以下文章来源于内分泌早知道 ，作者关注内分泌的 内分泌早知道 . 核心发现： 1. 全球首次证实：GLP- 1 /GIP双受体激动剂Tir z e pa ti de能有效减少2型糖尿病患者肌肉脂肪沉积，同时保持肌肉量合理变化 深度分享内分泌用药经验、病例剖析、指南专业解读并紧跟国内外内分泌领域前沿进展，「每医健」旗下内容平台。 2. 5 2周治疗数据显示：患者体重显著降低同时，肌肉脂肪浸润程度明显改善，肌肉量变化与体重下降呈科学匹配 3. 创新研究方法：结合UK Bi oba nk近3000例真实世界数据，为临床结果提供精准参照系 研究价值与发表背景 这项具有里程碑意义的研究源自SURPASS- 3临床试验的MRI亚组分析，最新发表于《柳叶刀·糖尿病与内分泌学》2025年6月刊。研究 团队采用高精度MRI技术，系统对比了Tir z e pa ti de与德谷胰岛素治疗5 2周后，2型糖尿病患者大腿肌肉体积、脂肪浸润程度及标准化Z 分数的动态变化。 研究突破性地引入英国生物库大规模人群数据，首次建立了糖尿病药物治疗与肌肉健康变化的科学评价体系。这不仅为Tir z e p a ti de的 临床优势提供了影像学证 ...

以下文章来源于内分泌早知道 ，作者关注内分泌的 内分泌早知道 . 深度分享内分泌用药经验、病例剖析、指南专业解读并紧跟国内外内分泌领域前沿进展，「每医健」旗下内容平台。 核心发现： 1. 全球首次证实：GLP- 1 /GIP双受体激动剂Tir z e pa ti de能有效减少2型糖尿病患者肌肉脂肪沉积，同时保持肌肉量合理变化 2. 5 2周治疗数据显示：患者体重显著降低同时，肌肉脂肪浸润程度明显改善，肌肉量变化与体重下降呈科学匹配 3. 创新研究方法：结合UK Bi oba nk近3000例真实世界数据，为临床结果提供精准参照系 研究价值与发表背景 这项具有里程碑意义的研究源自SURPASS- 3临床试验的MRI亚组分析，最新发表于《柳叶刀·糖尿病与内分泌学》2025年6月刊。研究 团队采用高精度MRI技术，系统对比了Tir z e pa ti de与德谷胰岛素治疗5 2周后，2型糖尿病患者大腿肌肉体积、脂肪浸润程度及标准化Z 分数的动态变化。 研究突破性地引入英国生物库大规模人群数据，首次建立了糖尿病药物治疗与肌肉健康变化的科学评价体系。这不仅为Tir z e p a ti de的 临床优势提供了影像学证 ...

Eli Lilly and Company (NYSE:LLY) is among the 10 Best Money Making Stocks to Invest In. According to a U.S. registry of clinical trials, the firm has halted an experimental drug study designed to stop obesity patients from excessive muscle loss due to undisclosed strategic business reasons. Eli Lilly and Company (LLY) Halts Experimental Study of Muscle-Sparing Obesity Drug The company was testing Bimagrumab, alone or in combination with Tirzepatide, to see how the drugs worked in lowering the body weight ...

开源证券发布研报称，小核酸药物布局减重适应症主要围绕INHBE和ALK7两个靶点。从企业布局角度 来看，目前进度最快的是Arrowhead和Wave，INHBE siRNA分子都将在未来6个月内读出1期试验数据。 临床前大鼠数据显示，Arrowhead的ALK7siRNA分子联用Tirzepatide可以进一步提升减重效果的同时， 还有望带来更持久的疗效，从而实现更长间隔的给药(如月度、季度等)。同时，联用还有望实现高质量 减重，即减脂不减肌。 开源证券主要观点如下： 减重赛道新风口：小核酸药物有望破局千亿美金市场 小核酸药物布局减重适应症主要围绕INHBE(Inhibin subunit beta E)和ALK7(Activin receptor-like kinase7) 两个靶点。INHBE主要在肝脏细胞中表达，作为一种抑制性因子，负责编码并分泌Activin E。这一分子 与其他配体(如GDF3,GDF11,ActB,ActE,ActAB,ActC,Nodal)共同作用，通过结合ALK7来调控脂肪代谢。 ALK7主要在脂肪组织中表达，是INHBE发挥作用的受体。当Activin E与ALK7结合后，抑 ...

