August 13, 2024

Researchers may be curious about the potential retatrutide benefits as outlined by the available scientific data.

This novel peptide has recently garnered substantial interest in the fields of weight management and metabolic disorder treatments, including:

  • Overweight and obesity
  • Type 2 diabetes 
  • Metabolic dysfunction-associated steatohepatitis (MASH)

With extensive research supporting its safety and efficacy, retatrutide is emerging as a leading candidate among breakthrough anti-obesity drugs developed to address the obesity epidemic.

This comprehensive review, based on cutting-edge research and the latest academic publications, will detail the demonstrated benefits of retatrutide. Below, we have also outlined reliable sources of retatrutide as reference material.

What is Retatrutide | Overview

Retatrutide is a peptide developed by Eli Lilly and Co., an American multinational pharmaceutical company. The development of retatrutide commenced in 2019, with significant advancements and studies published around 2022-2023 [1].

The peptide is primarily researched for its potential applications in weight management and metabolic disorders, including type 2 diabetes (T2D), obesity, and metabolic dysfunction–associated steatohepatitis (MASH) [2].

Here are the most important facts about retatrutide, that researchers should be aware of:

  • Retatrutide is a 39-amino-acid peptide based on the structure of the incretin hormone glucose-dependent insulinotropic polypeptide (GIP) that is modified to act on multiple receptors simultaneously [3].
  • The half-life of retatrutide is engineered to be extended, allowing for once-weekly dosing, which improves patient compliance compared to daily medications. Further, it minimizes fluctuations in drug levels and enhances therapeutic outcomes [3].
  • As with other peptides that activate the incretin receptors, potential side effects include gastrointestinal disturbances, such as nausea and vomiting, especially during the initial treatment phase [4].

Retatrutide is classified as a multi-agonist peptide, which interacts with multiple receptors in the body.

It is closely related to incretin mimetics, a class of drugs that mimic the incretin hormones glucagon-like peptide-1 (GLP-1) and GIP, which stimulate insulin release in response to meals [5].

Thus, this novel peptide activates three types of receptors in the body – GLP-1, GIP, and also glucagon (GCG) [6, 7]:

  • The main receptors it targets are GIP receptors. GIP receptor activation supports insulin secretion and may have direct effects on fat metabolism. It also appears to have appetite-suppressing effects [8, 9].
  • Secondly, retatrutide acts as a GLP-1 receptor agonist to enhance insulin secretion in response to meals, inhibit glucagon release, and slow gastric emptying, all contributing to better glycemic control. This receptor activation also reduces appetite [10, 11].
  • Thirdly, retatrutide has activity at glucagon receptors, which helps to increase energy expenditure and promote weight loss by enhancing lipolysis and thermogenesis [12].

Early clinical trials have shown promising results in terms of weight loss and glycemic control in patients with obesity and type 2 diabetes. 

Retatrutide is currently undergoing phase 3 clinical trials as part of Eli Lilly’s TRIUMPH program to further evaluate its efficacy, safety, and long-term benefits. Researchers plan to enroll over 5,000 participants across four trials [13].

Disclaimer: Peptides.org contains information about products that are intended for laboratory and research use only, unless otherwise explicitly stated. This information, including any referenced scientific or clinical research, is made available for educational purposes only. Likewise, any published information relative to the dosing and administration of reference materials is made available strictly for reference and shall not be construed to encourage the self-administration or any human use of said reference materials. Peptides.org makes every effort to ensure that any information it shares complies with national and international standards for clinical trial information and is committed to the timely disclosure of the design and results of all interventional clinical studies for innovative treatments publicly available or that may be made available. However, research is not considered conclusive. Peptides.org makes no claims that any products referenced can cure, treat or prevent any conditions, including any conditions referenced on its website or in print materials.


Research Applications and Benefits of Retatrutide | A Comprehensive Review

Retatrutide has been tested in phase 1 and phase 2 studies, while phase 3 trials are still underway. 

Below, researchers will find out everything they should know regarding the benefits shown by the research so far, as well as the potential research applications examined by ongoing trials.

Retatrutide for Type 2 Diabetes

Studies have investigated the potential of retatrutide in modifying various disease parameters related to T2D, such as the levels of glycated hemoglobin (HbA1c), changes in overall adiposity, and other cardiometabolic parameters. 

