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:
Flashcards · Spaced repetition
Lock it in — review what's due
Due1Total1
FrontNew
1 in queueOrforglipron is unique because?
Click to reveal answer
References · 4
Sources cited in this module
- [1]Survodutide for MASH — Phase 2Sanyal AJ. et al. · NEJM · 2024RCT · T2
- [2]Triple-Hormone-Receptor Agonist Retatrutide for Obesity — Phase 2Jastreboff AM. et al. · NEJM · 2023RCT · T2
- [3]Daily Oral Orforglipron in Adults with Type 2 Diabetes — Phase 2Frias JP. et al. · NEJM · 2023RCT · T2
- [4]Effect of Epitalon on biomarkers of aging, life span and spontaneous tumor incidence in female Swiss-derived SHR miceAnisimov VN. et al. · Biogerontology · 2003Mechanism / preclinical · T3