Last Updated: August 9, 2026

Details for Patent: 12,453,758


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Summary for Patent: 12,453,758
Title:Method of using a GIP/GLP1 co-agonist for diabetes
Abstract:The present invention provides methods of treating type 2 diabetes (T2D) using a novel dosing regimen of a GIP:GLP-1 Peptide having a GIP:GLP-1 receptor agonist potency ratio that is about 2.5:1 to about 10:1 GIP to GLP-1. Furthermore, the present invention provides methods of treating T2D using a novel dosing regimen of a GIP:GLP-1 Peptide having a GIP:GLP-1 receptor agonist potency ratio that is about 2.5:1 to about 5:1 GIP to GLP-1. Also, the present invention provides methods of inducing T2D remission using a novel dosing regimen of a GIP:GLP-1 Peptide. The present invention also provides methods of treating obesity using a novel dosing regimen of a GIP:GLP-1 Peptide.
Inventor(s):Jorge Alsina-Fernandez, Over Cabrera, Tamer Coskun
Assignee: Eli Lilly and Co
Application Number:US19/098,553
Patent Litigation and PTAB cases: See patent lawsuits and PTAB cases for patent 12,453,758
Patent Claim Types:
see list of patent claims
Use;
Patent landscape, scope, and claims:

United States Patent 12,453,758 (GIP:GLP-1) Claim Scope, Legal Coverage, and US Patent Landscape

US Patent 12,453,758 is directed to a staged dose-escalation method for weight management and obesity using a GIP:GLP-1 peptide defined by a specific GIP:GLP-1 receptor agonist potency ratio bracket and by a potency ratio test method (casein cAMP assay after 60-minute incubation normalized against GIP and GLP-1). The independent method claims are tightly anchored to (1) the potency ratio relative to defined sequence controls (SEQ ID NO: 49 and SEQ ID NO: 56), (2) the multi-step escalation schedule using fixed dose fractions of a “fourth dose,” and (3) the minimum inter-dose treatment windows (at least ~2 weeks between steps), with dependent claims adding a “~4 weeks per step” variant and narrower potency sub-ranges (2.5:1 to 5:1 and 2.5:1 to 3.5:1).


What is the claim scope of US Patent 12,453,758 and what does “GIP:GLP-1 receptor agonist potency ratio” cover?

Core claim architecture (independent claims 1 and 5):

  • Purpose/indication framing
    • Claim 1: method of improving weight management.
    • Claim 5: method of treating obesity.
  • Product limitation (method-of-treatment using a defined peptide)
    • Administer a GIP:GLP-1 peptide whose GIP:GLP-1 receptor agonist potency ratio meets a relative band defined by two reference peptides:
      • potency ratio of peptide having SEQ ID NO: 56
      • and < potency ratio of peptide having SEQ ID NO: 49
    • Potency ratio measurement is constrained by assay protocol:
      • casein cAMP assay
      • after 60 minute incubation
      • normalized against GIP and GLP-1
  • Dosing regimen limitation
    • A four-stage administration sequence with fixed step fractions:
      • First dose = ~25% of fourth dose
      • Second dose = ~50% of fourth dose
      • Third dose = ~75% of fourth dose
      • Fourth dose = 100% reference dose
    • Minimum time-on-step requirements:
      • second dose begins after first step for minimum about two weeks
      • third dose begins after second step for minimum about two weeks
      • fourth dose after third step (no minimum stated in the independent claim text beyond earlier steps, but the scheme implies staged escalation culminating in step 4)
  • Relative timing
    • The escalation is not purely proportional; it is both dose-fraction and time-gated by the minimum ~2-week periods for steps 2 and 3 initiation.

Key practical consequence: Infringement risk is driven less by absolute mg amounts and more by (i) the peptide’s potency ratio as defined by the assay and relative to SEQ IDs and (ii) the staged escalation schedule using the 25/50/75% of a “fourth dose” construct with minimum step durations.

What does the assay limitation do to enforceability and design-around?

The claim does more than specify a ratio. It constrains the measurement method:

  • casein cAMP assay
  • 60-minute incubation
  • normalized against GIP and GLP-1

Design-around pressure points:

  • A challenger can argue non-infringement if the accused peptide’s ratio is outside the band under the claimed assay conditions or if the ratio cannot be demonstrated after 60 minutes using casein cAMP normalization.

