Survodutide

Also known as: BI 456906

A glucagon/GLP-1 dual agonist in development for MASH and obesity.

Overview

Survodutide is a dual glucagon and GLP-1 receptor agonist being developed by Boehringer Ingelheim, primarily targeting metabolic dysfunction-associated steatohepatitis (MASH) and obesity.

Mechanism of Action

Combines GLP-1 appetite suppression with glucagon-mediated hepatic effects. The glucagon component promotes hepatic lipid oxidation and energy expenditure while GLP-1 provides metabolic and weight benefits.

Pharmacokinetics

Weekly subcutaneous dosing with sustained activity.

Dosing Protocols

Note: These are research protocols from literature. This is not medical advice.

1

Titration

Dose

0.5-4.8 mg

Frequency

Once weekly

Duration

Variable

Dose escalation protocol

Research Areas

MASH/NASHObesityType 2 DiabetesLiver Disease

Key Research Findings

  • 1Phase 2 MASH trials showed significant liver fat reduction and fibrosis improvement
  • 2Weight loss of up to 19% in obesity trials
  • 3Histological improvement in liver biopsies
  • 4Advancing to Phase 3 for MASH indication

Side Effects & Contraindications

Reported Side Effects

  • Nausea
  • Diarrhea
  • Vomiting
  • Decreased appetite

Contraindications

  • Pregnancy
  • Decompensated liver disease

Safety Considerations

GI side effects common. Monitoring hepatic function recommended.

Storage Requirements

Refrigerate at 2-8C

Scientific References

Quick Reference

Sequence
Proprietary dual agonist sequence
Molecular Weight
~4500 g/mol
Half-Life
~5-6 days
Bioavailability
High (SC)
Research Stage
clinical phase 3
Administration
Subcutaneous injection (weekly)