---
title: "Retatrutide | PepTracker Pro"
url: https://peptrackerpro.com/peptides/retatrutide
description: "An investigational triple agonist (GIP/GLP-1/glucagon) studied for obesity and metabolic disease."
lang: en
---

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# Retatrutide

High Evidence

An investigational triple agonist (GIP/GLP-1/glucagon) studied for obesity and metabolic disease.

Aliases LY3437943 +1 more

Evidence High Evidence

Last Updated 2026-06-13

Reading Time 4 min

## What It Is

Retatrutide (LY3437943) is an investigational triple incretin agonist targeting GIP, GLP-1, and glucagon receptors simultaneously, developed by Eli Lilly. It is the first triple agonist to reach Phase 3 development and has produced the highest weight loss of any GLP-1-class therapy tested to date. In the Phase 3 TRIUMPH-4 trial (December 2025), retatrutide achieved 28.7% mean body weight loss at 68 weeks on the 12 mg dose — participants lost an average of 71.2 lbs (32.3 kg) from a baseline of 248.5 lbs, with 58.6% achieving ≥25% total body weight loss. Beyond weight, retatrutide reduced WOMAC knee pain scores by 75.8%, with more than 1 in 8 patients becoming completely pain-free — the first successful Phase 3 demonstrating weight-loss-mediated joint pain improvement. In March 2026, the TRANSCEND-T2D-1 trial reported A1C reductions of up to 2.0% and weight loss of up to 36.6 lbs (16.8%) at 40 weeks in type 2 diabetes patients. The TRIUMPH Phase 3 program includes eight clinical trials evaluating retatrutide in general obesity, type 2 diabetes, obstructive sleep apnea, and knee osteoarthritis. On May 21, 2026, Eli Lilly announced positive topline data from TRIUMPH-1, the pivotal 80-week general obesity trial: participants on the 12 mg dose lost an average of 28.3% of their body weight at 80 weeks, with all three doses (4 mg, 9 mg, and 12 mg) meeting primary and key secondary endpoints. Among participants with a starting BMI of 35 or higher who continued on the drug, weight loss reached up to 30.3% at 104 weeks. These results form the primary basis for the planned NDA submission. A notable safety signal is dysesthesia (abnormal skin sensation), reported in 8.8% (9 mg) and 20.9% (12 mg) of patients vs 0.7% on placebo, and higher discontinuation rates (18.2%) compared to competitors. Eli Lilly plans to file the NDA in Q4 2026, with a potential FDA decision by mid-to-late 2027. The pivotal TRIUMPH-1 trial — the largest in the program at 80 weeks in adults with obesity/overweight without T2D — is the registration study for the weight-management NDA. The TRIUMPH-1 results confirm retatrutide as the highest-efficacy weight-loss compound in clinical development, with additional Phase 3 readouts for type 2 diabetes, cardiovascular disease, and other indications expected through Q3–Q4 2026. Seven additional Phase III readouts are expected throughout 2026, and the overall TRIUMPH program encompasses eight pivotal trials enrolling more than 5,800 participants plus a separate roughly 10,000-patient cardiovascular outcomes trial (TRANSCEND-CV). TRIUMPH-1 secondary biomarker endpoints showed statistically significant improvements across waist circumference, non-HDL cholesterol, triglycerides, systolic blood pressure, and high-sensitivity C-reactive protein at 80 weeks across all dose groups, though the trial was not powered for cardiovascular event outcomes. At the ADA 2026 Scientific Sessions (June 5–8, New Orleans), Eli Lilly is presenting full TRIUMPH-1 data with complete secondary biomarker endpoints, and TRANSCEND-T2D-1 full data for type 2 diabetes. These presentations represent the first comprehensive peer-reviewed disclosure of the pivotal registration data underpinning the planned Q4 2026 NDA submission. At the ADA 2026 Scientific Sessions (June 7, New Orleans), Eli Lilly presented full data from TRIUMPH-4, the first Phase 3 trial evaluating a pharmacotherapy in adults with both obesity/overweight and knee osteoarthritis. TRIUMPH-4 met all primary and key secondary endpoints at 68 weeks. Participants receiving retatrutide 12 mg achieved 28.7% mean body weight loss (vs 3.3% placebo) — the highest weight loss figure across all retatrutide Phase 3 trials to date — alongside a 75.8% reduction in WOMAC knee pain scores (4.5-point reduction vs 0.5-point placebo). At 68 weeks, 12.0% of the 12 mg group were completely free of knee pain compared with 4.2% in the placebo group. Participants also experienced a 14 mmHg reduction in systolic blood pressure and significant improvements in physical function. The average weight loss of 71.2 lbs in the TRIUMPH-4 12 mg arm represents the highest absolute weight reduction reported in any retatrutide trial to date. These data support a potential sNDA or supplemental indication for musculoskeletal comorbidities alongside the obesity NDA filing planned for Q4 2026.

