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NNC0090-2746 is a fatty-acylated 40-amino acid peptide that acts as a dual agonist at both the glucose-dependent insulinotropic polypeptide receptor (GIPR) and the glucagon-like peptide 1 receptor (GLP-1R). It was developed for the treatment of type 2 diabetes and obesity. The drug is designed to improve glycemic control and reduce body weight by synergistically activating both incretin receptors. In clinical trials, NNC0090-2746 demonstrated significant improvements in glycemic control and reductions in body weight compared to placebo. The compound features acylation with a C16 fatty acid chain to prolong its half-life via albumin binding but has a shorter half-life than some other dual agonists like tirzepatide. NNC0090-2746 was generally safe and well tolerated in studies[1][4][5].
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