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Amycretin: Molecular Structure

Chemical properties, amino acid sequence, and structural analysis

Reviewed byDr. Research Team(MD (composite credential representing medical review team), PhD in Pharmacology)
📅Updated February 12, 2026
Verified

📌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

68-amino-acid unimolecular GLP-1/amylin receptor agonist with GLP-1 and amylin moieties connected by a glycine-glutamate linker

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

3D molecular structure of Amycretin
Three-dimensional representation of Amycretin
Amino acid sequence diagram for Amycretin
Color-coded amino acid sequence of Amycretin

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:

  1. GLP-1 receptor agonist moiety: Located in the N-terminal region, designed for GLP-1 receptor activation
  2. Amylin receptor agonist moiety: Located in the C-terminal region, designed for amylin receptor activation
  3. Linker region: The two moieties are connected by a linker consisting of four glycine residues and one glutamate residue

Key Structural Modifications#

ModificationPurpose
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 amidationPeptide stability
Glycine-glutamate linkerConnects GLP-1 and amylin moieties

Chemical Properties#

PropertyValue
Chemical classUnimolecular dual agonist peptide
Amino acid count68
Molecular weight~8 kDa
Molecular formulaC343H550N94O116
CAS numberNot publicly disclosed
Receptor targetsGLP-1R and amylin receptor (CTR/RAMP complex)
SC dosingOnce weekly
Oral dosingOnce 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#

FeatureAmycretinCagriSemaTirzepatide
Molecular approachSingle peptideTwo-peptide combinationSingle peptide
Size68 aa (~8 kDa)~37 aa + ~31 aa39 aa (~4.8 kDa)
TargetsGLP-1R + amylin RGLP-1R + amylin RGLP-1R + GIPR
AcylationC18 diacid (Lys37)Both components acylatedC20 diacid (Lys20)
Oral formulationYes (with SNAC)No (SC only)No (SC only)
DeveloperNovo NordiskNovo NordiskEli 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.

Frequently Asked Questions About Amycretin

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