B

Tier

Retatrutide

Retatrutide

Retatrutide

Investigational triple GLP-1/GIP/glucagon agonist for obesity.

Peptide

WADA Status:

Not listed

Human Trial Scoreboard

Completed human RCTs

0
0
0

Phase 3 reporting

Largest Human Study

2339
2339
2339

TRIUMPH-1

Longest exposure

104
104
104

104 weeks

Most Recent Trial

2026
2026
2026

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.

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