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Research summary

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Retatrutide

Clinical10 studies

Retatrutide is a triple agonist targeting GLP-1, GIP, and glucagon receptors, currently studied in advanced metabolic research.

Being studied for

  • Triple incretin receptor signaling
  • Advanced metabolic regulation

Published Research

Evidence profile

Human Phase 3 evidence

10 cited publications · 4 primary trials · 1 derived analysis

Findings below belong to the studies that reported them. They describe the material and conditions those authors used, not this product, and not an outcome to expect.

Core evidence

The publications most central to understanding this compound.

ClinicalPhase 2 randomised, double-blind, placebo-controlled trial

Triple-Hormone-Receptor Agonist Retatrutide for Obesity - A Phase 2 Trial

Jastreboff AM et al. · The New England journal of medicine · 2023

Population: Adults with a BMI of 30 or higher, or 27 to under 30 with a weight-related condition

The Phase 2 obesity trial of retatrutide, a triple GIP/GLP-1/glucagon receptor agonist. The primary endpoint was percentage change in body weight at 24 weeks, with 48-week change among the secondary endpoints.

Route reported
Subcutaneous
Schedule
Once weekly under the trial protocol
Duration
48 weeks
Least-squares mean percentage change in body weight at 48 weeks
At 48 weeks, the least-squares mean percentage change in the retatrutide groups was -8.7% in the 1-mg group, -17.1% in the combined 4-mg group, -22.8% in the combined 8-mg group, and -24.2% in the 12-mg group, as compared with -2.1% in the placebo group.

Context: Phase 2. These findings are dose-finding rather than confirmatory, and had not been replicated in a completed Phase 3 programme at the time of curation.

PMID 37366315DOI 10.1056/NEJMoa2301972NCT04881760View on PubMed

Supporting evidence

ClinicalPrimary trial · Phase 3

Efficacy and safety of retatrutide, a GIP, GLP-1, and glucagon receptor agonist, in people with type 2 diabetes and inadequate glycaemic control with diet and exercise (TRANSCEND-T2D-1): a double-blind, randomised, phase 3 trial

Bajaj HS et al. · Lancet (London, England) · 2026

The study reportedRetatrutide showed significant improvements in glycaemic control and bodyweight reduction as a monotherapy in adults with type 2 diabetes that is inadequately controlled with diet and exercise alone, with an adverse event profile consistent with molecules with GLP-1 agonist activity, supporting its potential as an effective treatment for type 2 diabetes.

PMID 42250575DOI 10.1016/S0140-6736(26)00967-0NCT06354660View on PubMed
ClinicalPrimary trial · Phase 2

Retatrutide, a GIP, GLP-1 and glucagon receptor agonist, for people with type 2 diabetes: a randomised, double-blind, placebo and active-controlled, parallel-group, phase 2 trial conducted in the USA

Rosenstock J et al. · Lancet (London, England) · 2023

The study reportedIn people with type 2 diabetes, retatrutide showed clinically meaningful improvements in glycaemic control and robust reductions in bodyweight, with a safety profile consistent with GLP-1 receptor agonists and GIP and GLP-1 receptor agonists. These phase 2 data also informed dose selection for the phase 3 programme.

PMID 37385280DOI 10.1016/S0140-6736(23)01053-XNCT04867785View on PubMed
ClinicalPrimary trial · Phase 1

LY3437943, a novel triple GIP, GLP-1, and glucagon receptor agonist in people with type 2 diabetes: a phase 1b, multicentre, double-blind, placebo-controlled, randomised, multiple-ascending dose trial

Urva S et al. · Lancet (London, England) · 2022

The study reportedIn this early phase study, LY3437943 showed an acceptable safety profile, and its pharmacokinetics suggest suitability for once-weekly dosing. This finding, together with the pharmacodynamic findings of robust reductions in glucose and bodyweight, provides support for phase 2 development.

PMID 36354040DOI 10.1016/S0140-6736(22)02033-5NCT04143802View on PubMed
ReviewMeta-analysis

Efficacy and safety of triple hormone receptor agonist retatrutide for the management of obesity: a systematic review and meta-analysis

Tewari J et al. · Expert review of clinical pharmacology · 2025

The study reportedIn conclusion our analysis found retatrutide to be clinically and statistically better than placebo in the various studies outcomes. We eagerly await the conduction of further trials for more robust and substantial results.

PMID 39817343DOI 10.1080/17512433.2025.2450254View on PubMed
ReviewSystematic review

Efficacy and safety of retatrutide for the treatment of obesity: a systematic review of clinical trials

Misra S et al. · Journal of basic and clinical physiology and pharmacology · 2025

The study reportedWeekly subcutaneous injections of retatrutide in obese patients resulted in significant weight loss and metabolic improvements compared to a placebo.

PMID 40728138DOI 10.1515/jbcpp-2025-0113NCT05936151View on PubMed
ReviewSystematic review

Efficacy and Safety of GLP-1 Receptor Agonists, Dual Agonists, and Retatrutide for Weight Loss in Adults With Overweight or Obesity: A Bayesian NMA

Sinha B et al. · Obesity (Silver Spring, Md.) · 2025

The study reportedRetatrutide offers superior weight loss efficacy but with a higher AE risk. Dual agonists provide a favorable efficacy-safety balance. Personalized treatment selection based on patient characteristics is recommended.

PMID 40685589DOI 10.1002/oby.24360View on PubMed
ReviewSystematic review

Seven glucagon-like peptide-1 receptor agonists and polyagonists for weight loss in patients with obesity or overweight: an updated systematic review and network meta-analysis of randomized controlled trials

Xie Z et al. · Metabolism: clinical and experimental · 2024

The study reportedRetatrutide (both doses) and tirzepatide exhibited superior efficacy compared to other GLP-1 receptor agonists and polyagonists in reducing body weight and waist circumference.

PMID 39305981DOI 10.1016/j.metabol.2024.156038View on PubMed
Additional indexed literature (2)

Published studies summarised here concern the specific investigational or pharmaceutical materials and study conditions described by their authors. Their findings are not performance claims for Cobalt Peptides material. Citations verified against PubMed on 2026-08-09.

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