How do dependent claims narrow dosing and potency ratio ranges (claims 2–4, 6–8)?

Dosing narrowing

  • Claim 2 (dependent on claim 1): doses are each administered for about four weeks before the next higher dose begins.
  • Claim 6 (dependent on claim 5): same ~4 weeks per step variant.

This establishes an additional, more specific escalation schedule that is narrower than the independent claim’s “minimum about two weeks” structure.

Potency ratio narrowing

  • Claim 3 (dependent on claim 1): GIP:GLP-1 receptor agonist potency ratio is 2.5:1 to about 5:1 (GIP to GLP-1).
  • Claim 4 (dependent on claim 1): potency ratio is 2.5:1 to about 3.5:1.
  • Claim 7 (dependent on claim 5): same 2.5:1 to about 5:1.
  • Claim 8 (dependent on claim 5): same 2.5:1 to about 3.5:1.

Interplay between “relative SEQ ID bounds” and “absolute ratio ranges”

Independent claims use relative bounds:

  • ratio ≥ SEQ ID 56 and < SEQ ID 49.

Dependent claims use absolute ratio bands:

  • 2.5:1 to 5:1
  • 2.5:1 to 3.5:1

Coverage implication: if SEQ ID 56 and SEQ ID 49 correspond to ratio endpoints that overlap these absolute ranges, the dependent claims create additional enforceable islands. If SEQ ID 56 and SEQ ID 49 correspond to wider or different endpoints, the absolute ranges may function as “easier proof” windows for enforcement.


What parts of the claim are most likely to be litigated: peptide potency ratio, assay conditions, or dosing schedule?

1) Peptide potency ratio band (SEQ ID comparative limitation)

The independent claims demand that the administered peptide have a potency ratio between two reference peptides. This will likely drive:

  • claim construction over what “has … potency ratio” means (measured value, intrinsic property, or demonstrated range)
  • admissibility and replication of the claimed assay

Litigation burden profile:

  • The patent owner will seek to show the accused peptide’s ratio falls within the band under the claimed method.
  • A defendant will target assay reproducibility, incubation timing, normalization method, and casein/cAMP assay conditions.

2) Assay protocol specificity

The claim ties the ratio to:

  • casein cAMP assay
  • 60-minute incubation
  • normalized vs GIP and GLP-1

This is a litigation-ready limitation because it can be mapped to:

  • lab methods
  • SOPs
  • expert testimony
  • cross-lab reproducibility

3) Dose escalation math and step durations

The four-stage scheme uses explicit fractions of the “fourth dose”:

  • 25/50/75/100 framework

A defendant can reduce risk by:

  • changing the step fractions (e.g., non-linear increments)
  • changing the minimum time gating (e.g., shorter than “about two weeks” before step 2 or 3, depending on claim interpretation of “about”)
  • avoiding the staged regimen entirely

However, because “about” is used in both the timing (“minimum of about two weeks”) and in dependent claims (“about four weeks”), factual disputes about tolerances are expected.


What formulations or peptide variants are covered by US 12,453,758?

Claim text provided is method-of-treatment only. It does not specify:

  • dosage form (injectable, subcutaneous, etc.)
  • excipients
  • formulation concentration
  • route of administration

Instead, it focuses on:

  • the identity of the GIP:GLP-1 peptide by potency ratio properties
  • the staging schedule.

Practical consequence: If infringement is assessed by method steps, the same peptide (meeting potency ratio constraints) used in a different formulation still could be within claim scope if the dosing schedule is followed.


How does US 12,453,758 compare claim coverage for “weight management” vs “obesity”?

Claims 1 and 5 are substantively parallel aside from the therapeutic framing:

  • Claim 1: “improving weight management”
  • Claim 5: “treating obesity”

Because the technical limitations (potency ratio and dosing regimen) are identical in the provided claim language, the effective claim scope overlaps heavily. The difference is likely to matter for:

  • how the patient population is characterized
  • how evidence of clinical effect is presented
  • how FDA labeling is mapped during enforcement (if ever needed).

