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Impurities and Potential Immunogenicity Associated With Follow-on and Compounded Glucagon-like Peptide-1 Receptor Agonists.

Kopp KL, Lamberth K, Schelde O, et al. Pharmaceutical research. 2026.
SupportedIn vitroMentions: Semaglutide

Editor's note

This in vitro analysis is directly relevant to readers considering compounded or follow-on semaglutide, showing measurable impurity and immunogenicity differences versus originator products. The work characterizes laboratory potential rather than confirmed clinical immune reactions, so the real-world consequence remains to be established. It reinforces quality and sourcing concerns around compounded peptide products.

Plain-language abstract

Laboratory testing found that compounded and follow-on semaglutide and liraglutide products carried distinct impurity profiles and greater potential immunogenicity than the original branded products. Compounded semaglutide also showed reduced stability when exposed to light.