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Peptides, hormones and pipeline drugs

Oxyntomodulin

Oxyntomodulin is a natural gut hormone that activates both the GLP-1 and glucagon receptors, and it inspired dual-agonist drugs such as mazdutide and survodutide.

DefinitionOxyntomodulin is a natural gut hormone that activates both the GLP-1 and glucagon receptors, and it inspired dual-agonist drugs such as mazdutide and survodutide.

What it means

Oxyntomodulin is made from the same precursor protein as glucagon and GLP-1, in the same intestinal L-cells. It is released after meals and acts weakly on both the GLP-1 receptor and the glucagon receptor.

Small human studies in the 2000s found that oxyntomodulin injections reduced food intake and increased energy use. Like natural GLP-1, though, it breaks down within minutes, so it cannot be used as a medicine on its own.

That two-receptor profile became a blueprint. Drug makers engineered longer-lasting molecules with balanced GLP-1 and glucagon activity. Mazdutide is often described as an oxyntomodulin analog, and survodutide works on the same pair of receptors.

No oxyntomodulin product is FDA-approved. Mazdutide is approved in China, and survodutide was still in phase 3 trials at our last review, so the approach is not yet available as a US medicine.

Why it matters

Oxyntomodulin is the natural model for the glucagon and GLP-1 dual agonists now in late-stage trials.

Related terms

Sources

  1. PubMed: oxyntomodulin research

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