This structure has been shown to improve peptide chemical stability and to extend in vivo activity 15,16 and could provide some stability benefit when in antibody fusion
PMID 7427470
PMCID: PMC3103569
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Notably, a 2020 clinical trial involving patients with nonalcoholic steatohepatitis (NASH) revealed a 15% incidence of tumors (benign, malignant, or unspecified) (35/239) among those administered semaglutide, compared to 8% (6/80) in the control group [108]
Our results are in line with a recent network meta-analysis including 764 trials and 421,346 patients [25] which demonstrated that use of GLP-1RA reduces all cause and cardiovascular mortality, non-fatal myocardial infarction, non-fatal stroke, and kidney failure, with a substantial benefit on non-fatal stroke over SGLT-2 inhibitors and notable differences in the tolerability profile