Triple Agonist · GLP-1 + GIP + Glucagon

Retatrutide waitlist:
Priority access at FDA approval.

Retatrutide produced up to 30.3% mean body weight loss in Phase 3 TRIUMPH-1 — the highest ever recorded for an obesity medication. FDA approval expected in 2027. Be first in line for physician-supervised access.

0.0%
Mean Weight Loss · TRIUMPH-1
0 wk
Phase 3 Trial Duration
Hormone Targets vs. GLP-1 alone
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The Science

Why retatrutide's triple agonism
changes everything

Every approved GLP-1 medication works by targeting one or two metabolic pathways. Retatrutide targets three simultaneously — producing weight loss that dwarfs anything previously seen in a Phase 3 obesity trial.

GLP-1

Appetite Suppression

GLP-1 receptor agonism slows gastric emptying and signals satiety to the brain, reducing caloric intake. This is the same mechanism behind semaglutide and tirzepatide.

GIP

Insulin Sensitivity

GIP receptor agonism improves insulin secretion and adipose tissue metabolism, enhancing the body's ability to utilize nutrients efficiently. Shared with tirzepatide.

Glucagon

Energy Expenditure

Glucagon receptor agonism increases resting metabolic rate and promotes fat oxidation in the liver. This is retatrutide's key differentiator — no other approved drug does this.

Result

Unprecedented Efficacy

The combination produces weight loss that approaches surgical outcomes in some patients — without surgery. TRIUMPH-4 reported complete knee pain relief in 1 in 8 participants.

TRIUMPH Phase 3 Data

Retatrutide TRIUMPH trial results

In the Phase 3 TRIUMPH-1 trial (n=2,339), participants receiving retatrutide 12mg lost a mean of 28.3% of body weight at 80 weeks — and up to 30.3% at 104 weeks in the BMI ≥35 extension. All three doses met all primary and key secondary endpoints.

How retatrutide compares to currently approved medications at maximum doses:

Medication Mechanism Mean Weight Loss
Semaglutide (Wegovy) GLP-1
~15%
Tirzepatide (Zepbound) GLP-1 + GIP
~20%
Retatrutide (investigational) GLP-1 + GIP + Glucagon
30.3%

Data from published Phase 2 and Phase 3 clinical trials. Retatrutide is investigational and not FDA approved. Direct comparisons across trials should be interpreted cautiously.

When will retatrutide get FDA approval?

Based on Eli Lilly's public statements and standard FDA review timelines. These are projections, not confirmed dates.

December 2025
TRIUMPH-4 Results Published
28.7% mean weight loss at 68 weeks confirmed — highest ever recorded at that time.
May 2026
TRIUMPH-1 Phase 3 Results — New Record
n=2,339 pivotal trial: 28.3% weight loss at 80 weeks (12mg), up to 30.3% at 104 weeks. All doses met all endpoints. Full breakdown →
2026
Remaining Phase 3 Readouts
TRIUMPH-2 (type 2 diabetes) and TRIUMPH-3 (cardiovascular disease) results expected. Additional trials covering sleep apnea and MASH ongoing.
Late 2026 · Early 2027
NDA Filing with FDA
Eli Lilly expected to submit a New Drug Application once Phase 3 data package is complete.
2027
Anticipated FDA Approval
Under standard 10-month review, approval could come Q1–Q2 2027. Priority review designation could accelerate this timeline.
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