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Bimagrumab (BYM338): dosing

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Calculate the Bimagrumab (BYM338) dose

Enter your dose and diluent volume for Bimagrumab (BYM338) — the calculator will do the rest.

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Human dosing

Bimagrumab (BYM338) dosing is always tied to an intravenous infusion at a clinical site on a fixed visit schedule every 4 weeks, unlike subcutaneous peptides that a person injects themselves; that structure is what shapes the schedule below.

Period / conditionDoseEscalation
Early studies (phase I)210–700 mg IV every 4 weeksStarting dose
Main phase II regimen10 mg/kg (max 1200 mg) IV every 4 weeksIncrease if needed
Later studies10–30 mg/kg IV every 12 weeksMaximum in this schedule
Practical dosage and effect notes

In a trial by Heymsfield and colleagues (JAMA Network Open, 2021), adults with obesity and type 2 diabetes received bimagrumab on exactly the table's "Main phase II regimen": 10 mg/kg (max 1200 mg) intravenously every 4 weeks, 12 infusions over 48 weeks. Body fat mass fell by 20.5% on average (minus 7.49 kg) versus 0.5% with placebo, while lean mass rose 3.6% (plus 1.70 kg), against a 0.8% decline with placebo.

That is why bimagrumab's dose is scaled to body weight (mg/kg) rather than fixed as a flat number the way most peptides are: the same 10 mg/kg dose delivers a different milligram amount to a 60 kg person than a 100 kg one. The infrequent dosing, every 4–12 weeks, reflects the monoclonal antibody's long half-life, not a chosen interval.

This is background for planning a research protocol, not a medical recommendation and not instructions for self-administration.

How to reconstitute

An example reconstitution for convenient dosing. The exact ratios depend on your vial. For research reference only — not medical guidance.

  1. 1Add the diluentUse bacteriostatic water. Example: 2 ml into a 10 mg vial.Bimagrumab (BYM338)10 mg+ 2 mlDiluent
  2. 2Get the concentrationExample: 10 mg in 2 ml =Bimagrumab (BYM338)5 mg/ml(5,000 mcg/ml)
  3. 3Work out the volume per doseFor example, for a 2.5 mg dose:2.5 mg = 0.5 ml= 50 u. (U-100)

This is only an example calculation. You can use a different diluent volume — plug your own numbers into the calculator. Open calculator →

Research protocols

Bimagrumab: reference regimens

Bimagrumab (BYM338) is a monoclonal antibody that in clinical studies was given mainly by intravenous infusion.

More scientific background in the Bimagrumab (BYM338) monograph

Notes and safety

  • • Bimagrumab (BYM338) is a research peptide. Human safety and efficacy data are limited.
  • • The regimens shown are based on publications and research protocols, not clinical recommendations.
  • • Individual reactions may vary. Published protocols typically start dosing at the lower end of the reported range.
  • • Not recommended for use with chronic illness, pregnancy, or breastfeeding.
  • • This information is for educational purposes and is not medical advice.
This is not medical advice — research information only.This material is not intended for diagnosis, treatment or prevention of disease.

Bimagrumab (BYM338)

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