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SAR438335 is a dual agonist targeting the glucagon-like peptide-1 receptor (GLP-1R) and the glucose-dependent insulinotropic polypeptide receptor (GIPR), developed by Sanofi for the treatment of type 2 diabetes mellitus. As a unimolecular dual incretin receptor agonist, it was designed to mimic the effects of both GLP-1 and GIP hormones to improve glycemic control and promote weight loss. The drug reached Phase I clinical trials but was discontinued by Sanofi in late 2018 or early 2019. This strategic decision was reportedly driven by the competitive landscape, specifically the rapid clinical progress of Eli Lilly's tirzepatide, a first-in-class dual GIP/GLP-1 agonist.
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