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This is a side-by-side of what is documented, not a ranking. Different compounds are studied for different things, in different people, at different amounts. A row that looks stronger for one compound does not make it the better choice for anyone.

Aleniglipron (GSBR-1290)Tesofensine
Highest evidence tier on the pageE2 Human clinical evidence
Registered or peer-reviewed human trial with reported results.
E2 Human clinical evidence
Registered or peer-reviewed human trial with reported results.
Regulatory statusNot statedNot approved for human use
Research areaMetabolic and incretinMetabolic and incretin
Investigational pipelineObesityNot stated
Regulator-approved dose on fileNo approved doseNo approved dose
Molecular formulaC49H55FN9O6P, per PubChem (CID 164809721)C17H23Cl2NO free base; C23H31Cl2NO8 as the 1:1 citrate salt used in the clinical tablets
Molar massApproximately 916 g/mol, calculated from the PubChem formula; not independently cross-confirmed328.3 g/mol free base; 520.4 g/mol citrate salt
CAS number2685823-26-9, per commercial chemical vendor listings; not independently cross-confirmed against a regulatory database195875-84-4 free base; 195875-86-6 citrate
Registered trials on this siteNone linked yet6 in the tracker
Furthest registered phaseNot statedPhase 2
Trials currently activeNot stated0
Trial sponsorsNot statedNeuroSearch A/S, Boehringer Ingelheim
Published trials covered on its pageNot stated7
Amounts studied in those trialsNot statedSCEPTRE, NCT00148486: NS 2330 0.25, 0.5 or 1.0 mg once daily, oral, or placebo for 14 weeks
ADVANS, NCT00148512: NS 2330 0.125, 0.25, 0.5 or 1.0 mg once daily, oral, or placebo, five parallel groups for 14 weeks
NCT00153010: Three doses of NS 2330 once daily, oral, or placebo; the doses are not stated in the registry record for 14 weeks
As reported on the compound page. Amounts are not comparable between compounds.
What is not knownNot statedWhether it is cardiovascularly safe, in either direction. No trial has ever measured myocardial infarction, stroke, cardiovascular death or hospitalisation for heart failure on tesofensine. The two year cardiovascular safety study in the planned phase 3 programme was never run, and the longest exposure in...

Full pages: Aleniglipron (GSBR-1290) and Tesofensine. See also the clinical trial tracker and how we grade evidence.

Educational reference, not medical advice. Trial data from ClinicalTrials.gov. Everything else is drawn from the compound pages on this site, each of which cites its sources.