What is the likely patent estate and competitive landscape around this specific GIP:GLP-1 potency-ratio dosing strategy?

Observed technical constraints suggest a targeted differentiation strategy

The combination of:

  • potency ratio band anchored to SEQ ID references
  • assay-defined GIP vs GLP-1 agonism balance
  • patient titration sequence in fractional steps

is consistent with competitive differentiation among multiagonists that tune:

  • relative GIP and GLP-1 receptor activity
  • early tolerability through titration

Where generic or biosimilar risk usually concentrates

Because this is a method-of-treatment claim (not a composition claim in the text you provided), the “entry risk” for challengers typically concentrates on:

  • whether the generic/biosimilar label or prescriber practice follows the same dose-escalation scheme and uses a peptide variant meeting the potency ratio limitation.

In a litigation posture, a defendant’s best path is often:

  • show their product uses a peptide with different potency ratio characteristics
  • or show their clinical dosing does not follow the claimed titration fractions and/or minimum durations.

When does exclusivity end for US 12,453,758 (and what triggers generic entry risk)?

No exclusivity timeline can be derived from the claim text alone. US exclusivity in practice is tied to:

  • the underlying FDA approval date for the drug product
  • whether the claim is listed in the Orange Book as method-of-use
  • whether there are other, earlier expiring blocking patents.

Given only the claims provided (no FDA reference product, no Orange Book listing, no patent file history, and no expiration data), an exclusivity end date cannot be stated.


What is the Orange Book status of US 12,453,758 and is it listed as method-of-use?

Not determinable from the information provided. Orange Book status requires linkage between:

  • the US patent number and
  • an FDA application and
  • a product/NDC listing.

The provided content contains the patent number and claim text, but not the Orange Book mapping necessary to confirm:

  • listed products
  • dosage forms
  • route
  • expiration date schedule
  • whether it appears as a method-of-use or use-related patent.

What Paragraph IV challenges or litigations are likely impacted by this patent?

Not determinable from the information provided. Paragraph IV events depend on:

  • ANDA/505(b)(2) filings against the relevant reference product
  • whether this patent is listed for that product and listed use(s)
  • whether the ANDA’s proposed labeling includes a dosing schedule that matches claim steps.

Without the Orange Book listing and prosecution history, litigation mapping cannot be produced.


How strong is the patent’s enforceable “core”: claim clarity vs breadth

Strengths (from the claim text alone)

  • The claims are specific in dosing escalation structure (25/50/75/100) and time windows (minimum ~2 weeks; dependent ~4 weeks).
  • The peptide definition is not generic; it is tied to:
    • a relative potency ratio band anchored to SEQ ID NO references
    • and a defined assay protocol with timing and normalization.

These are features that often improve litigation enforceability compared with purely functional language, because they create tangible measurement and behavioral proof points.

Potential vulnerability (from a scope standpoint)

  • The dependence on “casein cAMP assay after a 60 minute incubation” creates room for dispute if:
    • an accused party measures potency with a different protocol
    • or cannot demonstrate results “normalized against GIP and GLP-1” under that method.
  • The use of “about” in dose fractions and durations introduces interpretive leeway for “how close” an accused regimen must be.

Key Takeaways

  • US 12,453,758 claims a method-of-treatment where infringement hinges on a defined GIP:GLP-1 peptide potency ratio (assay-defined) and a four-step dose escalation using 25/50/75% of a fourth dose with minimum ~2-week intervals.
  • Claims 1 and 5 are parallel in technical limitations; the primary difference is the clinical framing as “weight management” vs “obesity.”
  • Dependent claims add a narrower time regime (~4 weeks per step) and tighter potency ratio bands (2.5:1 to ~5:1 and 2.5:1 to ~3.5:1).
  • The patent’s enforceability is likely to be driven by disputes over assay reproducibility and whether the accused regimen matches the escalation fractions and timing.

FAQs

  1. Can a non-identical titration schedule avoid infringement of US 12,453,758?
    Risk drops when the regimen does not track the claimed 25/50/75% of a “fourth dose” structure and the “minimum about two weeks” gating for steps 2 and 3.

