

In the studies, Mazdutide was tested in different doses (4 mg and 6 mg). The safety profile was favorable, without new safety signals being detected. The most common side effects were gastrointestinal, such as nausea, diarrhea and vomiting, most of them mild to moderate. Serious hypoglycemic events have not been reported, and the overall tolerability was comparable to previous studies with Mazdutide [oai_citation:1,Innovent's DREAMS-1 phase 3 trial of mazdutide in Chinese patients with type 2 diabetes meets primary and all key secondary endpoints](https://www.pharmabiz.com/NewsDetails.aspx? Aid=171434&sid=2).

### 4. **Summary of study results**

Mazdutide shows promising results in the treatment of type 2 diabetes and obesity by a double action on GLP-1 and glucagon receptors. Studies show that Mazdutide could be an effective and safe option for weight loss, improving blood sugar control, and reducing liver fat and other metabolic risk factors.

For more details and complete study results, you can visit the following links:

- [Clinical Trials Arena: Mazdutide Phase 3 Results](https://www.clinicaltrialsarena.com)

- [BioSpace: Mazdutide Weight Management Study] (https://www.biospace.com)

- [Pharmabiz: Mazdutide in T2D Patients](https://www.pharmabiz.com)
 
My RS is early in their weightloss journey and so far I have resisted the urge to stock up on their current med or purchase something that looks better to trial next. Current med has been effective so no reason to shift gears.

By the time my RS titrates up on current med and plateaus for a month or 2 (may or may not happen) it could very well be that something better comes along and that extra stock goes unused.

The info in this graphic is current as of mid August 2024. The landscape is very broad. How many will prove to be effective? No idea.
View attachment 1573
Smart😉 That’s a whole lotta stuff right there in the pipeline.
 
My RS is early in their weightloss journey and so far I have resisted the urge to stock up on their current med or purchase something that looks better to trial next. Current med has been effective so no reason to shift gears.

By the time my RS titrates up on current med and plateaus for a month or 2 (may or may not happen) it could very well be that something better comes along and that extra stock goes unused.

The info in this graphic is current as of mid August 2024. The landscape is very broad. How many will prove to be effective? No idea.

ETA: the graphic is limited to G protein-coupled receptors hence why cagri is not shown.
View attachment 1573
Hmmm, what an unusual and wise creature you are… resisting the compulsion to experiment with every med, all the meds!, and stack in every possible combination — and only because what you're already doing is working? Who even are you? 😉😁❤️
 
There are currently no specific studies that directly investigate the combination of Retatrutide and Cagritutide. However, there is interesting information about the possible combination of different peptides that act on similar mechanisms.

### Retatrutide and Cagritutide: Possible Synergies

1. **Retatrutide** is a so-called "triple agonist" that activates the receptors for GIP (glucose-dependent insulinotropic polypeptide), GLP-1 (glucagon-like peptide 1) and glucagon. This combination aims to reduce body weight, control blood sugar levels and increase energy consumption. Retatrutide has shown impressive results in the reduction of body weight and the improvement of cardiometabolic markers in clinical studies [oai_citation:2,A revolution in obesity treatment | Nature Medicine](https://www.nature.com/articles/s41591-023-02538-7.pdf) [oai_citation:1,A review of an investigational drug retatrutide, a novel triple agonist agent for the treatment of obesity | European Journal of Clinical Pharmacology](https://link.springer.com/article/10.1007/s00228-024-03646-0).

2. **Cagritutide** is a GLP-1/GIP dualagonist designed to enhance the effect of GLP-1 agonists. These dual agonists are designed to reduce appetite and improve insulin sensitivity. Since both substances act via GLP-1 receptors, a combination could theoretically have synergistic effects, especially in the control of body weight and the improvement of the metabolic profile.

### Potential benefits of the combination

The combination of retatrutide and cagritutide could theoretically offer advantages by using the advantages of both substances. Retatrutide could increase fat burning and energy consumption through its additional action on glucagon, while cagritide could further suppress appetite and improve insulin sensitivity by enhancing the GLP-1 and GIP action.

However, there are no clinical trials to date that have studied this specific combination, and further research would be needed to assess the safety, efficacy, and potential benefits of such a combination.

### Conclusion

Although there are currently no specific studies on the combination of retatrutide and cagritutide, the existing research shows the potential for synergistic effects in the concomitant use of drugs that target similar metabolic pathways. Further research and clinical studies would be necessary to comprehensively assess the efficacy and safety of such a combination.
 
Yes, there are specific studies on Mazdutide that have investigated its efficacy and safety in the treatment of obesity and type 2 diabetes. Here are the most important studies that have been conducted recently:

### 1. **DREAMS-1 Phase 3 Study**

The DREAMS-1 Phase 3 study was a randomized, double-blind, placebo-controlled study that investigated the efficacy and safety of Mazdutide in Chinese patients with type 2 diabetes. The results showed a significant reduction in HbA1c (an indicator of blood glucose control) and body weight. After 24 weeks, the reduction in HbA1c was 1.57% in the 4 mg group and 2.15% in the 6 mg group, compared to 0.14% in the placebo group. These glucose reduction effects remained stable until week 48. Innovent's DREAMS-1 phase 3 trial of mazdutide in Chinese patients with type 2 diabetes meets primary and all key secondary endpoints[https://www.pharmabiz.com/NewsDetails.aspx? Aid=171434&sid=2).

