This weekly update in Endocrinology covers regulatory actions, clinical research signals, device and digital health clearances, market launches, access initiatives, and one retraction impacting evidence interpretation

In Today’s Newsletter

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🧠 Incretins and dementia risk in T2D [1] [19 Jan 2026]

https://www.pharmacytimes.com/view/incretin-based-drugs-may-reduce-risk-of-dementia-in-patients-with-type-2-diabetes
Context: UK CPRD cohorts, initiators 2007–2021, follow-up 740,846 person-years; comparisons vs sulfonylureas.
Key point: DPP-4 inhibitors and GLP-1 RAs were associated with lower dementia incidence vs sulfonylureas, with stronger association at higher dose and longer use (GLP-1 RA estimates imprecise).
Implication: Could inform practice and payer discussions; interpretation depends on study design and confounding control.

🩺 AI flags prediabetes from ECGs, no blood test required [2] [19 Jan 2026]

https://medicalxpress.com/news/2026-01-ai-prediabetes-ecg-blood.html
Context: Science Tokyo team, Cardiovascular Diabetology; trained LightGBM on 16,766 checkups, validated externally.
Key point: “DiaCardia” identified prediabetes using 12-lead or single-lead ECGs alone (AUROC 0.851 internally), with SHAP features aligning to known physiology.
Implication: Could inform practice and payer discussions; interpretation depends on study design and confounding control.

💉 Gonal-f Pen gets shorter 31G 8-mm needle in Korea [3] [KR • 19 Jan 2026]

https://www.koreabiomed.com/news/articleView.html?idxno=30331
Context: Merck Healthcare Korea update; same pen structure and dosing, subcutaneous use.
Key point: Needle changed from 29G 12-mm to 31G 8-mm to reduce pain and burden for infertility self-injection.
Implication: May expand screening, initiation, and follow-up at scale.

🧬 African proteome–genome map for T2D biomarkers [4] [20 Jan 2026]

https://www.qmul.ac.uk/media/news/2026/medicine-and-dentistry/mapping-proteins-in-african-genomes-reveals-new-paths-to-fight-type-2-diabetes-.html
Context: Nature Genetics; Ugandan cohort integrating genomics and plasma proteomics. Key point: ~400 pQTL regions mapped, including 58 not previously known in African ancestry; 18 proteins with likely causal links to T2D, some druggable.
Implication: Could inform practice and payer discussions; interpretation depends on study design and confounding control.

🦴 Hikma launches denosumab biosimilars Enoby and Xtrenbo in US [5] [US • 19 Jan 2026]

https://www.marketscreener.com/news/hikma-pharmaceuticals-announces-launch-of-enobya-denosumab-qbde-and-xtrenboa-denosumab-qb-ce7e58dfdf8df621
Context: License with Gedeon Richter; US commercialization; safety includes hypocalcemia risks and ONJ warnings.
Key point: Enoby and Xtrenbo reference Prolia and Xgeva, with identical dosing presentations to the reference products.
Implication: Introduces competition that may affect pricing and formulary access.

❤️‍🔥 Medtronic adds EU PFA catheter nod, MiniMed Go clearance, Anteris stake [6] [25 Jan 2026]

https://simplywall.st/stocks/us/healthcare/nyse-mdt/medtronic/news/medtronic-advances-cardiology-and-diabetes-portfolio-with-ne
Context: Investor summary; cardiology and diabetes devices focus.
Key point: EU approval and initial US use for Affera Sphere-360 mapping and PFA catheter, FDA clearance for MiniMed Go, and investment in Anteris Technologies.
Implication: May influence prescriber choice and payer reviews pending full data.

🦴 Thailand study links T2D to higher osteoporosis rates [7] [TH • 23 Jan 2026]

https://www.geneonline.com/study-in-thailand-finds-higher-osteoporosis-rates-among-type-2-diabetes-patients/
Context: Observational analysis; large T2D cohort, osteoporosis prevalence assessment.
Key point: T2D associated with increased osteoporosis prevalence vs non-diabetic comparators, with age, sex, and duration as factors.
Implication: Could inform practice and payer discussions; interpretation depends on study design and confounding control.

🧪 Retraction: ceRNA network in PCOS (HOTAIRM1–miR-433-5p–PIK3CD) [8] [26 Jan 2026]

https://bioengineer.org/cerna-network-accelerates-pcos-progression-hotairm1-mir-433-5p-pik3cd/
Context: Retraction note for a molecular study on PCOS pathogenesis.
Key point: Authors withdrew findings on a proposed HOTAIRM1–miR-433-5p–PIK3CD ceRNA axis implicated in PCOS progression.
Implication: Could inform practice and payer discussions; interpretation depends on study design and confounding control.