  2. Does US 12,453,758 cover different formulations (same peptide)?
    The claim text you provided is method-based and does not constrain formulation or route; coverage depends on whether the administered product is the qualifying GIP:GLP-1 peptide and the dosing steps are followed.

  3. How critical is the “casein cAMP assay after 60 minutes” limitation?
    It is central because it defines the potency ratio measurement conditions used to determine whether the peptide falls between the SEQ ID comparative bounds.

  4. Does the obesity claim (claim 5) expand beyond the weight management claim (claim 1)?
    Not in the provided claim language; both rely on the same peptide potency constraints and dosing schedule, with only the indication phrasing differing.

  5. What do the SEQ ID NO references practically do in enforcement?
    They operationalize the potency ratio boundaries so the patent owner can test the accused peptide against reference peptides’ potency ratio values using the claimed assay protocol.


References

No external sources were provided or cited in the prompt, and no Orange Book, prosecution, litigation docket, or bibliographic record was supplied to support patent-specific landscape statements beyond the claim text.

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Drugs Protected by US Patent 12,453,758

Applicant Tradename Generic Name Dosage NDA Approval Date TE Type RLD RS Patent No. Patent Expiration Product Substance Delist Req. Patented / Exclusive Use Submissiondate
Eli Lilly And Co ZEPBOUND tirzepatide SOLUTION;SUBCUTANEOUS 217806-007 Mar 28, 2024 RX Yes Yes ⤷  Start Trial ⤷  Start Trial TREATING OBESITY BY ADMINISTERING IN 4 DOSES, ABOUT 4 WEEKS APART, A GIP:GLP-1 PEPTIDE HAVING A GIP:GLP-1 RECEPTOR AGONIST POTENCY RATIO IN A RANGE DETERMINED BY A CASEIN CAMP ASSAY, WHERE DOSES ARE 25%, 50% AND 75% OF 4TH DOSE ⤷  Start Trial
Eli Lilly And Co ZEPBOUND tirzepatide SOLUTION;SUBCUTANEOUS 217806-007 Mar 28, 2024 RX Yes Yes ⤷  Start Trial ⤷  Start Trial TREATING OBESITY BY ADMINISTERING IN 4 DOSES, AT LEAST 2 WEEKS APART, A GIP:GLP-1 PEPTIDE HAVING A GIP:GLP-1 RECEPTOR AGONIST POTENCY RATIO IN A RANGE DETERMINED BY A CASEIN CAMP ASSAY, WHERE DOSES ARE 25%, 50% AND 75% OF 4TH DOSE ⤷  Start Trial
Eli Lilly And Co ZEPBOUND tirzepatide SOLUTION;SUBCUTANEOUS 217806-007 Mar 28, 2024 RX Yes Yes ⤷  Start Trial ⤷  Start Trial IMPROVING WEIGHT MANAGEMENT BY ADMINISTERING IN 4 DOSES, ABOUT 4 WEEKS APART, A GIP:GLP-1 PEPTIDE HAVING A GIP:GLP-1 RECEPTOR AGONIST POTENCY RATIO IN A RANGE DETERMINED BY A CASEIN CAMP ASSAY, WHERE DOSES ARE 25%, 50% AND 75% OF 4TH DOSE ⤷  Start Trial
Eli Lilly And Co ZEPBOUND tirzepatide SOLUTION;SUBCUTANEOUS 217806-007 Mar 28, 2024 RX Yes Yes ⤷  Start Trial ⤷  Start Trial IMPROVING WEIGHT MANAGEMENT BY ADMINISTERING IN 4 DOSES, AT LEAST 2 WEEKS APART, A GIP:GLP-1 PEPTIDE HAVING A GIP:GLP-1 RECEPTOR AGONIST POTENCY RATIO IN A RANGE DETERMINED BY A CASEIN CAMP ASSAY, WHERE DOSES ARE 25%, 50% AND 75% OF 4TH DOSE ⤷  Start Trial
>Applicant >Tradename >Generic Name >Dosage >NDA >Approval Date >TE >Type >RLD >RS >Patent No. >Patent Expiration >Product >Substance >Delist Req. >Patented / Exclusive Use >Submissiondate

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