Diabetes therapy : research, treatment and education of diabetes and related disorders

New Drugs Combining Two or Three Incretin Hormones to Treat Obesity and Diabetes

Updated

Abstract

The discovery of long-acting receptor agonists could significantly impact the treatment of obesity and diabetes.

  • Multi-incretin hormone receptor agonists show promise in improving treatment efficacy for metabolic diseases.
  • Current clinical trials are evaluating multiagonists that may rival the effectiveness of bariatric surgery.
  • Success in both preclinical models and clinical trials indicates a potential for these agents in patient care.
  • Further research is needed to clarify the mechanisms by which these therapies affect body weight.
  • Understanding gut-brain communication may help develop strategies for sustainable weight loss without side effects.

Simplified

Key numbers

22.5%
Average Weight Reduction with Tirzepatide
Achieved after 72 weeks of treatment in clinical trials.
−2.5%
Weight Reduction with GLP-1/GIP Dual Agonist
Observed after 12 weeks in a human study.

Full Text

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Funding

Competing interests

Robert M. Gutgesell and Rubén Nogueiras declare that they have nothing to disclose. MHT is a member of the scientific advisory board of ERX Pharmaceuticals, Cambridge, Mass. He was a member of the Research Cluster Advisory Panel (ReCAP) of the Novo Nordisk Foundation between 2017 and 2019. He attended a scientific advisory board meeting of the Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, in 2016. He received funding for his research projects by Novo Nordisk (2016–2020) and Sanofi-Aventis (2012–2019). He was a consultant for Bionorica SE (2013–2017), Menarini Ricerche S.p.A. (2016), and Bayer Pharma AG Berlin (2016). As former Director of the Helmholtz Diabetes Center and the Institute for Diabetes and Obesity at Helmholtz Zentrum München (2011–2018), and since 2018, as CEO of Helmholtz Zentrum München, he has been responsible for collaborations with a multitude of companies and institutions, worldwide. In this capacity, he discussed potential projects with and has signed/signs contracts for his institute(s) and for the staff for research funding and/or collaborations with industry and academia, worldwide, including but not limited to pharmaceutical corporations like Boehringer Ingelheim, Eli Lilly, Novo Nordisk, Medigene, Arbormed, BioSyngen, and others. In this role, he was/is further responsible for commercial technology transfer activities of his institute(s), including diabetes-related patent portfolios of Helmholtz Zentrum München as, e.g., WO/2016/188932 A2 or WO/2017/194499 A1. MHT confirms that to the best of his knowledge none of the above funding sources were involved in the preparation of this paper. TDM receives research funding from Novo Nordisk but these funds are unrelated to the work described here. TDM received speaking fees within the last 3 years from Novo Nordisk, Eli Lilly, AstraZeneca, Merck, Berlin Chemie AG, and Mercodia.
PubMed

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