
B
Tier
Investigational triple GLP-1/GIP/glucagon agonist for obesity.
Peptide
WADA Status:
Not listed
Human Trial Scoreboard
Completed human RCTs
Phase 3 reporting
Largest Human Study
TRIUMPH-1
Longest exposure
104 weeks
Most Recent Trial
TRIUMPH-1 topline
Description
Retatrutide is the most talked-about molecule in obesity medicine and it is not approved anywhere. It is an Eli Lilly compound that acts on three receptors rather than two, adding glucagon to the GLP-1 and GIP targets, which appears to increase energy expenditure as well as reducing appetite. Mid-stage results showed about twenty four percent weight loss at forty eight weeks, and the first large late-stage trial, enrolling two thousand three hundred and thirty nine participants, reported up to thirty percent at two years. Those are the strongest weight loss figures anyone has published. It is still investigational, which means the only legitimate way to receive it is inside a Lilly trial, and the material sold online has no approved reference product to be compared against.
What Are The Claims
Claims made for this compound: Very large weight loss in Phase 2 (up to about 24 percent); Triple GLP-1/GIP/glucagon mechanism; Proposed metabolic and liver benefits
Evidence
Phase 2 weight-loss results were striking, which has driven heavy grey-market availability well ahead of any approval. An unapproved compound in active trials is precisely the point at which unknown risks have not yet been characterized.
Evidence Strength
Moderate (Phase 2 RCT; Phase 3 ongoing)
Caveats
Investigational triple agonist; NOT approved anywhere; grey-market versions are unregulated.
Safety
Alternative Measures
Legal Status
US
Not approved; investigational
UK
Not approved
EU
Not approved
AU
Not approved
WADA
Not listed
Not approved. Investigational; Phase 3 trials ongoing.
Citations
Jastreboff et al. (2023). NEJM. Phase 2 RCT. DOI: 10.1056/NEJMoa2301972.