Glossary
Technical terms, plainly
Definitions for all auto-linked terms across the platform. Letters jump to the section.
A
- Agonistagonistic · full agonist · partial agonistMechanism
- Substance that activates a receptor, thereby mimicking or augmenting the action of the endogenous ligand.
- Angiogenesisangiogenic · neovascularisation · neovascularizationMechanism
- Formation of new blood vessels from existing ones. A key process in wound healing, tissue growth and tumour biology.
B
- BioavailabilitybioavailablePharmacology
- Proportion of an administered substance that reaches systemic circulation unchanged. Particularly dependent on route of administration and digestive stability for peptide substances.
- Blindingdouble-blind · blindedStudy endpoint
- Procedure in which participants and/or researchers do not know who receives treatment or placebo. Reduces expectation bias.
C
- Cochrane reviewCochraneStudy endpoint
- Systematic review by the Cochrane Collaboration using standardised methodology for literature search, study appraisal and optional meta-analysis. Considered the methodological gold standard for evidence synthesis.
- Compoundingcompounding pharmacyRegulatory
- Individual preparation of a medicinal product in a pharmacy, distinct from an industrially approved product. Subject to its own regulatory rules.
D
- DiarrhoeadiarrheaStudy endpoint
- Increased stool frequency (>3 per day) with reduced consistency. Most frequent gastrointestinal adverse event of all GLP-1 receptor agonists, usually mild and dose-dependent.
E
- Endpointprimary endpoint · secondary endpointStudy endpoint
- Pre-specified outcome measure of a study. The primary endpoint determines statistical power; secondary endpoints are exploratory.
G
- GHRHGrowth-hormone-releasing hormoneMechanism
- Hypothalamic peptide that stimulates growth-hormone secretion from the pituitary gland.
- GLP-1Glucagon-like peptide-1Mechanism
- Incretin hormone released in the gut after food intake. Glucose-dependently stimulates insulin secretion, suppresses glucagon and delays gastric emptying.
- Glucoseblood sugar · dextroseMechanism
- Monosaccharide (C₆H₁₂O₆), the central energy carrier of the body. Taken up into cells via insulin and released from the liver under glucagon action. Blood glucose concentration is the key parameter for diabetes diagnostics and management.
H
- Half-lifet½ · elimination half-lifePharmacology
- Time during which the concentration of an active substance in the body falls to half. A modelling assumption — real-world pharmacokinetics can be more complex.
- HbA1cglycated haemoglobinStudy endpoint
- Glycated haemoglobin — marker of average blood-glucose levels over the past 8–12 weeks. Key endpoint in diabetes studies.
- Hepatitisliver inflammationStudy endpoint
- Inflammation of the liver due to viruses (A-E), alcohol, medication, autoimmunity or other causes. Chronic hepatitis C is an indication adjunctively studied with thymalin in Russian trials.
- Hyperglycaemiahyperglycemia · high blood sugarStudy endpoint
- State of too high blood glucose, by definition fasting ≥126 mg/dL or ≥7.0 mmol/L. Chronic hyperglycaemia is the defining feature of diabetes mellitus.
- Hypoglycaemiahypoglycemia · low blood sugarStudy endpoint
- State of too low blood glucose (<70 mg/dL or <3.9 mmol/L). Clinically relevant as an adverse event of many antidiabetic therapies — GLP-1 analogs rarely trigger it due to their glucose-dependent mechanism.
- HypothalamushypothalamicMechanism
- Region in the diencephalon controlling the pituitary via releasing and inhibiting hormones (GHRH, TRH, GnRH, somatostatin, dopamine, CRH). Also a central regulatory centre for appetite, temperature and sleep-wake rhythm.
I
- IGF-1Insulin-like growth factor 1Mechanism
- Growth factor whose level is regulated by growth hormone. Often used as a surrogate marker for GH activity.
- In vitrocell cultureStudy endpoint
- "In glass" — experiment outside a living organism, usually in cell culture. Findings do not automatically transfer to humans.
- In vivoStudy endpoint
- "In the living" — experiment in a living organism, typically animal or human.
L
- Lyophilisatelyophilized · lyophilised · freeze-driedTechnical
- Freeze-drying product in which water has been removed by sublimation under vacuum. A stable storage form for many peptides.
O
- Off-labeloff-label useRegulatory
- Use of an approved medicinal product outside its approved indication, dose or patient population.
- Osteoporosisbone lossStudy endpoint
- Condition of reduced bone density and disturbed micro-architecture leading to increased fracture risk. Key therapy lines: bisphosphonates, denosumab, teriparatide, romosozumab; historically also salmon calcitonin.
P
- PancreaspancreaticMechanism
- Organ with exocrine (digestive enzymes) and endocrine function (insulin from β-cells, glucagon from α-cells, somatostatin from δ-cells). Central role in glucose homeostasis.
- Pancreatitispancreas inflammationStudy endpoint
- Inflammation of the pancreas, acute or chronic. Acute pancreatitis is a potential adverse event of all GLP-1 receptor agonists and is listed as a warning on the label — causality remains debated.
- PharmacodynamicsPD · pharmacodynamicPharmacology
- What a substance does to the body: mechanism of action, effect size, dose-response.
- PharmacokineticsPK · pharmacokineticPharmacology
- What the body does to a substance: absorption, distribution, metabolism, excretion.
- Pituitary glandpituitaryMechanism
- Hormone gland at the base of the brain with anterior lobe (adenohypophysis: GH, TSH, ACTH, FSH, LH, prolactin) and posterior lobe (neurohypophysis: oxytocin, vasopressin). Controls superordinate endocrine axes.
- Placebo effectplaceboStudy endpoint
- Improvement in subjective or measurable endpoints due to expectation of effect, independent of the actual substance.
- PreclinicalStudy endpoint
- Studies before clinical use in humans — usually in vitro or in animal models.
- Prostate cancerprostate carcinomaStudy endpoint
- Most common malignant tumour in men. Hormone-sensitive subtypes respond to androgen deprivation therapy — including GnRH agonists (leuprolide, goserelin, triptorelin) or GnRH antagonists (degarelix, relugolix).
R
- RCTRandomised controlled trial · Randomized controlled trialStudy endpoint
- Gold standard of clinical research. Participants are randomly allocated to treatment and control groups; ideally blinded.
- ReceptorreceptorsMechanism
- Protein to which a signalling molecule (e.g. hormone or peptide) binds, triggering a cellular response.
- ReconstitutionreconstituteTechnical
- Dissolving a dry (lyophilised) substance in a liquid to obtain a ready-to-use solution.
S
- Signalling pathwaysignaling pathway · signaling pathwaysMechanism
- Cascade of molecular events through which a signal is transduced from the cell surface to a cellular response.
W
- WADAWorld Anti-Doping AgencyRegulatory
- International organisation coordinating anti-doping rules in sport and publishing the annual Prohibited List.