Phase 2 obesity trial, 2023
Jastreboff and colleagues reported in the NEJM that 338 adults on retatrutide lost up to 24.2 percent of body weight at 48 weeks against 2.1 percent on placebo.
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Retatrutide is an investigational triple agonist acting at the GLP-1, GIP and glucagon receptors, developed by Eli Lilly for obesity and metabolic disease. It is not approved by any regulator and is legally available only through its clinical trial programme.
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Overview
Retatrutide is an investigational triple agonist acting at the GLP-1, GIP and glucagon receptors, developed by Eli Lilly for obesity and metabolic disease. It is not approved by any regulator and is legally available only through its clinical trial programme.
What the research reports
Outcomes described across the published Retatrutide literature and ongoing study. Read each as research context, not a promised result.
Large weight loss in trials
Phase 2 work reported dose dependent weight loss up to 24.2 percent at 48 weeks against 2.1 percent on placebo in adults with obesity. Reported in research settings.
Triple receptor activation
Activates GLP-1 for appetite control, GIP for metabolic efficiency and glucagon for energy expenditure simultaneously, a broader reach than dual agonists.
Glycaemic control research
Phase 2 trials in type 2 diabetes reported HbA1c reductions up to 2.02 percent alongside meaningful reductions in body weight. Reported in research settings.
Liver fat reduction study
A phase 2a trial in 98 patients with fatty liver disease reported liver fat down up to 82.4 percent at 24 weeks, with 86 percent reaching normal liver fat.
Body composition change data
A 2025 analysis reported total body fat mass reduced by 15 to 26 percent against placebo in people with type 2 diabetes. Reported in research settings.
Dosage and protocol
Trial protocols titrate from 1 mg weekly through 2, 4 and 8 mg to a 12 mg target, escalating every four weeks. The half-life is approximately six days at steady state dosing.
Clinical evidence
The published record for Retatrutide, labeled by strength so you can see what is settled and what is emerging.
Jastreboff and colleagues reported in the NEJM that 338 adults on retatrutide lost up to 24.2 percent of body weight at 48 weeks against 2.1 percent on placebo.
SourceA Lancet phase 2 trial in 281 people with type 2 diabetes reported HbA1c improved by up to 2.02 percent with body weight down by as much as 16.94 percent. Reported in the cited paper.
SourceA 2024 Nature Medicine trial in 98 patients reported liver fat down up to 82.4 percent at 24 weeks, with 86 percent reaching normal liver fat content. Reported in the cited paper.
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