Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Compound monograph · Combinations and unimolecular co-agonists

Amycretin — compound monograph

Unimolecular amylin and GLP-1 receptor co-agonist. Phase 2. The Institute assesses 1 outcome for this compound and grades the strongest at low certainty.

Document identifier
CEI-MN-017
Series
Compound monograph
Version
2.0
Published
11 Nov 2023
Last reviewed
11 Aug 2024
Next review
11 Aug 2026
Identifier
10.71829/cei.mono.17
Certainty
Low
Cycle
2023 Q4

§1Identification and status

§1.1Nomenclature

Preferred name
Amycretin
Compound class
Unimolecular amylin and GLP-1 receptor co-agonist
Assessment series
Combinations and unimolecular co-agonists
Synonyms and codes
NNC0487-0111 · amycretin (INN)
Route as evaluated
Subcutaneous once weekly, and oral once daily in a parallel programme

§1.2Chemistry

Chemical identifiers are reproduced where they are public. Where a structure has not been published the monograph records not disclosed rather than constructing one.[1]

CAS registry number
not assigned in public records
Molecular formula
not published
Average mass
not published
Monoisotopic mass
not published
ATC classification
not assigned

§1.3Sequence and structural notes

A single-molecule co-agonist combining amylin and GLP-1 receptor pharmacology, with subcutaneous and oral formulations in development

Amycretin differs from CagriSema in being one molecule rather than a co-formulation of two, which removes the content-ratio quality attribute but introduces the analytical challenge of characterising a chimeric sequence with no natural parent.

§1.4Assessment status

The Institute assesses Amycretin across 1 indication and grades the strongest of them at low certainty. In exploratory clinical development.

Distribution of certainty ratingsShare of assessed outcomes at each certainty level.1assessed outcomes
HighModerateLowVery low
Figure 1. Distribution of certainty ratings across the 1 outcome the Institute assesses for Amycretin. A rating attaches to a specific population, comparator and outcome and does not transfer between them.

Table 1. Assessed outcomes for Amycretin, ordered by certainty. Each row links to the per-indication evidence extract.

IndicationEffect as recordedCertaintyTrials
Obesity and overweight in adults−13.1 % body weight at 12 weeks in a phase 1b subcutaneous study versus −1.1 % with placeboLow3
Effects are reproduced as the contributing trials reported them. Where a confidence interval is held it appears on the per-indication extract rather than in this summary table.

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use. ICH Q6B Specifications: Test Procedures and Acceptance Criteria for Biotechnological/Biological Products. ICH Harmonised Tripartite Guideline 1999;Step 4 version. identifier not held by the Institute

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

Nothing published by the Institute is medical advice, a diagnosis, a prescription, a treatment recommendation or a purchasing recommendation. Compounds supplied for research use are not approved for human or veterinary use in any jurisdiction, and a favourable analytical assessment of a supplier is not a statement that any product is safe or effective. The Institute publishes certainty ratings and never recommendations. No telephone number, messaging handle or ordering channel appears anywhere on this site.