Another new 5 way agonist

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lessthanhalf

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Study published in nature yesterday: https://www.nature.com/articles/s41586-026-10427-5

They have taken a small molecule PPARα/γ/δ agonist, lanifibranor that is in clinical phase 3 trials for the treatment of metabolic dysfunction-associated steatohepatitis, and stuck it to a GLP-1 - GIP agonist peptide, causing substantially more weight loss than the GLP-1 - GIP peptide alone, and because the laniibranor is stuck to the peptide, it is preferentially taken up by cells that have GLP-1 receptors, allowing it to work at doses 1/6000th of the doses used in the phase 3 trials of the drug alone. Which is useful as the molecule alone has side effects. And allows specific precise targeting of the molecule to GLP-1 or GIP expressing cells.

In mice it looks like nearly twice the weight loss of something similar to tirzepatide, or nearly 40% weight loss, the fact that lanifibranor is already in phase 3 might speed things up a bit. Not quite ready for human trials, as they do not feel totally confident they fully understand the effects of PPARα/γ/δ agonism, though the drug is in phase 3 trials?

Not going to happen for quite a while, given what stage the research is at, but I would not be surprised if the basic concept is not repeated with various other small molecules attached to glp-1 peptides in future.
 
Wowzers. Personally I think we don't need to lose weight faster (just because rapid weight loss leads to a whole other raft of problems to deal with). We need to try and lose the right weight. Targeting the 'bad' fats and associated neural messaging like food noise.
 
Anything that might have higher maximum weight loss is potentially interesting, there are plenty of people out there with severe obesity and even reta is not good enough if you have a BMI of 50. Still this is at least 5 years away if it makes it through the process, and most don't. It does have very impressive looking effects on blood sugar though really flattens the response.
 
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