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In a head-to-head open-label trial reported in February 2026, average weight loss at 84 weeks favored tirzepatide, and the sponsor noted CagriSema did not meet its prespecified non-inferiority target against tirzepatide

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BDNF and TrkB Upregulation The most extensively documented mechanism of Semax in pre-clinical research is its rapid upregulation of brain-derived neurotrophic factor (BDNF) and its primary signalling receptor, tropomyosin receptor kinase B (TrkB)