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ForumsPharmacology & MechanismsHas anyone dealt with glp-1r allosteric modulators? Page 2

Has anyone dealt with glp-1r allosteric modulators?

Dr.RenalNash Tue, Jul 9, 2024 at 4:45 AM 23 replies 2,318 viewsPage 2 of 5
stefan_berlin
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Jul 9, 2024 at 4:07 PM#6
Dr.RenalNash said:
The mechanism is more central than most summaries suggest.

PK/PD modeling for the pharmacology: understanding the pharmacokinetics helps optimize dosing. Semaglutide:

  • Tmax: 24-72 hours post-injection
  • T½: ~168 hours (7 days) — enables weekly dosing
  • Steady state: reached at 4-5 weeks
  • Bioavailability (SubQ): ~89%
  • Volume of distribution: ~12.5L (primarily plasma)

The albumin binding (>99%) is the key pharmacological innovation — creating a sustained-release effect from a single injection. Previous GLP-1 agonists (exenatide) required BID dosing due to rapid clearance.

2 22NeuroNate, JessicaH_TX
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KetoKyle
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Jul 9, 2024 at 8:36 PM#7

One thing that is still open after pete_nash’s answer:

Was that from a primary source or from a summary of one?

1 21JenMemphis
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roxy_nash
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Jul 10, 2024 at 1:05 AM#8
stefan_berlin said:
PK/PD modeling for the pharmacology: understanding the pharmacokinetics helps optimize dosing.

Amycretin (AMY/GLP-1 dual agonist) emerging data relevant to the pharmacology: Phase 1 showed -13.1% body weight at only 12 weeks, the fastest trajectory ever seen for an anti-obesity agent[1].

Amylin receptor agonism enhances satiety signaling through the area postrema and reduces glucagon secretion. Combined with GLP-1R agonism, this dual mechanism may produce even greater efficacy than current agents.

Early-stage data — interpret with caution. But the trajectory is extraordinary.

References:
[1] Novo Nordisk investor presentation, September 2023.
50 20tony_orlando, Dr.NephBHM_UK, kim_atl_prep and 47 others
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Dr.RenalNash
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Jul 10, 2024 at 5:34 AM#9

Closing the loop on my own question.

Closing this out: the trough rather than the peak explains the pattern I was seeing on day six, which I had been blaming on the vial.

Last edited: Jul 10, 2024 at 10:34 AM
49 19anders_CPH, Dr.NutriCornell, pam_stl and 46 others
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TrialTracker_MD
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Jul 11, 2024 at 3:08 AM#10
roxy_nash said:
Amycretin (AMY/GLP-1 dual agonist) emerging data relevant to the pharmacology: Phase 1 showed -13.1% body weight at only 12 weeks, the fastest…

Semaglutide structural biology relevant to the pharmacology: semaglutide is a 31-amino acid peptide with 94% homology to native GLP-1(7-36). Three key modifications enable its pharmacokinetic profile:

  1. Aib8 substitution: DPP-4 resistance (prevents enzymatic degradation)
  2. Arg34 substitution: improved chemical stability
  3. C18 fatty diacid at Lys26: albumin binding → long half-life

These three modifications transform a peptide with a 2-minute half-life (native GLP-1) into one with a 168-hour half-life (semaglutide). A masterclass in peptide engineering.

5 3lori_vegas, Dr.PulmRoch, maya_sedona and 2 others
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