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Why is impurity profiling critical for GLP-1 peptides

"Stability Studies of Lyophilized GLP-1 Receptor Agonists Under Various Storage Conditions." American Journal of Drug Development, 2024
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In the SUSTAIN 6 CV outcomes trial (CVOT), once-weekly semaglutide (0.5 or 1.0 mg) added to standard of care significantly reduced the occurrence of a first major adverse CV event (MACE: CV death, nonfatal myocardial infarction [MI], or nonfatal stroke) vs placebo over 2 years in 3297 subjects with T2D and high CV risk [12]
