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Survodutide

Metabolic
·4232 Da·29 amino acids·C₁₉₂H₂₈₉N₄₇O₆₁
Peptide Database
4Mechanisms
4Benefits
3Studies

Survodutide (BI 456906) is a synthetic dual glucagon receptor/GLP-1 receptor agonist developed by Boehringer Ingelheim. Unlike other dual agonists based on oxyntomodulin, survodutide is a glucagon analog with engineered GLP-1 activity, featuring a non-coded amino acid (1-aminocyclobutane-1-carboxylic acid) at position 2 and a C18 fatty diacid at Lys24 for albumin binding and extended half-life.

SequenceAc4c-QGTFTSDYSKYLDERAAKDFIK*WLESA
Research Dosage Notes

Investigational drug in Phase 3 trials (SYNCHRONIZE program). Phase 2 studied doses of 0.6 mg, 2.4 mg, 3.6 mg, and 4.8 mg administered subcutaneously once weekly with a 20-week bi-weekly dose escalation phase followed by 26-week maintenance. Not yet approved for clinical use.

Mechanisms of Action

4

Glucagon receptor agonism

Strong

Activates the glucagon receptor to increase hepatic energy expenditure, stimulate lipolysis, and promote fatty acid oxidation, contributing to weight loss and metabolic improvement.

GCGR / cAMP / hepatic lipid metabolism

GLP-1 receptor agonism

Strong

Activates GLP-1 receptors to suppress appetite, slow gastric emptying, and enhance glucose-dependent insulin secretion, counterbalancing the hyperglycemic effect of glucagon.

GLP-1R / cAMP / insulin secretion

Increased energy expenditure

Moderate

The glucagon component drives increased basal metabolic rate and thermogenesis, providing weight loss benefits beyond appetite suppression alone.

Hepatic mitochondrial oxidation / thermogenesis

Hepatic fat reduction

Moderate

Dual agonism synergistically reduces hepatic steatosis by promoting fat oxidation (glucagon) while maintaining metabolic safety (GLP-1), with implications for MASH/NASH treatment.

Hepatic lipid metabolism / de novo lipogenesis

Benefits

4
85

Significant weight loss

Body Composition

Phase 2 trials demonstrated up to 14.9% mean weight loss (18.7% in completers) at the 4.8 mg dose over 46 weeks.

Strong
80

Glycemic improvement

Metabolic

Reduces HbA1c in patients with type 2 diabetes, with dose-dependent improvements observed in clinical trials.

Strong
70

Hepatic fat reduction (MASH/NASH)

Metabolic

Shows promise for treating metabolic dysfunction-associated steatohepatitis through reduction of liver fat content.

Moderate
65

Blood pressure reduction

Metabolic

Post-hoc analysis showed significant blood pressure improvements in adults with obesity.

Moderate

This database is for educational and research purposes only. It is not medical advice. Consult a healthcare professional before using any peptide or supplement.

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