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Pramlintide + metreleptin is a combination of two peptide-based drugs, pramlintide (an amylin analog) and metreleptin (a leptin analog), developed as an investigational therapy for obesity. Pramlintide acts by mimicking the effects of amylin, a hormone co-secreted with insulin by pancreatic β-cells, to slow gastric emptying, suppress post-prandial glucagon secretion, and increase satiety. Metreleptin is a recombinant analog of human leptin that binds to and activates the leptin receptor to regulate satiety and energy expenditure. The combination was shown in clinical trials to produce greater weight loss than either agent alone by integrating short-term satiation signaling (amylin) with long-term adiposity signaling (leptin). Development was discontinued after Phase 2 due to commercial reasons despite evidence of robust efficacy in sustained weight loss[1][5][8][2].
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