Description
Retatrutide — Next-Generation Triple-Hormone Weight-Loss & Metabolic Therapy
Retatrutide (LY-3437943) is a once-weekly, investigational injectable medication being developed by Eli Lilly and Company for the treatment of obesity and related metabolic conditions such as type 2 diabetes, fatty liver disease, and metabolic dysfunction. It is not yet approved for general medical use by regulatory authorities such as the FDA or EMA; global approval and commercial availability are anticipated in the next few years following completion of Phase 3 trials.
Mechanism of Action
Retatrutide is a first-in-class triple hormone receptor agonist, sometimes informally called “Triple G” due to its multi-target profile:
- GLP-1 receptor agonism – improves insulin secretion, slows gastric emptying, and reduces appetite.
- GIP receptor agonism – enhances glucose-dependent insulin release and may support fat metabolism.
- Glucagon receptor agonism – increases energy expenditure and fat breakdown.
This combination is designed to deliver more potent weight-loss and metabolic effects than existing single- or dual-agonist therapies.
Clinical Trial Evidence
Results from Phase 2 and recent Phase 3 studies show robust outcomes:
- In Phase 2 trials, retatrutide produced significant body-weight reductions in adults with obesity — often exceeding reductions seen with current standards of care.
- In the Phase 3 TRIUMPH-4 trial, participants using the highest doses saw up to ~28.7 % average weight loss (about ~71 lbs) over ~68 weeks, alongside improvements in physical function and pain related to knee osteoarthritis.
These high-efficacy results have made retatrutide one of the most closely watched investigational therapies in metabolic medicine.
Intended Use
Retatrutide is being developed primarily for:
- Weight-loss management in adults with obesity or overweight
- Improvement of metabolic outcomes (glucose control, insulin sensitivity)
- Treatment of obesity-related complications, potentially including liver disease and joint-pain symptoms.
Format & Administration
- Administered as a once-weekly subcutaneous injection
- Dose levels studied include step-up regimens to improve tolerability
- Self-administered by patients after clinician training (pending approval).
Safety & Approval Status
- Retatrutide remains investigational and is not FDA-approved or authorized for prescription use anywhere in the world as of early 2026.
- Commonly reported side effects in trials are gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea).
- Because of its investigational status, products sold outside clinical settings (especially online) may be unregulated, unsafe, or counterfeit.
Regulatory Outlook
- Ongoing Phase 3 trials are expected to read out throughout 2026.
- Anticipated regulatory submissions and potential approvals are projected around late 2026 to 2027, depending on review timelines.







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