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Retatrutide: Research Overview & Current Status

In clinical trials

Retatrutide is a GIP/GLP-1/glucagon triple hormone receptor agonist. Current research status: in clinical trials. Retatrutide is in active Phase 3 development (TRIUMPH and TRANSCEND-T2D programs) and is not FDA-approved for any indication; it is not legally available as a prescription drug.

Overview

Retatrutide is an investigational peptide developed by Eli Lilly that acts as a triple agonist across the GIP, GLP-1, and glucagon receptors. It is being evaluated across a Phase 3 program (TRIUMPH) for obesity/overweight, type 2 diabetes, knee osteoarthritis, obstructive sleep apnea, and other metabolic indications, but has not received FDA approval.

GIP/GLP-1/glucagon triple hormone receptor agonist

Research timeline

  1. 2023

    Eli Lilly's TRIUMPH Phase 3 program for retatrutide began, enrolling more than 5,800 participants across obesity/overweight, obstructive sleep apnea, and knee osteoarthritis registrational trials.

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  2. 2024

    Phase 2a randomized trial reported retatrutide effects on metabolic dysfunction-associated steatotic liver disease (MASLD).

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  3. 2025-2026

    TRIUMPH-1 (obesity/overweight), TRIUMPH-4 (obesity + knee osteoarthritis), TRIUMPH-3 (severe obesity + cardiovascular disease), and TRANSCEND-T2D-1 (type 2 diabetes) Phase 3 trials reported topline and detailed results.

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Active & recent research

Phase 3

TRIUMPH-1

weight loss efficacy and safety of retatrutide (4/9/12 mg) versus placebo in adults with obesity or overweight

Phase 3

TRIUMPH-4

weight loss and knee osteoarthritis pain/function in adults with obesity or overweight and knee osteoarthritis

Phase 3

TRIUMPH-3

weight loss in adults with severe obesity (Class 2/3) and established cardiovascular disease

Phase 3

TRANSCEND-T2D-1

A1C reduction and weight loss in adults with type 2 diabetes and inadequate glycemic control

Key findings

  • TRIUMPH-4 reported that the highest retatrutide dose produced an average weight loss of 28.7% along with improvements in osteoarthritis pain and physical function at 68 weeks.
  • TRANSCEND-T2D-1 reported average A1C reductions of up to 2.0% and weight loss of up to 16.8% (36.6 lbs) at 40 weeks in adults with type 2 diabetes.
  • A Phase 2a randomized trial reported improvements in metabolic dysfunction-associated steatotic liver disease (MASLD) markers with retatrutide treatment.
  • Across TRIUMPH trials, gastrointestinal adverse events were reported as generally mild and infrequently led to discontinuation, consistent with the incretin drug class.

Safety & regulatory notes

Retatrutide is an investigational compound with no FDA approval and is not legally marketed for human use outside clinical trials. Reported adverse events in Phase 2/3 trials have been predominantly gastrointestinal (nausea, diarrhea, vomiting), consistent with other incretin-based therapies, but full long-term safety data are not yet established since Phase 3 trials remain ongoing or recently completed. Any product marketed as 'retatrutide' outside of Lilly's clinical trial program is an unapproved research chemical with unverified purity and no regulatory oversight.

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Where it's sold for research

We track vendor availability and published pricing for Retatrutide on a dedicated page. See where to buy Retatrutide

Retatrutide FAQ

Is retatrutide FDA-approved?+

No. Retatrutide remains an investigational drug in Phase 3 clinical trials and has not received FDA approval for any indication.

What is retatrutide studied for?+

Lilly's TRIUMPH and TRANSCEND-T2D Phase 3 programs are studying retatrutide for obesity/overweight, type 2 diabetes, knee osteoarthritis, obstructive sleep apnea, chronic low back pain, cardiovascular/renal outcomes, and MASLD.

Is retatrutide legal to buy for research purposes?+

It is sold by some vendors as a research chemical labeled not for human use; because it remains investigational and unapproved, purity, dosing accuracy, and safety of such products are not verified by any regulatory body.

How does retatrutide differ from semaglutide and tirzepatide?+

Retatrutide targets three receptors (GIP, GLP-1, and glucagon) compared to semaglutide's single GLP-1 target and tirzepatide's dual GIP/GLP-1 target; Phase 3 trials have reported larger average weight-loss percentages for retatrutide, though it remains investigational and unapproved.

Sources for this page (5)

  1. 1 https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-delivered-powerful-weight-loss
  2. 2 https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-delivered-weight-loss-average
  3. 3 https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-demonstrated-significant
  4. 4 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11271400/
  5. 5 https://www.prnewswire.com/news-releases/lillys-triple-agonist-retatrutide-successful-in-two-additional-phase-3-obesity-trials-delivering-significant-improvements-in-weight-and-a1c-302832674.html

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