医药生物 2025 年 09 月 25 日 投资评级：看好（维持） 行业走势图 数据来源：聚源 0% 12% 24% 36% 48% 60% 2024-09 2025-01 2025-05 医药生物 沪深300 相关研究报告 《原料药公司加速创新药布局，AI+ 医疗布局逐步深化—行业深度报告》 -2025.9.24 《集采优化叠加创新驱动，Pharma 迎 来 发 展 新 阶 段 — 行 业 点 评 报 告 》 -2025.9.22 《创新药行业进入快速成长期，关注 未来 6-12 个月投资机会—行业周报》 -2025.9.14 减重赛道全球前沿进展跟踪（三）：新风口之小核酸药物有 减重赛道新风口：小核酸药物有望破局千亿美金市场 小核酸药物布局减重适应症主要围绕 INHBE（Inhibin subunit beta E）和 ALK7 （Activin receptor-like kinase 7）两个靶点。INHBE 主要在肝脏细胞中表达，作为 一种抑制性因子，负责编码并分泌 Activin E。这一分子与其他配体（如 GDF3, GDF11, ActB, ActE, ActAB, ActC, Nodal）共 ...

Skye shares new preclinical DIO data at virtual KOL eventNimacimab + tirzepatide demonstrates over 40% weight loss in multiple preclinical DIO studies Nimacimab demonstrates durable post-treatment weight loss compared to tirzepatideNimacimab reduced rebound weight gain following treatment with tirzepatide or nimacimab + tirzepatideNimacimab outperformed monlunabant head-to-head, and is uniquely positioned as a well-tolerated therapeutic to potentially induce healthier and sustained weight loss, both as a mo ...

Core Viewpoint - Viking Therapeutics' stock price plummeted by 39.2% following disappointing clinical trial results for its oral obesity candidate VK2735, primarily due to safety concerns related to higher dosages [1][4]. Group 1: Clinical Trial Results - VK2735 demonstrated significant weight loss, with patients losing up to 14.7% of their weight after 13 weeks of daily dosing [11]. - However, the safety profile was concerning, as 35% of patients in the higher dosage groups reported vomiting, compared to only 13% for Eli Lilly's Zepbound [8][9]. - The adverse reactions raise doubts about VK2735's viability as a competitive alternative to existing injectable obesity treatments [8][9]. Group 2: Market Context - The anti-obesity drug market is currently dominated by GLP-1 receptor agonists, with Novo Nordisk's semaglutide generating $17.6 billion in sales in the first half of 2025, and Eli Lilly's tirzepatide reaching $14.7 billion [5][6]. - Tirzepatide's success is attributed to its dual action on GLP-1 and GIP receptors, setting high expectations for VK2735, which is also a dual receptor agonist [7]. Group 3: Future Prospects - Viking Therapeutics is not solely reliant on VK2735; it has initiated a phase 3 trial for an injectable version of VK2735, expected to enroll around 4,500 adults [10]. - The company also has two thyroid hormone receptor-beta agonists in clinical testing, with VK2809 having already succeeded in a phase 2 study [12]. - Despite the setback with oral VK2735, the company still holds potential for future growth through its other candidates [14]. Group 4: Investment Considerations - With a market cap around $2.9 billion, the current valuation suggests that investors are not expecting significant outcomes from VK2735 or the rest of Viking's pipeline [13]. - For investors with a high risk tolerance, this may present a buying opportunity as the company continues to develop its other drug candidates [14].

Core Findings - The study confirms that the GLP-1/GIP dual receptor agonist Tirzepatide effectively reduces muscle fat deposition in type 2 diabetes patients while maintaining reasonable muscle mass changes [4][5] - After 52 weeks of treatment, patients showed significant weight loss and improved muscle fat infiltration, with muscle mass changes scientifically aligned with weight loss [4][5] - The research utilized data from the UK Biobank, involving nearly 3,000 real-world cases, providing a precise reference for clinical outcomes [4][5] Research Background - This milestone study originated from the MRI subgroup analysis of the SURPASS-3 clinical trial and was published in The Lancet Diabetes & Endocrinology in June 2025 [5] - The research team employed high-precision MRI technology to systematically compare the effects of Tirzepatide and insulin degludec on thigh muscle volume, fat infiltration, and standardized Z-scores after 52 weeks [5][7] Clinical Significance - Weight management is a core strategy in type 2 diabetes treatment, with over 10% weight loss potentially leading to disease remission and cardiovascular benefits [7] - Traditional weight loss methods often result in muscle loss, increasing the risk of sarcopenia in elderly patients [7] - Tirzepatide, as the first GIP/GLP-1 dual receptor agonist, has demonstrated superior weight loss and fat regulation effects, with this study providing authoritative data on its impact on muscle composition [7][8] Research Methodology - The study employed an international multicenter, randomized controlled trial design, including strictly defined type 2 diabetes patients [8] - Participants were divided into four groups: Tirzepatide 5mg/10mg/15mg weekly injection groups and a daily injection control group of insulin degludec [8] Key Research Highlights - Precise imaging assessments were conducted at baseline and after 52 weeks using MRI to quantitatively measure thigh muscle fat infiltration, lean muscle volume, and standardized Z-scores [9] - The introduction of UK Biobank data established a muscle-weight change model, enhancing the generalizability of the results [9] - Key findings indicated that weight loss does not equate to muscle loss, showcasing Tirzepatide's unique advantages [9][10] Clinical Breakthrough - The study innovatively utilized MRI technology to assess the effects of Tirzepatide on muscle composition in type 2 diabetes patients [13] - It revealed that significant weight loss (average 10.1%) was achieved while effectively reducing muscle fat infiltration, with muscle mass decline within physiological adaptation limits [13][14] Multiple Clinical Benefits - Tirzepatide demonstrated a unique "fat loss, muscle preservation" advantage, significantly reducing muscle fat infiltration by 0.36 percentage points [15] - The muscle mass reduction of 0.64 liters was proportionate to weight loss, outperforming muscle loss associated with simple dieting [15] - The study provided critical decision-making references for clinicians, particularly for patients needing enhanced weight management [15] Limitations and Future Directions - The study did not assess changes in muscle strength and daily activity capabilities [15] - There was a lack of strict control over lifestyle factors such as diet and exercise [15] - Long-term efficacy and safety beyond one year require further validation [15]

