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Maridebart cafraglutide (AMG 133, MariTide) is an investigational bispecific biologic developed by Amgen for the treatment of obesity and related cardiometabolic conditions, including atherosclerotic cardiovascular disease (ASCVD) and heart failure. It possesses a unique dual mechanism of action, acting as an agonist of the glucagon-like peptide-1 receptor (GLP-1R) and an antagonist of the gastric inhibitory polypeptide receptor (GIPR). Structurally, the molecule is a peptide-antibody conjugate consisting of two GLP-1 peptide analogues linked to a single monoclonal antibody that serves as the GIPR antagonist. This configuration provides a long half-life of approximately 21 days, enabling a monthly or less frequent subcutaneous dosing schedule. The drug is currently being evaluated in Phase 3 clinical trials, including the MARITIME-CV study focusing on cardiovascular outcomes in patients with ASCVD and obesity or overweight.
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