HbA1c in particular is an important parameter used for assessing average blood sugar levels and long-term glycemic control. Healthy people typically have HbA1c under 5.7%, while T2D patients must maintain it under no more than 7%.

Here are the most notable retatrutide trials in T2D patients:

  • A 12-week phase 1b trial with T2D patients having HbA1c between 7.0% and 10.5% compared the effectiveness of up to retatrutide to an FDA-approved GLP-1 agonist dulaglutide. The 12mg/weekly retatrutide group had a mean HbA1c drop by -1.6% and lost a mean of 19.7lb (8.96kg), achieving significantly better results than those on dulaglutide or placebo [14].
  • A 36-week phase 2 trial reported that 12mg/weekly retatrutide led to a greater reduction in triglycerides, cholesterol, glycated hemoglobin, and body weight, compared to placebo. More specifically, HbA1c levels dropped by -2.16% (23.59 mmol/mol) and decreased by -16.94% from baseline [15].
  • An 89-week phase 3 trial, part of the TRIUMPH clinical program (TRIUMPH-2) is currently underway and investigates the effectiveness of retatrutide in individuals suffering from T2D who are also overweight or obese and have at least one failed previous attempt for weight management. The first results are expected as soon as 2026 [16].

Retatrutide for Weight Loss in Non-Diabetics

The most actively researched topic when it comes to retatrutide is its potential for weight loss and chronic weight management in individuals who are overweight or obese. 

The peptide is posited as potentially more effective in this regard compared to previous GLP-1 agonists and even compared to dual GLP-1/GIP agonists due to its novel triple-agonist design.

In particular, GLP-1 and GIP receptor activation is known to induce weight loss by suppressing appetite and potentially affecting fat tissue metabolism [8, 9, 10, 11].

The addition of glucagon receptor agonism is thought to potentially affect liver metabolism, and affect fat cell differentiation. More specifically, it may stimulate the liver to release more fat for oxidation, while also stimulating fat cells to burn more fat for heat production due to a process called “beiging” [12].

Here are some of the most notable retatrutide experiments in non-diabetic individuals with overweight or obesity:

  • A 48-week phase 2 trial investigates the weight-loss effectiveness of retatrutide in doses from 1mg/weekly to 12mg/weekly. All retatrutide groups had greater improvements in HbA1c, glucose, insulin, blood pressure, and cholesterol levels compared to placebo. The 12mg/weekly group lost 24.2% of baseline weight compared to -8.7% in the 1mg/weekly group and -2.1% in the placebo group [17].
  • An 89-week phase 3 trial called TRIUMPH-1 (part of Eli Lilly’s TRIUMPH program) is currently underway to evaluate the effectiveness of retatrutide in individuals with overweight or obesity who do not have T2D and have previously failed to lose weight with diet alone [18].

Retatrutide for Visceral Obesity

Visceral obesity accounts for the excessive accumulation of highly metabolically active fat deposits within the abdominal cavity, including both around and inside internal organs. 

Unlike subcutaneous fat, visceral fat releases various bioactive substances, including hormones and inflammatory molecules (cytokines), that can profoundly affect metabolic processes.

Moreover, visceral fat secretes pro-inflammatory cytokines, including tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6). 

These cytokines contribute to a state of chronic low-grade inflammation, which is a significant risk factor for T2D and promotes atherosclerosis, increasing the risk of heart attacks and strokes.

Retatrutide is expected to have a potent effect on visceral fat reduction, as it activates the glucagon receptors in the liver to stimulate liver fat breakdown and oxidation.

For example, a subset of 98 patients from the aforementioned 48-week long phase 2 trial in nondiabetic individuals with overweight or obesity were selected, as they had at least 10% liver fat and a diagnosis of MASH (formerly “non-alcoholic steatohepatitis” or NASH). 

