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Competitive Landscape – Efficacy
DA-1726 Pemvidutide1 Mazdutide2 Survodutide3 Retatrutide5
Developer MetaVia Altimmune Innovent/Lilly Boehringer Ingelheim/Zealand Lilly
Status Phase 1 Phase 3 ready Phase 2 in US Phase 3 Phase 3
Action GLP-1R/GCGR
(3:1)
GLP-1R/GCGR
(1:1)
GLP-1R/GCGR
(Unknown)
GLP-1R/GCGR
(8:1)
GLP-1/GCGR/GIP
(1.3:1:29.7)
Administration Once weekly injection Once weekly injection Once weekly injection Once weekly injection Once weekly injection
Current Titration No titration in Phase 1 No titration in Phase 1 5 Step (1.5, 3, 6, 9, 12, 16mg) 7 Step (0.3, 0.6, 0.9, 1.2, 1.8, 2.4,
3.3, 4.2, 4.8mg) 3 Step (2, 4, 8, 12mg)
Body Weight Loss in
Phase 1 MAD
Phase 1 8 weeks (Day 54) (no titration)
9.1% (48 mg)
Phase 1b 12 weeks (no titration)
10.3% (1.8mg)
9% (2.4mg)
Phase 2 48 weeks
-22.3%
Week 8: less than 5%
Week 16: between 9~10%
Placebo adjusted
Phase 2 46 weeks
-16.7%
Week 8: less than -6%
Phase 2 48 weeks
-24.2% (12mg)
Week 8: between 9~10%
Fasting Glucose
(mg/dL)
-12.3 mg/dL HbA1c @ 8 weeks
(Day 54) (48 mg) -0.8 mg/dL @ 12 weeks (2.4mg)
Phase 2 48 weeks
(obese Healthy, 16mg)
-12.3 mg/dL, HbA1c -0.6%
Week 8 glucose: nominal change
from baseline
Phase 1 6 weeks did not show any
treatment effect at any time point
Max -8.7 mg/dL,@ day 107
(close to week 16)
Phase 2 48 weeks
(Obese Healthy, 12mg)
-10.6 mg/dL
HbA1c -0.4%
Waist Circumference
(cm) -9.8 cm @ 8 weeks (Day 54) (48 mg) -10.2cm @ 24 weeks (2.4mg)
Phase 2 48 weeks
-16.6cm (16mg)
Week 8: Less than 5cm (16mg)
Up to -16cm @ 46 weeks
Phase 2 48 week 12mg
-19.6cm
Week 8: less than 9cm
Data in the above table were gathered from publicly available company reports, scientific journals and posters. As each clinical study presented above vary in protocol design, study population, baseline characteristics,
duration, titration scheme and dose levels, this table is not intended to provide direct comparison nor a result of head-to-head study. This is only to show potential trends not direct comparison.
1. Company presentations, including, Stephen A. Harrison et al., 2022 EASL Conference, Pemvidutide (ALT-801), a novel GLP-1/glucagon dual receptor agonist, achieves rapid and potent reductions in body weight and liver fat: Results of a placebo controlled, double blinded, first-in-human (FIH) clinical trial
2. Company presentation, Stanley H. Hsia et al., Obesity Week 2025, Mazdutide (LY3305677) in Participants With Obesity or Overweight: A Phase 2 Dose-Finding Study
3. Arvid Jungnik et al., 2022, Wiley, DOI: 10.1111/dom.14948, Matthias Blüher et al., 2023, Diabetologia DOI: 10.1007/s00125-023-06053-9, Carel W le Roux et al., Lancet Diabetes Endocrinol 2024; 12: 162-73
4. Tamer Coskun et al., 2018, Molecular Metabolism 18, DOI: 10.1016/j.molmet.2018.09.009, Juan Pablo Frias et al., 2020, Wiley, DOI: 10.1111/dom.13979
5. Shweta Urva et al., Lancet 2022; 400: 1869-81, Ania M. Jastreboff et al., N Engl J Med 2023; 389:514-26 |