The next big medical revolution just began with the FDA approval of Apitegromab. With GLP-1 usage, there is risk for substantial muscle loss. A recent randomized controlled trial in patients taking Zepbound (Tirzepatide) in addition to Apitegromab, suggested this risk may actually be greatly reduced.
Apitegromab is FDA-approved to treat Spinal Muscular Atrophy (SMA), a rare genetic disorder causing life-altering muscle weakness. The medication works as a monoclonal antibody, which means it’s able to find very specific molecules and strongly lock on to them to block their intended processes. In this case, it binds to myostatin while it’s still inactive, preventing its activation. Myostatin’s usual function is to restrict muscle growth, so blocking it can increase muscle development.
There are concerns of increased fracture risk, potential reproductive harm, and many other side effects.
Interestingly, a clinical trial published in June tested Zepbound (Tirzepatide) with Apitegromab, and compared to the control group (Zepbound alone), they lost about 55% less lean mass. Meaning with the Apitegromab and Zepbound combo, a larger share of the weight loss came from fat, sparing muscle. Depending on what larger trials show in the future, this has the potential to revolutionize more than how much weight is loss, but how it’s lost.