Also known as: LY3437943, Triple G

## Regulatory Status

Investigational — Phase 3 (positive pivotal data)

TRIUMPH-1 pivotal 80-week obesity trial reported positive topline data May 21, 2026: 28.3% weight loss at 12 mg dose, all doses met endpoints. Up to 30.3% at 104 weeks in BMI ≥35 subgroup. TRIUMPH-4 (obesity + OA, 28.7% at 68 weeks) and TRANSCEND-T2D-1 (T2D, A1C -2.0%) both positive. NDA filing planned Q4 2026. FDA decision expected mid-to-late 2027.

Effective: May 2026

View FDA Source (https://investor.lilly.com/news-releases/news-release-details/lillys-retatrutide-delivered-clinically-meaningful-weight-loss)

## Evidence Snapshot

High Evidence

Low

Medium

High

| Study Type | Model | Outcome | Link |
| --- | --- | --- | --- |
| Phase 2 | Triple agonist (GIP/GLP-1/glucagon) in adults with obesity | Up to 24% weight loss over 48 weeks | Source: https://pubmed.ncbi.nlm.nih.gov/37351564/ |
| Phase 3 (TRIUMPH-4) | Adults with obesity and knee osteoarthritis (12 mg dose, 68 weeks) | 28.7% mean weight loss; 75.8% reduction in WOMAC knee pain; >12.5% completely pain-free | Source: https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-delivered-weight-loss-average |
| Phase 3 (TRANSCEND-T2D-1) | Adults with type 2 diabetes, 40 weeks | A1C reductions of up to 2.0%; weight loss of up to 36.6 lbs (16.8%) | Source: https://www.prnewswire.com/news-releases/lillys-triple-agonist-retatrutide-demonstrated-significant-reductions-in-a1c-and-weight-in-first-phase-3-trial-for-treatment-of-type-2-diabetes-302718589.html |
| Phase 3 (TRIUMPH) | Retatrutide in obesity with osteoarthritis | Average 71.2 lbs weight loss with substantial osteoarthritis pain relief — first successful Phase 3 for weight-loss-mediated joint improvement | Source: https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-delivered-weight-loss-average |
| Phase 3 (TRIUMPH-1) | Adults with obesity/overweight without T2D, 80 weeks (pivotal registrational trial) | 28.3% mean weight loss at 12 mg dose; up to 30.3% at 104 weeks in BMI ≥35 subgroup; all doses met primary and key secondary endpoints | Source: https://investor.lilly.com/news-releases/news-release-details/lillys-retatrutide-delivered-clinically-meaningful-weight-loss |
| Phase 3 (TRIUMPH-1 + TRANSCEND-T2D-1 — ADA 2026 full data) | Full data presentations at ADA 2026 Scientific Sessions (June 5–8, 2026): TRIUMPH-1 complete secondary endpoints and TRANSCEND-T2D-1 T2D data | TRIUMPH-1: 28.3% weight loss (12 mg, 80 wks); significant improvements in waist circumference, non-HDL cholesterol, triglycerides, SBP, and hsCRP. TRANSCEND-T2D-1: A1C −2.0%, weight −16.8% at 40 wks. Dysesthesia in 20.9% at 12 mg (vs 0.7% placebo) confirmed as key differentiated safety signal. | Source: https://investor.lilly.com/news-releases/news-release-details/lillys-retatrutide-delivered-clinically-meaningful-weight-loss |
| Phase 3 (TRIUMPH-4 — ADA 2026, June 7) | Adults with obesity/overweight and knee osteoarthritis — 68-week, randomized, double-blind, placebo-controlled | 12 mg: 28.7% weight loss (71.2 lbs avg) vs 3.3% placebo; WOMAC knee pain −75.8% (4.5 pts vs 0.5 pts placebo); 12% completely pain-free vs 4.2% placebo; systolic BP −14 mmHg; all primary and key secondary endpoints met | Source: https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-delivered-weight-loss-average |

