Novel NPY2R agonist BI 1820237 provides synergistic anti-obesity efficacy when combined with the GCGR/GLP-1R dual agonist survodutide

Summary: Objective: Nutrient-stimulated gut hormone peptide YY3–36 (PYY3–36) selectively activates the neuropeptide Y2 receptor (NPY2R) and reduces energy intake in humans. We describe the discovery and pharmacology of the long-acting NPY2R agonist BI 1820237 and its potential bodyweight-lowering e...

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Main Authors: Robert Augustin, Anouk Oldenburger, Tamara Baader-Pagler, Tina Zimmermann, Jens Borghardt, Jacob Hecksher-Sørensen, Angela Baljuls, Wolfgang Reindl, Bartlomiej Krawczyk, Eric Martel, Albert Brennauer, Stefan Peters, Achim Grube, Lise Biehl Rudkjaer, Peter Haebel
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Molecular Metabolism
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212877825001127
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author Robert Augustin
Anouk Oldenburger
Tamara Baader-Pagler
Tina Zimmermann
Jens Borghardt
Jacob Hecksher-Sørensen
Angela Baljuls
Wolfgang Reindl
Bartlomiej Krawczyk
Eric Martel
Albert Brennauer
Stefan Peters
Achim Grube
Lise Biehl Rudkjaer
Peter Haebel
author_facet Robert Augustin
Anouk Oldenburger
Tamara Baader-Pagler
Tina Zimmermann
Jens Borghardt
Jacob Hecksher-Sørensen
Angela Baljuls
Wolfgang Reindl
Bartlomiej Krawczyk
Eric Martel
Albert Brennauer
Stefan Peters
Achim Grube
Lise Biehl Rudkjaer
Peter Haebel
author_sort Robert Augustin
collection DOAJ
description Summary: Objective: Nutrient-stimulated gut hormone peptide YY3–36 (PYY3–36) selectively activates the neuropeptide Y2 receptor (NPY2R) and reduces energy intake in humans. We describe the discovery and pharmacology of the long-acting NPY2R agonist BI 1820237 and its potential bodyweight-lowering efficacy alone and in combination with the glucagon receptor (GCGR)/glucagon-like peptide-1 receptor (GLP-1R) dual agonist survodutide. Methods &amp; Results: BI 1820237 dose-dependently reduced food intake and gastric emptying in lean mice. Significant bodyweight reductions were not observed with BI 1820237 alone in diet-induced obese mice, however combination with survodutide led to bodyweight reduction of 22% which was significantly (p < 0.01) greater than the 17% bodyweight reduction with survodutide alone. Regression-based interaction analysis demonstrated that BI 1820237 increased the efficacy of survodutide by 265% at an ED50 of 11.7 nmol/kg over a range of dose combinations. Conclusion: Synergistic NPY2R and GCGR/GLP-1R agonism provides an attractive mode of action for clinically relevant weight loss in patients with obesity.
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spelling doaj-art-afccfa8cf8c444efb0ab8acb57a8ef022025-07-26T05:23:05ZengElsevierMolecular Metabolism2212-87782025-09-0199102205Novel NPY2R agonist BI 1820237 provides synergistic anti-obesity efficacy when combined with the GCGR/GLP-1R dual agonist survodutideRobert Augustin0Anouk Oldenburger1Tamara Baader-Pagler2Tina Zimmermann3Jens Borghardt4Jacob Hecksher-Sørensen5Angela Baljuls6Wolfgang Reindl7Bartlomiej Krawczyk8Eric Martel9Albert Brennauer10Stefan Peters11Achim Grube12Lise Biehl Rudkjaer13Peter Haebel14Boehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, Germany; Corresponding author. Boehringer Ingelheim International GmbH, Birkendorfer Str. 65, 88397, Biberach an der Riβ, Germany.Boehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyGubra A/S, Hørsholm Kongevej 11B, 2970, Hørsholm, DenmarkBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanyGubra A/S, Hørsholm Kongevej 11B, 2970, Hørsholm, DenmarkBoehringer Ingelheim Pharma GmbH &amp; Co. KG, Birkendorfer Str. 65, 88397, Biberach an der Riβ, GermanySummary: Objective: Nutrient-stimulated gut hormone peptide YY3–36 (PYY3–36) selectively activates the neuropeptide Y2 receptor (NPY2R) and reduces energy intake in humans. We describe the discovery and pharmacology of the long-acting NPY2R agonist BI 1820237 and its potential bodyweight-lowering efficacy alone and in combination with the glucagon receptor (GCGR)/glucagon-like peptide-1 receptor (GLP-1R) dual agonist survodutide. Methods &amp; Results: BI 1820237 dose-dependently reduced food intake and gastric emptying in lean mice. Significant bodyweight reductions were not observed with BI 1820237 alone in diet-induced obese mice, however combination with survodutide led to bodyweight reduction of 22% which was significantly (p < 0.01) greater than the 17% bodyweight reduction with survodutide alone. Regression-based interaction analysis demonstrated that BI 1820237 increased the efficacy of survodutide by 265% at an ED50 of 11.7 nmol/kg over a range of dose combinations. Conclusion: Synergistic NPY2R and GCGR/GLP-1R agonism provides an attractive mode of action for clinically relevant weight loss in patients with obesity.http://www.sciencedirect.com/science/article/pii/S2212877825001127PYY3–36NPYNPY2RBI 1820237SurvodutideObesity
spellingShingle Robert Augustin
Anouk Oldenburger
Tamara Baader-Pagler
Tina Zimmermann
Jens Borghardt
Jacob Hecksher-Sørensen
Angela Baljuls
Wolfgang Reindl
Bartlomiej Krawczyk
Eric Martel
Albert Brennauer
Stefan Peters
Achim Grube
Lise Biehl Rudkjaer
Peter Haebel
Novel NPY2R agonist BI 1820237 provides synergistic anti-obesity efficacy when combined with the GCGR/GLP-1R dual agonist survodutide
Molecular Metabolism
PYY3–36
NPY
NPY2R
BI 1820237
Survodutide
Obesity
title Novel NPY2R agonist BI 1820237 provides synergistic anti-obesity efficacy when combined with the GCGR/GLP-1R dual agonist survodutide
title_full Novel NPY2R agonist BI 1820237 provides synergistic anti-obesity efficacy when combined with the GCGR/GLP-1R dual agonist survodutide
title_fullStr Novel NPY2R agonist BI 1820237 provides synergistic anti-obesity efficacy when combined with the GCGR/GLP-1R dual agonist survodutide
title_full_unstemmed Novel NPY2R agonist BI 1820237 provides synergistic anti-obesity efficacy when combined with the GCGR/GLP-1R dual agonist survodutide
title_short Novel NPY2R agonist BI 1820237 provides synergistic anti-obesity efficacy when combined with the GCGR/GLP-1R dual agonist survodutide
title_sort novel npy2r agonist bi 1820237 provides synergistic anti obesity efficacy when combined with the gcgr glp 1r dual agonist survodutide
topic PYY3–36
NPY
NPY2R
BI 1820237
Survodutide
Obesity
url http://www.sciencedirect.com/science/article/pii/S2212877825001127
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