Retatrutide
Retatrutide is a single-molecule 'triple agonist' studied for chronic weight management and type 2 diabetes. In a published Phase 2 obesity trial it produced large dose-dependent weight reductions, and Phase 3 (TRIUMPH) trials are ongoing, with the first positive topline readout reported in late 2025. It remains experimental and is not authorized for clinical use.
Compare
Mechanism
In plain terms, retatrutide mimics several natural gut and pancreatic hormones at once to reduce appetite and food intake while affecting how the body handles glucose and energy. Technically, it is a synthetic peptide that simultaneously agonizes the glucose-dependent insulinotropic polypeptide (GIP) receptor, the glucagon-like peptide-1 (GLP-1) receptor, and the glucagon receptor. GLP-1 and GIP activity promote satiety and glucose-dependent insulin secretion, while glucagon-receptor agonism is thought to increase energy expenditure and lipid metabolism, a combination proposed to drive greater weight loss than single- or dual-incretin agents.
Regulatory Status by Region
- United States (FDA)Investigational; not approved. Phase 3 TRIUMPH program ongoing, with a first positive topline readout (TRIUMPH-4) reported in December 2025.
- Australia (TGA)Not entered on the Australian Register of Therapeutic Goods (ARTG); investigational only and not approved for supply.
- European Union (EMA)Not authorized; investigational, no marketing authorization.
- WADANot listed on the WADA Prohibited List. As an investigational incretin-class agent it is not a banned substance; the closely related approved GLP-1 agonists are on WADA's monitoring program rather than prohibited.
Key Studies
- Triple-Hormone-Receptor Agonist Retatrutide for Obesity - A Phase 2 Trial (Jastreboff et al.) (opens in a new tab) (N Engl J Med 2023;389:514-526; DOI 10.1056/NEJMoa2301972; PMID 37366315)
- Retatrutide, a GIP, GLP-1 and glucagon receptor agonist, for people with type 2 diabetes: a randomised, phase 2 trial (Rosenstock et al.) (opens in a new tab) (Lancet 2023; DOI 10.1016/S0140-6736(23)01053-X; PMID 37385280)
- A Study of Retatrutide (LY3437943) in Participants Who Have Obesity or Overweight (TRIUMPH-1, Phase 3) (opens in a new tab) (ClinicalTrials.gov NCT05929066)
Related Clinical Trials
- Effect of LY3437943 Versus Placebo in Participants Who Have Obesity or Are OverweightPhase 2 · Recruiting
- A Study of Retatrutide (LY3437943) in Participants Without Type 2 Diabetes Who Have Obesity or OverweightPhase 3 · Active Not Recruiting
- A Study of Retatrutide (LY3437943) in Participants With Obesity or OverweightPhase 3 · Active Not Recruiting
- A Master Protocol of Multiple Agents in Adults With Metabolic Dysfunction-Associated Steatotic Liver Disease (SYNERGY-Outcomes)Phase 3 · Recruiting
- A Study to Investigate the Response of Participants With Type 2 Diabetes Mellitus on Once-Weekly Retatrutide to HypoglycemiaPhase 1 · Completed
- A Study to Evaluate the Effect of Retatrutide on Insulin Secretion and Insulin Sensitivity in Adult Participants With Type 2 Diabetes MellitusPhase 1 · Active Not Recruiting
- A Study of Retatrutide (LY3437943) in Participants Who Have Obesity or Overweight and Chronic Low Back PainPhase 3 · Active Not Recruiting
- A Study of Retatrutide (LY3437943) in the Maintenance of Weight Reduction in Individuals With ObesityPhase 3 · Active Not Recruiting
Related News & Research
- This Week in Peptide Research: Survodutide's Phase 3 Obesity Data, Mazdutide's US Phase 2 Trial, and a Bone-Peptide Cluster
- Lilly Reports Two More Phase 3 Retatrutide Readouts, in Diabetes and Cardiovascular Disease
- This Week in Peptide Research: GIP Receptor Debate, Bone-Building Peptides, and New Safety Signals
- BMJ Network Meta-Analysis Compares 19 Obesity Drugs on Weight Loss, Heart Risk, and Side Effects
- Retatrutide Phase 2: A Triple-Agonist Peptide and 24% Average Weight Loss at 48 Weeks
Latest research
- Disease-modifying anti-diabetic drugs (DMADDs): bridging the SIMPLE approach to disease interception. (opens in a new tab)
Cardiovascular diabetology · Aug 26, 2026
- Retatrutide-Associated Improvements in Cardiovascular Risk Biomarkers in Adults With Obesity With or Without Type 2 Diabetes. (opens in a new tab)
Diabetes, obesity & metabolism · Aug 17, 2026
- Comparative effects of semaglutide tirzepatide and retatrutide on renal fibrosis in UUO and aged mice. (opens in a new tab)
iScience · Aug 13, 2026
- Retatrutide: Obesity drug opens to "compassionate use" in US after speculation Trump took it. (opens in a new tab)
BMJ (Clinical research ed.) · Aug 7, 2026
Common Questions
- What is Retatrutide?
- Retatrutide is an investigational once-weekly injectable peptide from Eli Lilly that activates three metabolic hormone receptors (GIP, GLP-1, and glucagon). It is not approved by any regulator as of 2026; it is being evaluated in the Phase 3 TRIUMPH program for obesity, type 2 diabetes, and related conditions.
- Is Retatrutide approved for medical use?
- Retatrutide is investigational: it is being studied in clinical research and is not an approved medicine. United States (FDA): Investigational; not approved. Phase 3 TRIUMPH program ongoing, with a first positive topline readout (TRIUMPH-4) reported in December 2025. European Union (EMA): Not authorized; investigational, no marketing authorization. Australia (TGA): Not entered on the Australian Register of Therapeutic Goods (ARTG); investigational only and not approved for supply.
- How does Retatrutide work?
- In plain terms, retatrutide mimics several natural gut and pancreatic hormones at once to reduce appetite and food intake while affecting how the body handles glucose and energy. Technically, it is a synthetic peptide that simultaneously agonizes the glucose-dependent insulinotropic polypeptide (GIP) receptor, the glucagon-like peptide-1 (GLP-1) receptor, and the glucagon receptor.
- Is Retatrutide legal in Australia?
- Retatrutide in Australia (TGA): Not entered on the Australian Register of Therapeutic Goods (ARTG); investigational only and not approved for supply.
- Is Retatrutide banned in sport?
- Retatrutide under the World Anti-Doping Agency (WADA) code: Not listed on the WADA Prohibited List. As an investigational incretin-class agent it is not a banned substance; the closely related approved GLP-1 agonists are on WADA's monitoring program rather than prohibited.