## Commonly Discussed Benefits

Weight Management: https://peptrackerpro.com/benefits/weight-management
Appetite Regulation: https://peptrackerpro.com/benefits/appetite-regulation
Metabolism: https://peptrackerpro.com/benefits/metabolism
Fat Loss: https://peptrackerpro.com/benefits/fat-loss

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## Safety & Cautions

- Still in clinical trials; NDA filing planned Q4 2026, FDA decision expected mid-to-late 2027
- Dysesthesia (abnormal skin sensation) reported in 8.8% (9 mg) and 20.9% (12 mg) vs 0.7% placebo
- Higher discontinuation rates (18.2%) compared to other GLP-1 class therapies
- Gastrointestinal side effects common in trials
- Long-term safety data beyond 104 weeks not yet available
- Only available through clinical trial enrollment until potential approval

## Comparisons

See how Retatrutide compares to related peptides:

Retatrutide vs Amycretin: https://peptrackerpro.com/compare/retatrutide-vs-amycretin

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Retatrutide vs CT-388: https://peptrackerpro.com/compare/retatrutide-vs-ct-388

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Retatrutide vs Efpeglenatide: https://peptrackerpro.com/compare/retatrutide-vs-efpeglenatide

Retatrutide vs GLP-1-GIP-Lani (Quintuple Agonist): https://peptrackerpro.com/compare/retatrutide-vs-glp1-gip-lani

Retatrutide vs Maridebart Cafraglutide (MariTide): https://peptrackerpro.com/compare/retatrutide-vs-maridebart-cafraglutide

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Retatrutide vs NA-931 (Bioglutide): https://peptrackerpro.com/compare/retatrutide-vs-na-931

Retatrutide vs Pep19: https://peptrackerpro.com/compare/retatrutide-vs-pep19

Retatrutide vs Semaglutide: https://peptrackerpro.com/compare/retatrutide-vs-semaglutide

Retatrutide vs Survodutide: https://peptrackerpro.com/compare/retatrutide-vs-survodutide

Retatrutide vs Tirzepatide: https://peptrackerpro.com/compare/retatrutide-vs-tirzepatide

Retatrutide vs UBT251: https://peptrackerpro.com/compare/retatrutide-vs-ubt251

Retatrutide vs WVE-007: https://peptrackerpro.com/compare/retatrutide-vs-wve-007

Retatrutide vs ARO-INHBE: https://peptrackerpro.com/compare/retatrutide-vs-aro-inhbe

Retatrutide vs HRS9531 (KAI-9531): https://peptrackerpro.com/compare/retatrutide-vs-hrs9531

## Calculator Tools

Use our research tools to explore dosing and reconstitution data:

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## Citations

1. [1] Jastreboff AM. et al. — Triple-hormone-receptor agonist retatrutide for obesity. N Engl J Med. 2023 PubMed (https://pubmed.ncbi.nlm.nih.gov/37351564/)
2. [2] Eli Lilly — TRIUMPH-4 Phase 3 results, December 2025 PubMed (https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-delivered-weight-loss-average)
3. [3] Eli Lilly — TRANSCEND-T2D-1 Phase 3 topline results, March 2026 PubMed (https://www.prnewswire.com/news-releases/lillys-triple-agonist-retatrutide-demonstrated-significant-reductions-in-a1c-and-weight-in-first-phase-3-trial-for-treatment-of-type-2-diabetes-302718589.html)
4. [4] Giblin MJ. et al. — TRIUMPH registrational clinical trials design: obesity, OSA, and knee OA. Diabetes Obes Metab. 2026 PubMed (https://dom-pubs.onlinelibrary.wiley.com/doi/full/10.1111/dom.70209)
5. [5] Eli Lilly — TRIUMPH-1 Phase 3 topline results (28.3% weight loss at 80 weeks), May 21, 2026 PubMed (https://investor.lilly.com/news-releases/news-release-details/lillys-retatrutide-delivered-clinically-meaningful-weight-loss)
6. [6] Eli Lilly — Retatrutide TRIUMPH-1 and TRANSCEND-T2D-1 full data at ADA 2026 Scientific Sessions. June 2026 PubMed (https://www.ajmc.com/view/retatrutide-achieves-up-to-30-3-average-weight-loss-in-phase-3-triumph-1-trial)
7. [7] Lilly — TRIUMPH-4: Retatrutide Delivers Weight Loss and Osteoarthritis Pain Relief, ADA 2026 PubMed (https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-delivered-weight-loss-average)
8. [8] TRIUMPH-4: Retatrutide Achieves 28.7% Weight Loss and Marked Knee Pain Reduction — Patient Care Online PubMed (https://www.patientcareonline.com/view/retatrutide-achieves-up-to-28-7-weight-loss-and-marked-knee-pain-reduction-in-phase-3-triumph-4-trial)

