Retatrutide, also known as LY3437943, is an investigational once-weekly peptide currently being studied for weight management, type 2 diabetes, metabolic health, and liver-fat reduction. It is described as a triple hormone receptor agonist, meaning it activates the GIP, GLP-1, and glucagon receptors. This gives it a different mechanism from semaglutide, which mainly targets GLP-1, and tirzepatide, which targets GIP and GLP-1. Lilly describes retatrutide as an investigational once-weekly triple hormone receptor agonist.
Retatrutide is currently being researched and is not yet registered as an approved treatment, but early clinical studies and recent Phase 3 topline results have shown promising potential.
1. Phase 2 obesity study — significant body-weight reduction
A Phase 2 study published in the New England Journal of Medicine studied retatrutide in adults with obesity or overweight. The trial found that retatrutide produced substantial reductions in body weight over 48 weeks. Lilly and the published trial reported strong average weight-loss results, with higher-dose groups showing the largest reductions. The study also reported that the most common side effects were gastrointestinal, such as nausea, diarrhoea, and vomiting.
Original article:
https://www.nejm.org/doi/full/10.1056/NEJMoa2301972
2. Liver-fat / MASLD research — large reductions in liver fat
A Nature Medicine publication looked at retatrutide’s effect on liver fat in participants with metabolic dysfunction-associated steatotic liver disease, also known as MASLD or fatty liver disease. The study reported very large reductions in liver fat, with the 12 mg group showing an 86% relative liver-fat reduction at 48 weeks. This has made retatrutide one of the more closely watched compounds in metabolic and liver-health research.
Original article:
https://www.nature.com/articles/s41591-024-03018-2
3. Type 2 diabetes Phase 3 topline results — improved A1C and weight
In March 2026, Lilly announced Phase 3 results from TRANSCEND-T2D-1, a study of retatrutide in people with type 2 diabetes. Lilly reported that retatrutide lowered A1C by an average of 1.7% to 2.0% across doses at 40 weeks, and that participants taking the 12 mg dose lost an average of 36.6 lb / 16.8% body weight. These are manufacturer-reported topline results and should be interpreted as part of the ongoing clinical development programme.
Original Lilly release:
https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-demonstrated-significant
ClinicalTrials.gov study listing:
https://clinicaltrials.gov/study/NCT06297603
4. Obesity and knee osteoarthritis Phase 3 study — weight loss and pain improvement
Lilly reported Phase 3 results from TRIUMPH-4, a trial studying retatrutide in people with obesity and knee osteoarthritis. In this study, participants taking the 12 mg dose lost an average of 28.7% of body weight at 68 weeks, compared with 2.1% in the placebo group. Lilly also reported improvement in knee-pain outcomes, which may be linked partly to the substantial weight reduction.
Original Lilly release:
https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-delivered-weight-loss-average
ClinicalTrials.gov study listing:
https://clinicaltrials.gov/study/NCT05931367
5. Lilly overview — what retatrutide is
Lilly’s own educational page describes retatrutide as an investigational once-weekly triple hormone receptor agonist that activates receptors for GIP, GLP-1, and glucagon. Lilly also notes that retatrutide is being studied in clinical trials and is not an approved medicine at this stage.
Lilly overview page:
https://www.lilly.com/news/stories/what-to-know-about-retatrutide
Quick Research Summary
Current research suggests that retatrutide may offer strong potential in weight-management and metabolic-health research because of its triple-action activity on GIP, GLP-1, and glucagon receptors. Published Phase 2 studies have shown substantial body-weight reduction and major liver-fat reductions, while recent Phase 3 topline data from Lilly has reported strong A1C and weight-loss outcomes. However, retatrutide remains investigational, and full long-term safety, regulatory review, and approval decisions are still ongoing.
Important: Retatrutide is currently being researched and is not yet registered as an approved treatment. This information is provided for educational and research-reference purposes only and should not be taken as medical advice. Customers should consult a qualified healthcare professional before making any health-related decisions.