— SYNTHETIC TRIPLE INCRETIN AGONIST · GIP / GLP-1 / GLUCAGON RECEPTOR

Retatrutide.

A 36-amino-acid synthetic peptide engineered by Eli Lilly to activate three metabolic receptors simultaneously. Phase II data published in the NEJM showed 24% mean weight loss at 48 weeks — the largest recorded for any pharmaceutical compound at that point in time.

Key Signals
Weight · Metabolic · Glucagon
Origin
Synthetic (engineered triple agonist)
Investigator
Eli Lilly and Company, 2020s
Class
GIP / GLP-1 / Glucagon triple agonist
Status (UAE)
Research compound (Phase III active)
— THE RESEARCH STORY

The Weight Loss Record Breaker

Lilly engineers LY3437943 to activate GIP, GLP-1, and glucagon receptors simultaneously — extending the dual agonist architecture of tirzepatide.

NEJM 2023: 24.2% mean weight loss at 12mg weekly over 48 weeks — the highest efficacy signal recorded for any weight loss compound at the time.

FDA fast-track designation granted. TRIUMPH programme enrolling across obesity, T2D, NAFLD, and heart failure — approval decision anticipated.

— WEIGHT LOSS TRAJECTORY
PHASE II DATA · 12mg DOSE · NEJM 2023
-25% -20% -15% -10% 0% WEEK 0 WEEK 12 WEEK 24 WEEK 36 WEEK 48
RETATRUTIDE 12mg PLACEBO
— THE MOLECULE

Three targets, one molecule

PRIMARY STRUCTURE

36-AA triple incretin scaffold

C20 fatty acid acylation · Aib substitutions · ~168h half-life · MW ~4169 Da

4169MOLECULAR WEIGHT Da
36AMINO ACIDS
Ph.IIICLINICAL STAGE

Modified GLP-1 backbone with Aib substitutions for protease resistance and C20 fatty acid acylation for extended half-life (~168h). Activates GIP, GLP-1, and glucagon receptors — the first at large-scale trials.

— AN HONEST READING OF THE DATA

Phase II earned this one.

Phase II human data is unusually strong; Phase III will determine whether it holds at scale.

TIER 01 / HUMAN PHASE II
Robust Human Evidence
  • 24% weight loss (12mg, 48wk)
  • Dose-response confirmed
  • HbA1c reduction (T2D)
  • Lipid profile improvement
  • FDA fast-track designation
TIER 02 / PHASE III PENDING
Awaiting Confirmation
  • Long-term safety (2yr+)
  • NAFLD / NASH reversal
  • Cardiovascular outcomes
  • Lean mass preservation
TIER 03 / SPECULATIVE
Extrapolated & Unverified
  • Heart failure (HFpEF)
  • Neurological protection
  • Addiction suppression
  • Anti-aging / longevity
— RETATRUTIDE MECHANISMS & RESEARCH DOSING READY

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— REGULATORY LANDSCAPE

The Closest Thing to Approval

In the UAE, research-grade peptides occupy a defined regulatory category distinct from licensed medicines. Compounds sold under this classification — including those offered by Dubai Peptides — are intended exclusively for qualified research applications, not for human administration.

Of all compounds in this catalogue, Retatrutide is the closest to a formal approval. Phase II data is published, peer-reviewed, and compelling — 24% weight loss in a controlled human trial is not extrapolated from rodents. FDA fast-track designation reflects the agency's own read of that data. No approval exists yet — Phase III will determine whether efficacy and safety hold at scale and time.

2020 / IND FILING

Lilly initiates Phase I trials for LY3437943; triple agonist concept enters human testing.

2023 / PHASE II · NEJM

24.2% weight loss at 12mg published — the highest recorded for any compound at the time.

ACTIVE / PHASE III TRIUMPH

FDA fast-track granted; TRIUMPH programme enrolling. Approval decision anticipated 2026+.