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Low Evidence

An investigational RNA-interference (RNAi) therapeutic from Arrowhead Pharmaceuticals designed to treat obesity by silencing a fat-storage gene in the liver. ARO-INHBE is a GalNAc-conjugated small interfering RNA (siRNA) that reduces hepatic expression of the INHBE gene and its secreted product, the hepatokine Activin E. INHBE is a genetically validated target: people who naturally carry rare loss-of-function variants in INHBE have a healthier (less abdominal) fat distribution and a lower risk of type 2 diabetes, suggesting that lowering Activin E with a drug could reproduce that protective metabolic profile. In an ongoing Phase 1/2a trial (AROINHBE-1001, NCT06700538), a single subcutaneous dose reduced serum Activin E by up to about 94%, and monotherapy reduced visceral fat by roughly 10-16% while modestly increasing lean tissue. Most strikingly, when added to the incretin drug tirzepatide in obese patients with type 2 diabetes, ARO-INHBE roughly doubled weight loss (-9.4% versus -4.8% at week 16) and roughly tripled reductions in visceral, total, and liver fat versus tirzepatide alone. These are small, early, interim results (as few as 3-4 participants per combination arm) - not proof of durable or long-term benefit. ARO-INHBE is investigational, is not approved anywhere, and is not a supplement or research chemical; it is studied only in clinical trials.

Fat Loss (https://peptrackerpro.com/benefits/fat-loss)Body Composition (https://peptrackerpro.com/benefits/body-composition)Weight Management (https://peptrackerpro.com/benefits/weight-management)Metabolism (https://peptrackerpro.com/benefits/metabolism)+1 more

View Details: https://peptrackerpro.com/peptides/aro-inhbe

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### HRS9531 (KAI-9531)

Medium Evidence

An investigational once-weekly injectable dual GLP-1/GIP receptor agonist - the same peptide class as tirzepatide (Zepbound/Mounjaro) - developed by China's Jiangsu Hengrui Pharmaceuticals as HRS9531 and licensed to U.S.-based Kailera Therapeutics, which is developing it globally (outside Greater China) as KAI-9531. In the pivotal 48-week Phase 3 GEMINI-1 trial in China (NCT06396429; 567 adults with obesity or overweight without diabetes), once-weekly HRS9531 produced mean weight loss of about 17.4-19.2% at the 4 mg and 6 mg doses (per-protocol/hypothetical estimand) versus roughly 1.4% for placebo, with about 44% of 6 mg patients losing at least 20% of body weight and broad improvements in blood pressure, lipids, insulin resistance, and inflammation (hsCRP). An earlier Phase 2 trial reported about 23.6% mean weight loss at the higher 8 mg dose by week 36 with no plateau. Hengrui has submitted a marketing application to China's NMPA for chronic weight management, and Kailera began a global Phase 3 program (KAI-9531) evaluating higher maintenance doses (8 mg and 10 mg) and longer treatment by late 2025. HRS9531/KAI-9531 is investigational, is not approved outside of any regulatory review in China, and is not a supplement or research chemical; it is studied only in clinical trials.

Weight Management (https://peptrackerpro.com/benefits/weight-management)Fat Loss (https://peptrackerpro.com/benefits/fat-loss)Body Composition (https://peptrackerpro.com/benefits/body-composition)Metabolism (https://peptrackerpro.com/benefits/metabolism)+1 more

View Details: https://peptrackerpro.com/peptides/hrs9531

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Track in App: https://app.peptrackerpro.com/?add=hrs9531

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