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Survodutide (BI 456906) is an investigational GLP-1 receptor and glucagon receptor dual agonist peptide studied in clinical trials for metabolic and liver-related endpoints.
Survodutide (development code BI 456906) is an investigational peptide characterized in the literature as a dual agonist of the glucagon-like peptide-1 (GLP-1) receptor and the glucagon (GCG) receptor. It has been studied in a program of clinical trials examining metabolic endpoints and liver-associated outcomes [1][2].
The compound belongs to the broader class of multi-receptor metabolic peptides that combine incretin and glucagon signaling in a single molecule. It carries an acylated (fatty-acid) modification associated with an extended pharmacokinetic profile in the published descriptions [1].
As an investigational agent, survodutide has not received general marketing authorization at the time of writing and is described in research contexts only.
Survodutide is reported to activate both the GLP-1 receptor and the glucagon receptor. In the published literature, GLP-1 receptor activity is linked to glucose-dependent insulin secretion and appetite-related pathways, while glucagon receptor activity is linked to hepatic metabolism and energy-expenditure pathways [1][3].
The dual mechanism has been studied specifically in the context of metabolic-associated steatotic liver disease (MASLD/NASH) research and body-weight endpoints. All effects described here are attributed to cited studies.
Phase 2 MASH trial: A randomized, double-blind, placebo-controlled phase 2 study evaluated survodutide in adult participants with biopsy-confirmed metabolic dysfunction-associated steatohepatitis, reporting histological improvement endpoints across dose groups versus placebo [2]. Presented for scientific reference only.
Phase 2 weight-management trial: A randomized controlled trial in adults with overweight or obesity measured percentage change in body weight across escalating dose groups over the treatment period, reporting dose-related outcomes versus placebo [3].
Preclinical and phase 1 characterization: In vitro receptor studies and early-phase human pharmacokinetic studies characterized dual-agonist potency and the acylated peptide's exposure profile [1].
Combinations examined in the research literature. Descriptive only — not a recommendation to combine compounds.