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Library · Metabolic & weight · Treatment of obesity and type 2 diabetes

Survodutide (BI 456906)

BI 456906, BI456906, Survodutide

A dual glucagon/GLP-1 receptor agonist (BI 456906) from Boehringer Ingelheim and Zealand Pharma. It combines glucagon-driven energy expenditure with GLP-1-driven appetite suppression for weight management and metabolic dysfunction–associated steatohepatitis.

Research score 85/100. Reference only, not a dose.

  • Appetite Suppression
  • Blood Sugar Control
  • Metabolic Enhancement
  • GLP-1 Agonist
  • Weight Loss
US status
Investigational
Approval
Phase 2 Clinical Trial
Evidence
Phase 3 trials ongoing (SYNCHRONIZE). Strong weight loss and liver fat reduction data.
Research score
85 / 100
Indication
Investigational - Type 2 Diabetes Mellitus
Origin
Germany
Source category
Digestive System
Status group
Investigational

Mechanism

GLP-1 receptor activation raises glucose-dependent insulin release, cuts glucagon, slows gastric emptying, and promotes satiety via the hypothalamus; glucagon receptor activation adds energy expenditure and fat oxidation through liver glucose production and thermogenesis; structural modifications extend its half-life.

Safety file

GI effects such as nausea, diarrhea, and vomiting are common and dose-related; some trials saw higher discontinuation due to GI issues.

  • Nausea
  • Vomiting
  • Diarrhea
  • Decreased appetite
  • Injection site reactions