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Review
Copyright: ©Author(s) 2026.
World J Transl Med. Nov 28, 2026; 12(4): 124866
Published online Nov 28, 2026. doi: 10.5528/wjtm.124866
Table 2 Comparison between therapeutic peptides, small molecules and biologics

Therapeutic peptides
Small molecule drugs
Biologics
AdvantagesHigh affinity bindingHigh oral bioavailabilityHigh affinity binding
High specificityHigh membrane permeabilityHigh specificity
Modulate protein-protein interactions without well-defined binding pocketHigh gastric stabilityMinimal off-target effects
Wide range of targetsLower manufacturing costs
Predictable degradation productsLow immunogenicity
Minimal off-target toxicities
Low immunogenicity
WeaknessesLow oral bioavailabilityRisk of off-target effectsRequires parenteral administration
Require a well-defined binding pocket
Short half-life & rapid serum clearanceHigh immunogenicity-risk of anti-drug antibody formation
Low membrane permeabilityLow membrane permeability
Low gastric stabilityHigh manufacturing costs


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