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Evidence-based GLP-1 & peptide discussion since 2023
ForumsMASH / Liver DiseaseEfinopegdutide MASH data — July 2024 Page 2

Efinopegdutide MASH data — July 2024

KarenAZ_mom Thu, May 30, 2024 at 2:14 PM 39 replies 2,830 viewsPage 2 of 8
amsterdam_pete
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May 30, 2024 at 10:46 PM#6
Dr.RaviCardio said:
Liver imaging follow-up for liver and MASH: FibroScan at baseline showed CAP score 316 dB/m (moderate steatosis) and stiffness 9.8 kPa (possible…

ATTAIN trial (survodutide) context for liver and MASH: survodutide, a GLP-1/glucagon dual agonist, showed -18.7% body weight at 46 weeks in the Phase 3 ATTAIN trial. NASH resolution was achieved in ~60% of patients[1].

This is relevant to liver and MASH because survodutide's glucagon agonism specifically targets hepatic lipid metabolism — making it potentially the best-in-class agent for NASH/MAFLD comorbid with obesity.

References:
[1] Sanyal AJ, et al. N Engl J Med. 2024.
33 3JakeSmashed95, NauseaFreeNow, SteveThurs and 30 others
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dan_philly
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Philadelphia, PA
May 31, 2024 at 2:08 AM#7
KarenAZ_mom said:
ALT was mildly raised at baseline, normalised at month five, and I now have no idea whether anything happened to the fibrosis that actually matters.

Liver enzyme update related to liver and MASH: I had mildly elevated ALT/AST at baseline (likely NAFLD). After 8 months on GLP-1 therapy:

MarkerBaselineCurrentNormal Range
ALT57247-56 U/L
AST602410-40 U/L
GGT67369-48 U/L
ALP1077444-147 U/L

FibroScan also improved — liver stiffness from 10.5 kPa to 5.2 kPa. The evidence for GLP-1 agonists in NAFLD/NASH is very promising.

Last edited: May 31, 2024 at 5:08 AM
32 2AmyNC_wife, SkepticalSean, Dr.CardioMD and 29 others
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Dr.MetabolicMD
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May 31, 2024 at 5:30 AM#8
amsterdam_pete said:
ATTAIN trial (survodutide) context for liver and MASH: survodutide, a GLP-1/glucagon dual agonist, showed -18.7% body weight at 46 weeks in the Phase…

There is a second half to this that has not been said yet. The mechanism and the magnitude are separate questions. Agreeing that something happens says nothing about whether it happens enough to act on.

Last edited: May 31, 2024 at 7:30 AM
31 1HealthEcon_DC, PedsEndoPhilly, SleepDoc_PDX and 28 others
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PeptideSynthNJ
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May 31, 2024 at 8:52 AM#9

Following on from tyler_CSCS — and this may be the naive question:

How long did you give it before you decided it was working?

30 0MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 27 others
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KarenAZ_mom
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Jun 1, 2024 at 1:03 AM#10

Closing the loop on my own question.

Coming back a few months on. It held. Nothing dramatic to report, which is the report.

46 19HPLC_Greg, LibrarianMeg, bri_stats and 43 others
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