Company Strategy & Market Opportunity - Lilly aims to provide freedom from diabetes, eliminate serious health issues caused by obesity, and reduce cardiovascular deaths[10] - The company estimates a significant addressable market of over 170 million patients by 2030 for obesity and related conditions[13] - Outside of the US, the addressable market is expected to be approximately 1 billion patients[15] Orforglipron Development Program - Orforglipron, a GLP-1 small molecule, has a broad development plan including studies for Type 2 Diabetes, obesity, hypertension, and obstructive sleep apnea[20] - In the ACHIEVE-1 trial, all three doses of orforglipron achieved superiority versus placebo in reducing HbA1c levels in patients with Type 2 Diabetes[27] - ACHIEVE-1 trial data showed significant reductions in HbA1c observed as early as 4 weeks, with approximately 3/4 of patients achieving an ADA HbA1c target of less than 7%, and 2/3 reaching HbA1c ≤6.5%[27] - ACHIEVE-1 trial also demonstrated dose-dependent reduction in body weight, with approximately 2/3 of patients achieving ≥5% weight reduction and approximately 1/3 achieving ≥10% weight reduction[30] - Topline results for ATTAIN-1, an orforglipron trial in obesity, are expected in Q3 2025[39] Retatrutide Development Program - Retatrutide is undergoing global development with the TRIUMPH program for obesity and related complications, and the TRANSCEND program for Type 2 Diabetes[41] - Topline results for TRIUMPH-4, a retatrutide trial in knee osteoarthritis pain and overweight or obesity, are expected in Q4 2025[48] Tirzepatide & Early Phase Pipeline - The SURPASS-CVOT trial is designed to evaluate tirzepatide against dulaglutide in patients with established cardiovascular disease[51] - Eloralintide, a selective amylin receptor agonist, showed weight loss up to 11.3% in Phase 1 trials and is well-tolerated with less than 10% incidence of GI side effects[60]

Group 1: Dividend-Paying Stocks Performance - Dividend-paying stocks in the S&P 500 index delivered an average annualized return of 9.2% over the 50-year period ending in 2024, compared to 4.3% for non-dividend stocks [3] - Novo Nordisk and Constellation Brands are highlighted as dividend-paying stocks that have seen significant price declines but are expected to rebound [4] Group 2: Novo Nordisk Analysis - Novo Nordisk's stock price has dropped over 50% in the past year, yet its earnings per share have increased by 154% over the last five years, indicating strong underlying performance [5] - Analysts project a consensus price target above $97 per share for Novo Nordisk, suggesting a potential 40% increase in the next 12 months [6] - The company has increased total dividends per share by 173% from 2019 to 2024, with a potential yield of 1.8% for investors buying at recent prices [7] - First-quarter sales of its obesity drug, Wegovy, surged by 65% to $2.9 billion, contributing to an overall revenue increase of 18% at constant exchange rates [8] - The main patent for semaglutide, Novo Nordisk's leading drug, does not expire until 2032, allowing for continued market exclusivity [10] Group 3: Constellation Brands Analysis - Constellation Brands' stock has fallen by about one-third in the past year, but analysts expect a rebound with an average price target of $202, implying a 17% gain [11] - The company has consistently raised its dividend since 2015, with a current yield of 2.4% and a 229% increase in dividend payments over the past 10 years [12][13] - Constellation's beer business is gaining market share, and despite potential challenges from new tariffs on imports from Mexico, it remains the sole distributor of popular brands like Modelo and Corona [14][15]