Discovery of the Once-Weekly Glucagon-Like Peptide-1 (GLP-1) Analogue SemaglutideClick to copy article linkArticle link copied!
- Jesper Lau
- Paw Bloch
- Lauge Schäffer
- Ingrid Pettersson
- Jane Spetzler
- Jacob Kofoed
- Kjeld Madsen
- Lotte Bjerre Knudsen
- James McGuire
- Dorte Bjerre Steensgaard
- Holger Martin Strauss
- Dorte X. Gram
- Sanne Møller Knudsen
- Flemming Seier Nielsen
- Peter Thygesen
- Steffen Reedtz-Runge
- Thomas Kruse
Abstract
Liraglutide is an acylated glucagon-like peptide-1 (GLP-1) analogue that binds to serum albumin in vivo and is approved for once-daily treatment of diabetes as well as obesity. The aim of the present studies was to design a once weekly GLP-1 analogue by increasing albumin affinity and secure full stability against metabolic degradation. The fatty acid moiety and the linking chemistry to GLP-1 were the key features to secure high albumin affinity and GLP-1 receptor (GLP-1R) potency and in obtaining a prolonged exposure and action of the GLP-1 analogue. Semaglutide was selected as the optimal once weekly candidate. Semaglutide has two amino acid substitutions compared to human GLP-1 (Aib8, Arg34) and is derivatized at lysine 26. The GLP-1R affinity of semaglutide (0.38 ± 0.06 nM) was three-fold decreased compared to liraglutide, whereas the albumin affinity was increased. The plasma half-life was 46.1 h in mini-pigs following i.v. administration, and semaglutide has an MRT of 63.6 h after s.c. dosing to mini-pigs. Semaglutide is currently in phase 3 clinical testing.
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