MASH is one of the hallmarks of visceral obesity, as visceral fat often accumulates both around and inside the liver. Moreover, visceral fat releases free fatty acids directly into the liver via the portal vein, leading to an increased production of glucose and triglycerides, contributing to insulin resistance

Here are the most notable findings as reported by the researchers, regarding the benefits of retatrutide for MASH [19]:

  • The average weight of the patients was 242.9lb (110.2kg), and their mean BMI was 38.4kg/m². Liver fat reduction was assessed using magnetic resonance imaging (MRI).
  • The benefits were dose-dependent, with the highest dose of 12mg/weekly retatrutide leading to a mean reduction of 82.4% in liver fat within 24 weeks, compared to no change in the placebo group. Additionally, 86% of these patients achieved normal liver fat levels (<5%).
  • There were significant reductions in C-peptide, liver enzymes, triglycerides, and insulin resistance, while adiponectin levels increased.

Other Potential Retatrutide Benefits

Retatrutide is also expected to possess benefits for cardiovascular health, similar to previous GLP-1 receptors which have been shown to significantly reduce the risk of death from heart disease, stroke, and overall mortality [20].

Therefore, a 113-week phase 3 trial, named TRIUMPH-3, is currently in progress to investigate the effectiveness of retatrutide therapy in individuals with overweight or obesity who have a history of heart attack, stroke, or peripheral arterial disease [21].

The trial is called TRIUMPH-3 and it is expected to evaluate the cardiovascular safety of retatrutide and its potential effects on various cardiovascular indicators, alongside its weight loss action.

Its first results are expected to be published as soon as 2026, similar to the rest of the studies from the TRIUMPH clinical program.

Recommended dosage for Retatrutide

In available research studies, retatrutide is dosed and administered following specific protocols to evaluate its weight loss effects [15, 17]. 

Typically, researchers begin with a starting dose of 1mg per week for the first four weeks, gradually increasing the dose over at least 16 weeks (raising it once per 4 weeks) to minimize the chance of side effects. 

The maximum dosage used in the studies so far is up to 12mg/weekly. Retatrutide is administered once weekly and can be taken at any time of the day, with or without food. Researchers carefully monitor dosages to ensure they do not exceed the 12mg/weekly limit.

Studies report that researchers typically avoid administering retatrutide alongside other medications that could interfere with its efficacy or increase the risk of adverse reactions, such as other GLP-1 agonists.

A sample dosing schedule observed in studies includes:

  • Retatrutide Dose: Starting at 1mg/weekly for the first four weeks, increasing to 2mg/weekly during weeks 5-8, 4mg/weekly during weeks 9-12, 8mg/weekly during weeks 13-16, and reaching 12mg/weekly from week 17 onward.
  • Frequency: Once weekly; subcutaneously.
  • Study Duration: Up to 48 weeks.
  • Notes: The dosage does not exceed 12mg/weekly. Missed doses are administered within 5 days or skipped, with subsequent doses following the initial schedule.

Where to buy Retatrutide online? | 2024 edition

Many online vendors offer retatrutide, providing researchers with numerous options.

However, not all vendors are legitimate, To ensure you receive high-quality retatrutide, it is recommended to use only vetted sources.

Our peptide review team has evaluated multiple vendors by purchasing retatrutide, and the following consistently meets high standards for peptide purity, delivery, and customer support.

Polaris Peptides

Polaris Peptides is a newer peptide source supplying high-quality peptides designed exclusively for research and development endeavors of professionals. The vendor offers several key benefits, including:

  • Purity and Precision: Polaris retatrutide for sale is crafted with the utmost precision, ensuring a purity level of over 99%.
  • Customer Support: Team Polaris is dedicated to providing personalized support and fast shipping, ensuring a seamless purchasing experience.
  • Transparency: Detailed lab results accompany every Polaris peptide for sale, providing you with the assurance of retatrutide’s quality and integrity. 

Buy Retatrutide from our top-rated vendor...

Benefits of Retatrutide | Overall

Researched for its promising applications and potential safety as a weight loss aid and hypoglycemic agent, retatrutide is steadily attracting interest among scientists all over the world

From the management of type 2 diabetes and chronic weight conditions to enhancing cardiovascular health, retatrutide is under active investigation in phase 3 clinical trials, with the promise to match and surpass other peptides with similar mechanisms of action. 

The available clinical trials and research efforts already highlight the potential benefits and research applications of this emerging star in peptide therapeutics.

To conduct effective research on retatrutide peptide therapy, source high-quality retatrutide from trusted suppliers.

