Description
What is Retatrutide?
Retatrutide (LY3437943) is an investigational 39–amino acid synthetic peptide engineered as a triple agonist of the GLP-1, GIP, and glucagon receptors. It is among the newest and most extensively dose-ranged incretin compounds in development, with published Phase 2 clinical trials (TRIUMPH program) reporting body-weight reductions exceeding those observed with earlier dual-agonist peptides.
Mechanism of Action
- GLP-1 receptor agonism: glucose-dependent insulin secretion, suppressed glucagon, slowed gastric emptying, enhanced satiety
- GIP receptor agonism: synergistic incretin effect on insulin secretion
- Glucagon receptor agonism: hypothesized to increase energy expenditure via hepatic and adipose pathways
Compound Properties
- Molecular formula: C221H343N51O65
- Molecular weight: ~4,731 g/mol
- CAS number: 2381089-83-2
- Form: Lyophilized powder
- Source reference: PubChem CID 156588322
Research-Reference Dosing
Dosing from published peer-reviewed Phase 2 trials. Provided for research reference only; no regulatory approval exists.
- Phase 2 obesity trial: 1 mg, 4 mg, 8 mg, or 12 mg subcutaneous once weekly over 48 weeks after titration (Jastreboff et al., NEJM 2023)
- Phase 2 T2D trial: 0.5 mg – 12 mg subcutaneous weekly (Rosenstock et al., Lancet 2023)
- Typical titration: 2 mg starting dose with monthly increases as tolerated
Research Findings (Published Human Data)
- Phase 2 obesity (48 wks): mean body-weight reductions of ~17.5% (8 mg) and ~24.2% (12 mg)
- Phase 2 T2D (36 wks): HbA1c reductions up to ~2.0% with 12 mg dose
- Improvements in blood pressure, waist circumference, and lipid profile
- Phase 3 outcomes trials (TRIUMPH-1, -2, -3, -4) ongoing as of publication of most recent reports
Known Side Effects Reported in Trials
- Most common: nausea, diarrhea, vomiting, constipation, decreased appetite (dose-dependent)
- Less common: injection-site reactions, fatigue, increased heart rate
- Serious/rare reported in Phase 2: transient elevations in liver enzymes, gallbladder events, pancreatitis
- Note: long-term cardiovascular and thyroid safety data not yet available given investigational status
Storage & Handling
Store lyophilized vial at 2–8°C, protected from light. After reconstitution, refrigerate at 2–8°C. Do not freeze reconstituted solution.
Certificate of Analysis
A product-specific Certificate of Analysis (CoA) is available upon request for every lot.






