Curriculum
Module 15 · 40 min

Controversies, Pipeline & Frontier

What's in phase II/III right now — and what 2027 will probably look like.

CoreClinicalAdvanced
Core topics

What's covered

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Learning objectives

By the end of this module you will be able to

  • L01Name three pipeline molecules expected to file by 2027.
  • L02Articulate the 'muscle preservation during weight loss' problem and current peptide solutions.
Expected takeaways

What you should walk away believing

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Takeaway mastery
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Lesson · Core emphasis

What this means for you

Patient summary

The wave that started with Ozempic isn't slowing down — expect new options every year, including oral pills and combinations that preserve muscle while losing fat.

Clinician summary

Track: retatrutide, orforglipron, CagriSema, bimagrumab, taldefgrobep alfa, survodutide, and the post-MASH approval landscape (resmetirom is a small molecule; semaglutide/tirzepatide MASH RCTs are reading out).

Evidence-graded claims

What the data say

B
Retatrutide phase II showed >24% mean weight loss at 48 wk
Jastreboff NEJM 2023; phase III pending.
C
Bimagrumab preserves lean mass during weight loss
Phase II signal; activin pathway.
Quick check

Test yourself

Q1Cagrisema combines:
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Orforglipron is unique because?
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References · 4

Sources cited in this module

  1. [1]
    Survodutide for MASH — Phase 2
    Sanyal AJ. et al. · NEJM · 2024RCT · T2
  2. [2]
    Triple-Hormone-Receptor Agonist Retatrutide for Obesity — Phase 2
    Jastreboff AM. et al. · NEJM · 2023RCT · T2
  3. [3]
  4. [4]