References

  1. Coskun T, Urva S, Roell WC, Qu H, Loghin C, Moyers JS, O'Farrell LS, Briere DA, Sloop KW, Thomas MK, Pirro V, Wainscott DB, Willard FS, Abernathy M, Morford L, Du Y, Benson C, Gimeno RE, Haupt A, Milicevic Z. LY3437943, a novel triple glucagon, GIP, and GLP-1 receptor agonist for glycemic control and weight loss: From discovery to clinical proof of concept. Cell Metab. 2022 Sep 6;34(9):1234-1247.e9. doi: 10.1016/j.cmet.2022.07.013. Epub 2022 Aug 18. PMID: 35985340.
  2. Ciardullo S, Muraca E, Vergani M, Invernizzi P, Perseghin G. Advancements in pharmacological treatment of NAFLD/MASLD: a focus on metabolic and liver-targeted interventions. Gastroenterol Rep (Oxf). 2024 Apr 26;12:goae029. doi: 10.1093/gastro/goae029. PMID: 38681750; PMCID: PMC11052658.
  3. Doggrell SA. Is retatrutide (LY3437943), a GLP-1, GIP, and glucagon receptor agonist a step forward in the treatment of diabetes and obesity? Expert Opin Investig Drugs. 2023 May;32(5):355-359. doi: 10.1080/13543784.2023.2206560. Epub 2023 Apr 24. PMID: 37086147.
  4. Sodhi M, Rezaeianzadeh R, Kezouh A, Etminan M. Risk of Gastrointestinal Adverse Events Associated With Glucagon-Like Peptide-1 Receptor Agonists for Weight Loss. JAMA. 2023 Nov 14;330(18):1795-1797. doi: 10.1001/jama.2023.19574. PMID: 37796527; PMCID: PMC10557026.
  5. Melson E, Ashraf U, Papamargaritis D, Davies MJ. What is the pipeline for future medications for obesity? Int J Obes (Lond). 2024 Feb 1. doi: 10.1038/s41366-024-01473-y. Epub ahead of print. PMID: 38302593.
  6. Folli F, Finzi G, Manfrini R, Galli A, Casiraghi F, Centofanti L, Berra C, Fiorina P, Davalli A, La Rosa S, Perego C, Higgins PB. Mechanisms of action of incretin receptor based dual- and tri-agonists in pancreatic islets. Am J Physiol Endocrinol Metab. 2023 Nov 1;325(5):E595-E609. doi: 10.1152/ajpendo.00236.2023. Epub 2023 Sep 20. PMID: 37729025; PMCID: PMC10874655.
  7. Jakubowska A, Roux CWL, Viljoen A. The Road towards Triple Agonists: Glucagon-Like Peptide 1, Glucose-Dependent Insulinotropic Polypeptide and Glucagon Receptor – An Update. Endocrinol Metab (Seoul). 2024 Feb;39(1):12-22. doi: 10.3803/EnM.2024.1942. Epub 2024 Feb 14. PMID: 38356208; PMCID: PMC10901658.
  8. Samms RJ, Sloop KW, Gribble FM, Reimann F, Adriaenssens AE. GIPR Function in the Central Nervous System: Implications and Novel Perspectives for GIP-Based Therapies in Treating Metabolic Disorders. Diabetes. 2021 Sep;70(9):1938-1944. doi: 10.2337/dbi21-0002. Epub 2021 Jun 27. PMID: 34176786; PMCID: PMC8576420.
  9. Campbell JE. Targeting the GIPR for obesity: To agonize or antagonize? Potential mechanisms. Mol Metab. 2021 Apr;46:101139. doi: 10.1016/j.molmet.2020.101139. Epub 2020 Dec 5. PMID: 33290902; PMCID: PMC8085569.
  10. Baggio LL, Drucker DJ. Glucagon-like peptide-1 receptors in the brain: controlling food intake and body weight. J Clin Invest. 2014 Oct;124(10):4223-6. doi: 10.1172/JCI78371. Epub 2014 Sep 9. PMID: 25202976; PMCID: PMC4191040.
  11. Marathe CS, Rayner CK, Jones KL, Horowitz M. Effects of GLP-1 and incretin-based therapies on gastrointestinal motor function. Exp Diabetes Res. 2011;2011:279530. doi: 10.1155/2011/279530. Epub 2011 Jun 22. PMID: 21747825; PMCID: PMC3124003.
