Amycretin: Molecular Structure
Chemical properties, amino acid sequence, and structural analysis
📌TL;DR
- •Molecular formula: C343H550N94O116
- •Molecular weight: 8000 Da
- •Half-life: Supports once-weekly SC dosing and once-daily oral dosing via albumin binding from C18 diacid sidechain
Amino Acid Sequence
127 amino acids
Formula
C343H550N94O116
Molecular Weight
8000 Da
Half-Life
Supports once-weekly SC dosing and once-daily oral dosing via albumin binding from C18 diacid sidechain


Molecular Structure and Properties#
Amycretin (NNC0487-0111) is a 68-amino-acid unimolecular peptide with a molecular weight of approximately 8 kDa and the molecular formula C343H550N94O116. It is the first-in-class molecule designed to activate both GLP-1 and amylin receptors as a single peptide entity.
Structural Architecture#
Amycretin is composed of two functional moieties within a single peptide chain:
- GLP-1 receptor agonist moiety: Located in the N-terminal region, designed for GLP-1 receptor activation
- Amylin receptor agonist moiety: Located in the C-terminal region, designed for amylin receptor activation
- Linker region: The two moieties are connected by a linker consisting of four glycine residues and one glutamate residue
Key Structural Modifications#
| Modification | Purpose |
|---|---|
| C18 diacid sidechain (at Lys37) | Reversible albumin binding for extended half-life |
| 2-Aminoisobutyric acid (Aib) | DPP-4 resistance at N-terminal GLP-1 sequence |
| C-terminal amidation | Peptide stability |
| Glycine-glutamate linker | Connects GLP-1 and amylin moieties |
Chemical Properties#
| Property | Value |
|---|---|
| Chemical class | Unimolecular dual agonist peptide |
| Amino acid count | 68 |
| Molecular weight | ~8 kDa |
| Molecular formula | C343H550N94O116 |
| CAS number | Not publicly disclosed |
| Receptor targets | GLP-1R and amylin receptor (CTR/RAMP complex) |
| SC dosing | Once weekly |
| Oral dosing | Once daily (with SNAC enhancer) |
Half-Life Extension#
The C18 diacid-based sidechain at position Lys37 enables reversible albumin binding in the circulation. This albumin binding:
- Extends the systemic half-life sufficiently for once-weekly SC dosing
- Protects against renal clearance
- Allows once-daily oral dosing (with appropriate formulation)
This is analogous to the acylation strategy used in semaglutide (C18 fatty diacid) and liraglutide (C16 fatty acid).
DPP-4 Resistance#
The introduction of 2-aminoisobutyric acid (Aib), an unnatural amino acid, in the N-terminal region of the GLP-1 sequence protects against dipeptidyl peptidase-4 (DPP-4) enzymatic degradation. This is the same strategy used in semaglutide.
Oral Formulation#
The oral tablet formulation of amycretin incorporates salcaprozate sodium (SNAC) as a permeation enhancer. SNAC is the same absorption enhancer used in oral semaglutide (Rybelsus). It temporarily increases gastric pH and enhances transcellular absorption of the peptide.
Pharmacokinetics#
Key pharmacokinetic observations from clinical trials:
- SC formulation: Once-weekly dosing supports sustained weight loss, indicating a terminal half-life of several days
- Oral formulation: Once-daily dosing with SNAC; achieves clinically meaningful systemic exposure
- Dose proportionality: Dose-dependent weight loss observed across multiple dose cohorts
- No plateau: Progressive weight loss without plateau at higher doses over 36 weeks
Comparison with CagriSema and Tirzepatide#
| Feature | Amycretin | CagriSema | Tirzepatide |
|---|---|---|---|
| Molecular approach | Single peptide | Two-peptide combination | Single peptide |
| Size | 68 aa (~8 kDa) | ~37 aa + ~31 aa | 39 aa (~4.8 kDa) |
| Targets | GLP-1R + amylin R | GLP-1R + amylin R | GLP-1R + GIPR |
| Acylation | C18 diacid (Lys37) | Both components acylated | C20 diacid (Lys20) |
| Oral formulation | Yes (with SNAC) | No (SC only) | No (SC only) |
| Developer | Novo Nordisk | Novo Nordisk | Eli Lilly |
Receptor Pharmacology#
Amycretin activates:
- GLP-1 receptor: Direct agonism through the GLP-1 moiety
- Amylin receptor: Activation through the amylin moiety targeting the calcitonin receptor (CTR) complexed with receptor activity-modifying proteins (RAMPs), particularly CTR/RAMP1 and CTR/RAMP3 complexes
The relative potency at each receptor and any biased agonism characteristics have not been fully disclosed.
Related Reading#
Frequently Asked Questions About Amycretin
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Disclaimer: For educational purposes only. Not medical advice. Read full disclaimer