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原始链接: https://news.ycombinator.com/item?id=43465346

礼来公司即将发布其口服减肥药orforglipron的关键数据。与现有GLP-1靶向药物(如Wegovy和Ozempic,它们是肽类注射剂)不同,orforglipron是一种小分子口服药片,潜在地更容易生产。 Hacker News的评论员们讨论了该药物的潜力。一位用户确认orforglipron并非只是替尔择帕肽的口服版本,强调了这两种药物在分子大小上的显著差异。另一位用户指出,II期试验显示了显著的体重减轻。 文章的基调引发了一些担忧,一位用户认为其中存在操纵和保护主义,而其他用户则关注该药物对减肥市场中小公司的潜在影响。“Orforglipron”这个名字也被批评为不够吸引人。


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Eli Lilly will soon release key data on its weight loss pill orforglipron (cnbc.com)
14 points by toomuchtodo 35 minutes ago | hide | past | favorite | 9 comments










This isn't just an oral formulation of tirzepatide, right? The article sort of hints at this but doesn't really come out and say it one way or the other.

> Eli Lilly’s pill works in a similar way to Wegovy, Ozempic, and Novo Nordisk’s diabetes pill Rybelsus, targeting a gut hormone called GLP-1 to suppress a person’s appetite and regulate blood sugar.

(These three are all just different names for Semaglutide.)

> But unlike those three medications, Eli Lilly’s pill is not a peptide medication.

> ...

> But so-called small molecule pills [orforglipron] will at least be easier for Eli Lilly to manufacture than injections.



No, it's not a reformulation of tirzepatide. Orforglipron is a small molecule with a molecular mass of 883 g/mol and tirzepatide is a large molecule peptide six tims larger, with a molecular mass of 4813 g/mol.

The Wikipedia pages are decent -- the picture makes it fairly obvious how much smaller (in terms of # atoms) orforglipron is than tirzepatide even if you don't know how to read chemical structures; just count atoms!

https://en.wikipedia.org/wiki/Orforglipron

https://en.wikipedia.org/wiki/Tirzepatide



> This isn't just an oral formulation of tirzepatide, right?

No, the molecule (per wikipedia) is significantly smaller.





It could be the biggest drug. It might get out of phase 3. It may get approval very soon. And of course, "may be a game changer."

When the news is this fast and loose with anything that even looks like a fact how am I not to see this as rank manipulation? There is nothing critical in this article except for how hard doctors and insurance companies might be pressed to prescribe it.

Then they end with this gem:

"But Seigerman said it will also put pressure on smaller companies developing pills, such as Structure Therapeutics, to find a partner that can help them compete in the weight loss drug market with pharmaceutical behemoths like Eli Lilly. "

Oh. I see. It's not just manipulation but dumb protectionist gate keeping.

Depressing.



Phase 2 clinical trials showed 14.7% mean weight reduction at 36 weeks in adults.

That's pretty substantial. Obviously no one knows what Phase 3 will show, but cynicism seems unwarranted at this point.

https://investor.lilly.com/news-releases/news-release-detail...



Fun fact, Orforglipron got named when the lead scientist's cat sat on their keyboard. /s


Yes, the name does seem like they're just fucking with us.


It's a horrible name. I guess we already discovered so many compounds that nice-sounding names are exhausted.

If Deflate had not been picked as compression algorithm name, it surely would be a fine name for a weight loss drug.







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