### 2. **GLORY-1 Phase 3 Study**

The GLORY-1 study, the first phase 3 study worldwide to examine a GLP-1R/GCGR dual agonist for weight loss, showed impressive results. The participants who received Mazdutide experienced an average weight reduction of 14.3% from the initial value after 48 weeks. In addition, Mazdutide showed a reduction in liver fat content of 80.2% in patients with a high baseline liver fat concentration. The study also showed significant improvements in several cardiovascular metabolic risk factors, including blood pressure, triglycerides, total cholesterol and LDL-C. The results showed a strong efficacy and a good safety profile of mazdutide for weight reduction and improving the metabolic profile [oai_citation:3,Innovent Presents the Results of the First Phase 3 Study of Mazdutide for Weight Management at the ADA's 84th Scientific Sessions - BioSpace](https://www.biospace.com/innovent-presents-the-the-results-of-the-first-phase-3-study-of-of-mazdutide-for-weight-management-at-the-the-ada-s-s-84th-scientific-sessions) [oai_citation:2,Innovent Provides Interpretation and Updates on Clinical Data fr](https://www.gurufocus.com/news/2465480/innov

### 3. **Safety and compatibility profiles**

In the studies, Mazdutide was tested in different doses (4 mg and 6 mg). The safety profile was favorable, without new safety signals being detected. The most common side effects were gastrointestinal, such as nausea, diarrhea and vomiting, most of them mild to moderate. Serious hypoglycemic events have not been reported, and the overall tolerability was comparable to previous studies with Mazdutide [oai_citation:1,Innovent's DREAMS-1 phase 3 trial of mazdutide in Chinese patients with type 2 diabetes meets primary and all key secondary endpoints](https://www.pharmabiz.com/NewsDetails.aspx? Aid=171434&sid=2).

### 4. **Summary of study results**

Mazdutide shows promising results in the treatment of type 2 diabetes and obesity by a double action on GLP-1 and glucagon receptors. Studies show that Mazdutide could be an effective and safe option for weight loss, improving blood sugar control, and reducing liver fat and other metabolic risk factors.

For more details and complete study results, you can visit the following links:

- [Clinical Trials Arena: Mazdutide Phase 3 Results](https://www.clinicaltrialsarena.com)

- [BioSpace: Mazdutide Weight Management Study] (https://www.biospace.com)

- [Pharmabiz: Mazdutide in T2D Patients](https://www.pharmabiz.com)
Great summary, thanks! May I ask, are you using ChatGPT? Or another AI platform?
 
There are currently no specific studies that directly investigate the combination of Retatrutide and Cagritutide. However, there is interesting information about the possible combination of different peptides that act on similar mechanisms.

### Retatrutide and Cagritutide: Possible Synergies

1. **Retatrutide** is a so-called "triple agonist" that activates the receptors for GIP (glucose-dependent insulinotropic polypeptide), GLP-1 (glucagon-like peptide 1) and glucagon. This combination aims to reduce body weight, control blood sugar levels and increase energy consumption. Retatrutide has shown impressive results in the reduction of body weight and the improvement of cardiometabolic markers in clinical studies [oai_citation:2,A revolution in obesity treatment | Nature Medicine](https://www.nature.com/articles/s41591-023-02538-7.pdf) [oai_citation:1,A review of an investigational drug retatrutide, a novel triple agonist agent for the treatment of obesity | European Journal of Clinical Pharmacology](https://link.springer.com/article/10.1007/s00228-024-03646-0).

2. **Cagritutide** is a GLP-1/GIP dualagonist designed to enhance the effect of GLP-1 agonists. These dual agonists are designed to reduce appetite and improve insulin sensitivity. Since both substances act via GLP-1 receptors, a combination could theoretically have synergistic effects, especially in the control of body weight and the improvement of the metabolic profile.

### Potential benefits of the combination

The combination of retatrutide and cagritutide could theoretically offer advantages by using the advantages of both substances. Retatrutide could increase fat burning and energy consumption through its additional action on glucagon, while cagritide could further suppress appetite and improve insulin sensitivity by enhancing the GLP-1 and GIP action.

However, there are no clinical trials to date that have studied this specific combination, and further research would be needed to assess the safety, efficacy, and potential benefits of such a combination.

### Conclusion

Although there are currently no specific studies on the combination of retatrutide and cagritutide, the existing research shows the potential for synergistic effects in the concomitant use of drugs that target similar metabolic pathways. Further research and clinical studies would be necessary to comprehensively assess the efficacy and safety of such a combination.
thanks ChatGPT ;)
 
Great summary, thanks! May I ask, are you using ChatGPT? Or another AI platform?
That last one is just flat wrong and why you shouldn't rely on generative AI for real information.

1) It's Cargilintide.
2) Cagrilintide is not a GLP1/GIP agonist (Tirzeptide is). It's an amylin analog.
 

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