Bioglutide (NA-931)
Bioglutide (NA-931) is an investigational oral small-molecule quadruple receptor agonist targeting GLP-1, GIP, glucagon, and IGF-1 receptors. Currently in Phase 2 clinical trials, it is designed to promote significant weight loss while preserving muscle mass and minimizing common gastrointestinal side effects associated with traditional therapies.
01Dosing reference
02Mechanism of action
Quadruple Receptor Activation
Bioglutide binds to and activates GLP-1, GIP, glucagon (GCGR), and IGF-1 receptors simultaneously.
Metabolic and Anabolic Synergy
GLP-1 and GIP enhance insulin secretion and satiety, glucagon increases energy expenditure, and IGF-1 promotes muscle protein synthesis.
Fat Loss with Muscle Preservation
This combined action leads to significant reductions in adipose tissue while preventing the lean muscle mass loss typically seen with rapid weight loss.
03Human evidence
Phase 2 clinical trials indicate significant reductions in body weight and fat mass in obese subjects.
Ongoing Phase 2B trials by Biomed Industries evaluating oral administration for obesity and type 2 diabetes.
Early data suggests improved tolerability and preservation of lean muscle mass compared to traditional GLP-1 agonists.
Clinical evaluations focusing on mitigating gastrointestinal side effects and muscle wasting.
04Preclinical evidence
Demonstrated synergistic effects on weight reduction and glycemic control in animal models of obesity.
Rodent models evaluating the quadruple agonist approach versus single or dual agonists.
Showed protective effects on lean body mass during caloric deficit.
Preclinical assessments of the IGF-1 receptor activation component.
05What is known vs. unknown
- It is an oral small molecule, not an injectable peptide, making it more convenient for patients.
- Targets four distinct metabolic pathways: GLP-1, GIP, Glucagon, and IGF-1.
- The inclusion of IGF-1 receptor activation is specifically aimed at preserving muscle mass during weight loss.
- Currently in Phase 2 clinical trials for obesity and Type 2 Diabetes.
- Long-term safety and efficacy data in large human populations are not yet available.
- The exact degree of muscle preservation compared to diet and exercise alone remains to be fully quantified in Phase 3 trials.
- Potential off-target effects of systemic IGF-1 activation require careful long-term monitoring.
06Safety & regulatory context
07Compared with Retatrutide
08Glossary
09Knowledge check
10Sources
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