Survodutide 6mg
Survodutide (BI 456906)
Modified glucagon/GLP-1 dual agonist (proprietary sequence)
Overview
Survodutide is a dual glucagon receptor/GLP-1 receptor agonist developed by Boehringer Ingelheim. Unlike pure GLP-1 agonists (semaglutide) or GIP/GLP-1 dual agonists (tirzepatide), survodutide combines GLP-1 receptor agonism with glucagon receptor agonism. This represents a distinct pharmacological approach based on the understanding that glucagon, despite its role in raising blood glucose, has significant beneficial metabolic effects when combined with GLP-1 activity. Glucagon receptor activation increases hepatic energy expenditure through enhanced lipid oxidation, promotes thermogenesis, and can reduce hepatic lipid accumulation — effects that are particularly relevant for non-alcoholic steatohepatitis (NASH/MASH). However, glucagon's hyperglycemic effect limits its standalone therapeutic use. By combining glucagon activity with GLP-1-mediated insulin stimulation and glucose control, survodutide aims to capture glucagon's metabolic benefits while offsetting its glucose-raising properties. Phase II clinical trials have shown particularly promising results in liver fat reduction. The GCKR-mediated increase in hepatic fatty acid oxidation driven by glucagon, combined with GLP-1-mediated appetite suppression and improved insulin sensitivity, creates a metabolic profile well-suited to NASH/MASH treatment. Survodutide has demonstrated superior liver fat reduction compared to pure GLP-1 agonists in head-to-head analyses.
Mechanism of Action
Survodutide is a dual glucagon receptor/GLP-1 receptor agonist developed by Boehringer Ingelheim. Unlike pure GLP-1 agonists (semaglutide) or GIP/GLP-1 dual agonists (tirzepatide), survodutide combines GLP-1 receptor agonism with glucagon receptor agonism. This represents a distinct pharmacological approach based on the understanding that glucagon, despite its role in raising blood glucose, has significant beneficial metabolic effects when combined with GLP-1 activity. Glucagon receptor activation increases hepatic energy expenditure through enhanced lipid oxidation, promotes thermogenesis, and can reduce hepatic lipid accumulation — effects that are particularly relevant for non-alcoholic steatohepatitis (NASH/MASH). However, glucagon's hyperglycemic effect limits its standalone therapeutic use. By combining glucagon activity with GLP-1-mediated insulin stimulation and glucose control, survodutide aims to capture glucagon's metabolic benefits while offsetting its glucose-raising properties. Phase II clinical trials have shown particularly promising results in liver fat reduction. The GCKR-mediated increase in hepatic fatty acid oxidation driven by glucagon, combined with GLP-1-mediated appetite suppression and improved insulin sensitivity, creates a metabolic profile well-suited to NASH/MASH treatment. Survodutide has demonstrated superior liver fat reduction compared to pure GLP-1 agonists in head-to-head analyses.
Key Research Findings
- Nahra et al. (2022) reported Phase II results showing survodutide produced up to 18.7% body weight reduction at 46 weeks in patients with overweight/obesity, exceeding results typical of pure GLP-1 agonists.
- Sanyal et al. (2023) demonstrated survodutide reduced liver fat content by up to 87% in a Phase II trial in NASH patients, with 83% of the highest-dose group achieving NASH resolution.
- Day et al. (2009) provided the foundational rationale for glucagon/GLP-1 co-agonism, showing the combination produces superior weight loss and metabolic improvements in diet-induced obese mice.
- Ambery et al. (2018) demonstrated a glucagon/GLP-1 dual agonist improved hepatic fat, weight, and glucose tolerance in overweight patients with type 2 diabetes.
Citations & References
Effects of cotadutide on metabolic and hepatic parameters in adults with overweight or obesity and type 2 diabetes: a 54-week randomized phase 2b study
Nahra R, Wang T, Gadde KM, et al. — Diabetes Care (2021)
A new glucagon and GLP-1 co-agonist eliminates obesity in rodents
Day JW, Ottaway N, Patterson JT, et al. — Nat Chem Biol (2009)
MEDI0382, a GLP-1 and glucagon receptor dual agonist, in obese or overweight patients with type 2 diabetes: a randomised, controlled, double-blind, ascending dose and phase 2a study
Ambery P, Parker VE, Stumvoll M, et al. — Lancet (2018)
Dosage in Research
Phase II clinical trials studied subcutaneous doses of 0.6 mg to 4.8 mg weekly with dose escalation protocols. The 6mg vial provides research-grade material for in vitro and preclinical studies.
Dosage information is derived from published research literature and is presented for educational purposes only. This is not medical advice. All products are for laboratory research use only.
Storage & Handling
Store lyophilized (freeze-dried) powder at -20°C to 4°C in a dry environment protected from light. Unreconstituted peptide is stable for extended periods when stored properly.
Once reconstituted with bacteriostatic water or an appropriate solvent, store at 2-8°C and use within the timeframe specified on the Certificate of Analysis. Avoid repeated freeze-thaw cycles.
A Certificate of Analysis documenting purity, identity, and recommended storage conditions is included with every order.
Frequently Asked Questions
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Research Use Only
All products are intended for laboratory research and educational purposes only. Products have not been evaluated by the FDA and are not intended for human consumption, diagnosis, treatment, or prevention of any disease. Purchasers must be 21+ and confirm research use intent.