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Effects on weight loss and glycemic control with SAR441255, a potent unimolecular peptide GLP-1/GIP/GCG receptor triagonist

Bossart, Martin (author)
Sanofi, Integrated Drug Discovery Germany, Synthet Med Modal, Frankfurt, Germany.
Wagner, Michael (author)
Sanofi, Integrated Drug Discovery Germany, Synthet Med Modal, Frankfurt, Germany.;Dewpoint Therapeut, Frankfurt, Germany.
Elvert, Ralf (author)
Sanofi, TA Diabet, Frankfurt, Germany.;Evotec Int GmbH, Gottingen, Germany.
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Evers, Andreas (author)
Sanofi, Integrated Drug Discovery Germany, Synthet Med Modal, Frankfurt, Germany.;Merck Healthcare KGaA, Discovery Technol, Global Res & Dev, Darmstadt, Germany.
Hubschle, Thomas (author)
Sanofi, TA Diabet, Frankfurt, Germany.
Kloeckener, Tim (author)
Sanofi, TA Diabet, Frankfurt, Germany.;Boehringer Ingelheim Pharma GmbH & Co KG, Cardiometab Dis Res, Biberach, Germany.
Lorenz, Katrin (author)
Sanofi, Integrated Drug Discovery Germany, Synthet Med Modal, Frankfurt, Germany.
Moessinger, Christine (author)
Sanofi, TA Diabet, Frankfurt, Germany.
Eriksson, Olof (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Translationell avbildning med PET,Antaros Med AB, Mölndal, Sweden
Velikyan, Irina, 1966- (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Translationell avbildning med PET,Uppsala Univ Hosp, PET Ctr, Ctr Med Imaging, Uppsala, Sweden
Pierrou, Stefan (author)
Antaros Med AB, Mölndal, Sweden.
Johansson, Lars (author)
Antaros Med AB, Mölndal, Sweden.
Dietert, Gabriele (author)
Sanofi, Preclin Safety, Frankfurt, Germany.
Dietz-Baum, Yasmin (author)
Sanofi, Preclin Safety, Frankfurt, Germany.
Kissner, Thomas (author)
Sanofi, Preclin Safety, Frankfurt, Germany.
Nowotny, Irene (author)
Sanofi, Translat Med & Early Dev, Frankfurt, Germany.
Einig, Christine (author)
Sanofi, Clin Sci & Operat, Frankfurt, Germany.
Jan, Christelle (author)
Sanofi, Clin Sci & Operat, Chilly Mazarin, France.
Rharbaoui, Faiza (author)
Sanofi, Translat Med & Early Dev, Frankfurt, Germany.
Gassenhuber, Johann (author)
Sanofi, Translat Med & Early Dev, Frankfurt, Germany.
Prochnow, Hans-Peter (author)
Sanofi, Translat Med & Early Dev, Frankfurt, Germany.
Agueusop, Inoncent (author)
Sanofi, Clin Sci & Operat, Frankfurt, Germany.
Porksen, Niels (author)
Sanofi, Diabet Dev, Frankfurt, Germany.
Smith, William B. (author)
NOCCR Alliance Multispecialty Res AMR, Knoxville, TN USA.
Nitsche, Almut (author)
Sanofi, Diabet Dev, Frankfurt, Germany.
Konkar, Anish (author)
Sanofi, TA Diabet, Frankfurt, Germany.;Eli Lilly & Co, Diabet & Complicat Therapeut Area, Lilly Res Labs, Indianapolis, IN 46285 USA.
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Sanofi, Integrated Drug Discovery Germany, Synthet Med Modal, Frankfurt, Germany Sanofi, Integrated Drug Discovery Germany, Synthet Med Modal, Frankfurt, Germany.;Dewpoint Therapeut, Frankfurt, Germany. (creator_code:org_t)
CELL PRESS, 2022
2022
English.
In: Cell Metabolism. - : CELL PRESS. - 1550-4131 .- 1932-7420. ; 34:1, s. 59-
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Unimolecular triple incretins, combining the activity of glucagon-like peptide-1 (GLP-1), glucose -dependent insulinotropic polypeptide (GIP), and glucagon (GCG), have demonstrated reduction in body weight and improved glucose control in rodent models. We developed SAR441255, a synthetic peptide agonist of the GLP-1, GCG, and GIP receptors, structurally based on the exendin-4 sequence. SAR441255 displays high potency with balanced activation of all three target receptors. In animal models, metabolic outcomes were superior to results with a dual GLP-1/GCG receptor agonist. Preclinical in vivo positron emission tomography imaging demonstrated SAR441255 binding to GLP-1 and GCG receptors. In healthy subjects, SAR441255 improved glycemic control during a mixed-meal tolerance test and impacted biomarkers for GCG and GIP receptor activation. Single doses of SAR441255 were well tolerated. The results demonstrate that integrating GIP activity into dual GLP-1 and GCG receptor agonism provides improved effects on weight loss and glycemic control while buffering the diabetogenic risk of chronic GCG receptor agonism.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)

Keyword

GCG GIP GLP-1 metabolic disease pharmacodynamics receptor occupancy safety triple GLP-1/GIP/GCG receptor agonist type 2 diabetes

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