GUBamy (GUB014295)
GUBamy (GUB014295) is a novel, long-acting dual amylin and calcitonin receptor agonist (DACRA) developed by Gubra and licensed to AbbVie. It represents a mechanistically distinct approach to obesity treatment compared to GLP-1 receptor agonists, showing significant weight loss potential and an 11-day half-life that supports once-weekly dosing.
01Dosing reference
02Mechanism of action
Dual Receptor Activation
GUBamy binds to and activates both amylin receptors (AMY1-3) and calcitonin receptors (CTR) in the brainstem, specifically the area postrema.
Appetite and Gastric Regulation
This activation suppresses appetite, delays gastric emptying, and reduces postprandial glucagon secretion, independent of the GLP-1 pathway.
Weight Loss and Metabolic Control
The combined effects lead to sustained reductions in food intake and significant body weight loss, with potential for additive effects when combined with GLP-1 therapies.
03Human evidence
In a Phase 1 Multiple Ascending Dose (MAD) interim analysis, GUBamy at 2 mg weekly produced a 7.77% mean weight loss by day 43.
Phase 1 MAD interim data in healthy/overweight volunteers; compared to 1.99% weight gain with placebo. Early stage data requiring confirmation in larger trials.
GUBamy demonstrated a favorable pharmacokinetic profile with an 11-day half-life, supporting once-weekly subcutaneous administration.
Phase 1 Single Ascending Dose (SAD) trial in healthy subjects. The drug was well tolerated with predominantly mild, transient gastrointestinal adverse events.
04Preclinical evidence
GUBamy showed dose-dependent and sustained reduction in food intake lasting over 140 hours after a single dose.
Diet-Induced Obese (DIO) rat model evaluating single-dose administration.
Co-administration of GUBamy with GLP-1, GLP-1/GIP, or GLP-1/glucagon agonists resulted in additive body-weight and fat mass loss.
4-week combination study in DIO rats, demonstrating synergistic potential with existing incretin therapies.
05What is known vs. unknown
- GUBamy is a dual amylin and calcitonin receptor agonist (DACRA), offering a non-GLP-1 mechanism for weight management.
- It has an extended half-life of approximately 11 days (270 hours), allowing for convenient once-weekly dosing.
- Phase 1 clinical data indicates significant early weight loss (7.77% at 43 days with 2 mg weekly).
- Preclinical data strongly supports its use in combination with GLP-1 receptor agonists for enhanced efficacy.
- Long-term safety, efficacy, and tolerability in large, diverse patient populations remain unknown as it is only in early clinical development.
- The clinical efficacy and safety of combining GUBamy with GLP-1 therapies have not yet been established in human trials.
- The prolonged 11-day half-life means that if severe adverse events occur, the drug will remain in the system for an extended period.
06Safety & regulatory context
07Compared with Pramlintide (Symlin)
08Glossary
09Knowledge check
10Sources
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