  12. Conceição-Furber E, Coskun T, Sloop KW, Samms RJ. Is Glucagon Receptor Activation the Thermogenic Solution for Treating Obesity? Front Endocrinol (Lausanne). 2022 Apr 25;13:868037. doi: 10.3389/fendo.2022.868037. PMID: 35547006; PMCID: PMC9081793.
  13. Naeem M, Imran L, Banatwala UESS. Unleashing the power of retatrutide: A possible triumph over obesity and overweight: A correspondence. Health Sci Rep. 2024 Feb 5;7(2):e1864. doi: 10.1002/hsr2.1864. PMID: 38323122; PMCID: PMC10844714.
  14. Urva S, Coskun T, Loh MT, Du Y, Thomas MK, Gurbuz S, Haupt A, Benson CT, Hernandez-Illas M, D'Alessio DA, Milicevic Z. LY3437943, a novel triple GIP, GLP-1, and glucagon receptor agonist in people with type 2 diabetes: a phase 1b, multicentre, double-blind, placebo-controlled, randomised, multiple-ascending dose trial. Lancet. 2022 Nov 26;400(10366):1869-1881. doi: 10.1016/S0140-6736(22)02033-5. Epub 2022 Oct 27. PMID: 36354040.
  15. Rosenstock J, Frias J, Jastreboff AM, Du Y, Lou J, Gurbuz S, Thomas MK, Hartman ML, Haupt A, Milicevic Z, Coskun T. Retatrutide, a GIP, GLP-1 and glucagon receptor agonist, for people with type 2 diabetes: a randomised, double-blind, placebo and active-controlled, parallel-group, phase 2 trial conducted in the USA. Lancet. 2023 Aug 12;402(10401):529-544. doi: 10.1016/S0140-6736(23)01053-X. Epub 2023 Jun 26. PMID: 37385280.
  16. National Library of Medicine (U.S.). (2023, July- ). A Study of Retatrutide (LY3437943) in Participants With Type 2 Diabetes Mellitus Who Have Obesity or Overweight (TRIUMPH-2). Identifier NCT05929079. https://clinicaltrials.gov/study/NCT05929079
  17. Jastreboff AM, Kaplan LM, Frías JP, Wu Q, Du Y, Gurbuz S, Coskun T, Haupt A, Milicevic Z, Hartman ML; Retatrutide Phase 2 Obesity Trial Investigators. Triple-Hormone-Receptor Agonist Retatrutide for Obesity – A Phase 2 Trial. N Engl J Med. 2023 Aug 10;389(6):514-526. doi: 10.1056/NEJMoa2301972. Epub 2023 Jun 26. PMID: 37366315.
  18. National Library of Medicine (U.S.). (2023, July- ). A Study of Retatrutide (LY3437943) in Participants Who Have Obesity or Overweight (TRIUMPH-1). Identifier NCT05929066. https://clinicaltrials.gov/study/NCT05929066
  19. Sanyal AJ, Kaplan LM, Frias JP, Brouwers B, Wu Q, Thomas MK, Harris C, Schloot NC, Du Y, Mather KJ, Haupt A, Hartman ML. Triple hormone receptor agonist retatrutide for metabolic dysfunction-associated steatotic liver disease: a randomized phase 2a trial. Nat Med. 2024 Jul;30(7):2037-2048. doi: 10.1038/s41591-024-03018-2. Epub 2024 Jun 10. PMID: 38858523; PMCID: PMC11271400.
  20. Parab P, Chaudhary P, Mukhtar S, Moradi A, Kodali A, Okoye C, Klein D, Mohamoud I, Olanisa OO, Hamid P. Role of Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists in Cardiovascular Risk Management in Patients With Type 2 Diabetes Mellitus: A Systematic Review. Cureus. 2023 Sep 18;15(9):e45487. doi: 10.7759/cureus.45487. PMID: 37859909; PMCID: PMC10584355.
  21. National Library of Medicine (U.S.). (2023, May-). A Study of Retatrutide (LY3437943) in Participants With Obesity and Cardiovascular Disease (TRIUMPH-3). Identifier NCT05882045. https://clinicaltrials.gov/study/NCT05882045

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