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Inclusion of a compound does not constitute endorsement. Information sourced from published research and regulatory filings.

Retatrutide

Investigational

Triple Agonist · Eli Lilly

Investigational triple-agonist targeting GIP, GLP-1, and glucagon receptors. In Phase 3 clinical trials (TRIUMPH program) by Eli Lilly for obesity and type 2 diabetes.


About

Mechanism
Activates three receptors simultaneously: GIP (enhances insulin), GLP-1 (suppresses appetite, slows gastric emptying), and glucagon (increases energy expenditure and hepatic fat oxidation). The glucagon component distinguishes it from dual agonists.
Half-Life
Approximately 6 days (144 hours)
Route
subcutaneous
Frequency
Once weekly

Clinical Dosing

2-12 mgonce weekly

Not FDA-approved. Available only through clinical trials or research supply. Phase 3 results expected 2025-2026.


Regulatory Status

FDA Category
Investigational (Phase 3)
Reclassification
stable

Status based on publicly available FDA communications. Verify at FDA.gov for authoritative guidance.

View full regulatory timeline →

Titration Protocols

Phase 2 Trial Titration (12 mg arm)

Source: Jastreboff et al., NEJM 2023 — Triple-Hormone-Receptor Agonist Retatrutide for Obesity

DoseDurationDraw (5 mg vial in 2mL)Notes
2 mg4 weeks0.80 mL (80 units)Starting dose
4 mg4 weeks1.60 mL (160 units)First escalation
6 mg4 weeks2.40 mL (240 units)Second escalation
8 mg4 weeks3.20 mL (320 units)Third escalation
10 mg4 weeks4.00 mL (400 units)Fourth escalation
12 mgMaintenance4.80 mL (480 units)Target dose

TRIUMPH Phase 3 (12 mg target)

Source: Eli Lilly TRIUMPH-4 results, Dec 2025

DoseDurationDraw (5 mg vial in 2mL)Notes
2 mg4 weeks0.80 mL (80 units)Starting dose
4 mg4 weeks1.60 mL (160 units)First escalation
6 mg4 weeks2.40 mL (240 units)Second escalation
9 mg4 weeks3.60 mL (360 units)Third escalation (skips 8mg)
12 mgMaintenance4.80 mL (480 units)Target dose

Available Vial Sizes

5 mg

5 mg vial

10 mg

10 mg vial


Citations

  1. [1]Triple-Hormone-Receptor Agonist Retatrutide for Obesity — A Phase 2 Trial. New England Journal of Medicine, 389(6), 514-526. Link(Reviewed: 2024-06-01)
  2. [2]A Study of Retatrutide (LY3437943) in Participants With Obesity (TRIUMPH-3). ClinicalTrials.gov NCT05929066. Link(Reviewed: 2024-06-01)