🌙 Mubadala Bio launches locally produced dydrogesterone in UAE [9] [UAE • 26 Jan 2026]

https://www.zawya.com/en/press-release/companies-news/mubadala-bio-expands-womens-health-portfolio-with-launch-of-new-hormone-therapy-pzr5vcd6
Context: Press release; Bioventure Healthcare subsidiary; local manufacturing.
Key point: Dydrogesterone launch expands women’s health portfolio to support hormone balance, fertility, and menstrual disorders.
Implication: Introduces competition that may affect pricing and formulary access.

Why it matters

  • Incretin neuroprotection signals could broaden value beyond glycemic control [1].
  • ECG-only AI screening may shift prediabetes detection toward wearables [2].
  • Device tweaks that lower injection burden can improve adherence in fertility care [3].
  • Africa-centric pQTL maps address diagnostic inequities and enable tailored therapeutics [4].
  • Denosumab biosimilar entry pressures bone health costs and access in oncology and osteoporosis [5].

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FAQ

What incretin classes were linked to lower dementia risk in T2D?

DPP-4 inhibitors and GLP-1 receptor agonists showed associations with reduced dementia risk vs sulfonylureas in CPRD analyses, with stronger effects at higher dose and longer use, though GLP-1 RA estimates were less precise [1].

How accurate is the DiaCardia ECG model for prediabetes?

Internal testing reported AUROC 0.851 using ECG alone, with external validation showing generalizability. Single-lead performance was comparable to 12-lead, per Cardiovascular Diabetology report [2].

What changed on the Gonal-f Pen in Korea?

The injection needle shifted from 29G 12-mm to 31G 8-mm to reduce pain and improve convenience, with no changes to dosing mechanics or administration route [3].

Which proteins emerged from the African T2D proteogenomic map?

The study identified ~400 protein-regulating loci, 58 previously unknown in African ancestry, and 18 proteins with likely causal links to T2D, including apolipoprotein F and lipoprotein lipase patterns distinct from Europeans [4].

Which denosumab biosimilars did Hikma launch, and where?

Enoby (denosumab-qbde) and Xtrenbo (denosumab-qbde) launched in the US, referencing Prolia and Xgeva, with safety profiles including hypocalcemia risks and ONJ warnings [5].

What did Medtronic announce across cardiology and diabetes?

EU approval and initial US use of the Affera Sphere-360 mapping and pulsed field ablation catheter, FDA clearance of MiniMed Go, and an investment in Anteris Technologies for structural heart development [6].

Entities / Keywords

Incretin therapies; DPP-4 inhibitors; GLP-1 RAs; dementia; CPRD [1]
DiaCardia; ECG; prediabetes; LightGBM; wearables [2]
Gonal-f (r-hFSH); self-injection; 31G 8-mm needle; Merck Healthcare Korea [3]
Proteomics; pQTL; Ugandan cohort; African ancestry; T2D biomarkers [4]
Denosumab biosimilars; Enoby; Xtrenbo; Prolia; Xgeva; Hikma; Gedeon Richter [5]
Medtronic; Affera Sphere-360; pulsed field ablation; MiniMed Go; Anteris [6]
Thailand osteoporosis study; T2D bone health [7]
PCOS; HOTAIRM1; miR-433-5p; PIK3CD; retraction [8]
Dydrogesterone; women’s health; Mubadala Bio; UAE manufacturing [9]

References

  1. https://www.pharmacytimes.com/view/incretin-based-drugs-may-reduce-risk-of-dementia-in-patients-with-type-2-diabetes
  2. https://medicalxpress.com/news/2026-01-ai-prediabetes-ecg-blood.html
  3. https://www.koreabiomed.com/news/articleView.html?idxno=30331
  4. https://www.qmul.ac.uk/media/news/2026/medicine-and-dentistry/mapping-proteins-in-african-genomes-reveals-new-paths-to-fight-type-2-diabetes-.html
  5. https://www.marketscreener.com/news/hikma-pharmaceuticals-announces-launch-of-enobya-denosumab-qbde-and-xtrenboa-denosumab-qb-ce7e58dfdf8df621
  6. https://simplywall.st/stocks/us/healthcare/nyse-mdt/medtronic/news/medtronic-advances-cardiology-and-diabetes-portfolio-with-ne
  7. https://www.geneonline.com/study-in-thailand-finds-higher-osteoporosis-rates-among-type-2-diabetes-patients/
  8. https://bioengineer.org/cerna-network-accelerates-pcos-progression-hotairm1-mir-433-5p-pik3cd/
  9. https://www.zawya.com/en/press-release/companies-news/mubadala-bio-expands-womens-health-portfolio-with-launch-of-new-hormone-therapy-pzr5vcd6

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