Taspoglutide is protected against DPP-4 degradation by the Aib 8 /Aib 35 substitution but is still cleared rapidly by the kidney
the similar GIP/GLP-1 medication, tirzepatide (Mounjaro, Zepbound)
Commercial -CGN is a random copolymer of -CGN and theta ()-CGN in the ratio of about 90:10

Disclosures: Virginia Clark: Nothing to Disclose, Charlie Strange: Takeda: Grant/Research Support, Grifols: Grant/Research Support, Beam: Consultant, GlaxoSmithKline: Consultant, Krystal: Grant/Research Support, Vertex: Grant/Research Support, AlphaNet: Executive role, Pavel Strnad: Arrowhead Pharmaceuticals: Grant/Research Support, CSL Behring: Grant/Research Support, CSL Behring: Speaking and Teaching, BioMarin Pharmaceutical: Consultant, GSK: Consultant, Intellia: Consultant, Takeda Pharmaceuticals: Speaking and Teaching, Novo Nordisk: Consultant, Swedish Orphan Biovitrum: Consultant, Swedish Orphan Biovitrum: Speaking and Teaching, IPSEN: Consultant, James Hamilton: Nothing to Disclose, Rong Zhou: Nothing to Disclose, Thomas Schluep: Nothing to Disclose, Anne Wyman: Nothing to Disclose, Susana Gonzalez: Takeda Pharmaceutical: Employee, Yanwei Zhang: Nothing to Disclose, Rohit Loomba: Nothing to Disclose 2524 PREVALENCE ESTIMATES OF GENOTYPES ASSOCIATED WITH ALPHA-1 ANTITRYPSIN DEFICIENCY: A RETROSPECTIVE COHORT STUDY IN THE USA Grahame Evans 1 Xinruo Zhang 2 Jennifer Below 1 Kari North 2 May Hagiwara 3 Chitra Karki 3 Tami Nussbaum 3 Suna Park 3 Kaili Ren 3 Virginia Clark 4 , 1 Vanderbilt University, 2 University of North Carolina Chapel Hill, 3 Takeda Development Center Americas, Inc., 4 University of Florida Background: Pathogenic SERPINA1 variants cause alpha-1 antitrypsin deficiency (AATD)

Three-Year Data Weight loss stayed strong

Study Strengths & Limitations Strengths: Large, international, double-blind RCT with adjudicated endpoints Comprehensive, repeated adiposity measures using standardised protocols Sophisticated statistical handling including multiple imputation models for missing data Pre-specified analysis with clear hypotheses Limitations: Predominantly White (77%) and male (63%) cohortgeneralisability to other populations requires confirmation Industry-funded (Novo Nordisk), though with independent academic oversight Post-randomisation analyses of weight/waist changes are observational and cannot prove causation The paradoxical association in placebo between weight loss and increased MACE suggests unintentional weight loss from comorbiditya key confounder The Bottom Line for Clinicians Semaglutide provides robust cardiovascular protection in patients with obesity and established CVD, independent of baseline adiposity and largely independent of weight-loss magnitude