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ForumsPublic SquareAmylin co-agonism: CagriSema REDEFINE results and implications Page 2

Amylin co-agonism: CagriSema REDEFINE results and implications

Dr.KarenChen Thu, Apr 9, 2026 at 10:16 AM 16 replies 868 viewsPage 2 of 4
PeptideSynthNJ
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Apr 9, 2026 at 11:23 AM#6

One concrete data point for the thread. Numbers worth memorising for this class: Tmax one to three days for the weekly peptides, terminal half-life about a week for semaglutide and about five days for tirzepatide, steady state at four to five half-lives, subcutaneous bioavailability high enough that site choice is irrelevant.

30 0wanda_boise, NurseAsh_DET, BenResearch_OR and 27 others
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anna.melb_AU
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Apr 9, 2026 at 11:49 AM#7

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

Which effects tachyphylax and which persist, because the answer explains why tolerability improves while the appetite effect keeps working?

29 24paige_pharma, emma_london, tammy_FL and 26 others
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Dr.RenalNash
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Apr 9, 2026 at 12:15 PM#8
PeptideSynthNJ said:
Numbers worth memorising for this class: Tmax one to three days for the weekly peptides, terminal half-life about a week for semaglutide and about…

There is a second half to this that has not been said yet. Whatever the answer turns out to be, the method for getting there is the same: state the assumption, do the arithmetic in public, and invite the correction. That is slower than asserting, and it is the only version that survives being wrong.

28 23Dr.NutriCornell, pam_stl, wei_SG and 25 others
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Dr.KarenChen
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Apr 9, 2026 at 12:41 PM#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.

27 22mike.trainer_LA, sarah_nash92, FitDadDave and 24 others
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KarenAZ_mom
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Apr 9, 2026 at 2:47 PM#10
Dr.RenalNash said:
Whatever the answer turns out to be, the method for getting there is the same: state the assumption, do the arithmetic in public, and invite the…

Agreed on the substance. I would put less weight on the timescale, because two months of anything is not enough to distinguish a trend from a wobble.

41 14HPLC_Greg, LibrarianMeg, bri_stats and 38 others
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