Inequities in funding and bureaucratic challenges pose constraints in utilizing the limited funding and undermine feasibility to implement programs, particularly in the Global South
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How the cagrilintide + tirzepatide stack compares Feature Components Cagrilintide + Tirzepatide Cagrilintide + Tirzepatide CagriSema (Cag + Sema) Cagrilintide + Semaglutide Cagrilintide + Retatrutide Cagrilintide + Retatrutide Feature Receptor coverage Cagrilintide + Tirzepatide AMY + GLP-1R + GIPR (3 families) CagriSema (Cag + Sema) AMY + GLP-1R (2 families) Cagrilintide + Retatrutide AMY + GLP-1R + GIPR + GCGR (4 families) Feature Combination clinical data Cagrilintide + Tirzepatide Preclinical only (Valdecantos 2024) CagriSema (Cag + Sema) Phase 3 REDEFINE-1: ~22.7% at 68 weeks Cagrilintide + Retatrutide None (fully speculative) Feature Best monotherapy result Cagrilintide + Tirzepatide Tirzepatide: 25.5% at 84 weeks CagriSema (Cag + Sema) Semaglutide: ~14.9% at 68 weeks Cagrilintide + Retatrutide Retatrutide: 28.7% at 68 weeks Feature GIP receptor Cagrilintide + Tirzepatide Yes (tirzepatide) CagriSema (Cag + Sema) No Cagrilintide + Retatrutide Yes (retatrutide) Feature Glucagon receptor Cagrilintide + Tirzepatide No CagriSema (Cag + Sema) No Cagrilintide + Retatrutide Yes (retatrutide) Feature Dysesthesia risk Cagrilintide + Tirzepatide No CagriSema (Cag + Sema) No Cagrilintide + Retatrutide Yes (retatrutide) Feature FDA-approved component Cagrilintide + Tirzepatide Yes (tirzepatide as Mounjaro / Zepbound) CagriSema (Cag + Sema) Semaglutide approved
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If we can solve the delivery problem, peptides could become some of the best drugs we have, Kates said.
This is meant to be given once per day
Back Edwards, K, Li, X, Linvay, I (1 April 2023) 'Clinical and safety outcomes with GLP-1 receptor agonists and SGLT2 inhibitors in type 1 diabetes: A real-world study', The Journal of Clinical Endocrinology & Metabolism , 108/ 4, 92030
PubMed PMID: 9403790