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Does retatrutide work?

In trials, yes for weight: adults with obesity lost a mean of 25.0% of body weight on the 12 mg dose, versus 3.9% on placebo.

GLP-1 / GIP / glucagon triple agonistUpdated

Short answer

In trials, yes for weight: adults with obesity lost a mean of 25.0% of body weight on the 12 mg dose, versus 3.9% on placebo.[1]

The TRIUMPH-1 trial was funded by the drug's developer, Eli Lilly.[1]

Beyond weight

In the TRIUMPH-1 knee osteoarthritis subgroup, pain scores changed by -3.2 to -3.6 points across the retatrutide groups against -1.9 on placebo (hybrid estimand).[1]

In adults with type 2 diabetes managed by diet and exercise alone, HbA1c fell 1.94 percentage points on 12 mg against 0.81 on placebo.[2]

The earlier 48-week phase 2 obesity trial found a 24.2% weight change on 12 mg against 2.1% on placebo.[3]

Limits

A network meta-analysis found retatrutide had the highest adverse-event risk among the weight-loss drugs it compared.[4]

Common questions

How does retatrutide work?

Retatrutide acts on three receptors at once: GIP, GLP-1 and glucagon.[1]

More on Retatrutide

Sources

  1. 1Retatrutide, a Triple Hormone Receptor Agonist, for Treatment of Obesity.The New England journal of medicine · 2026PMID 42814954Accessed 2 Oct 2026
  2. 2Efficacy and safety of retatrutide, a GIP, GLP-1, and glucagon receptor agonist, in people with type 2 diabetes and inadequate glycaemic control with diet and exercise (TRANSCEND-T2D-1): a double-blind, randomised, phase 3 trial.Lancet (London, England) · 2026PMID 42250575Accessed 2 Oct 2026
  3. 3Triple-Hormone-Receptor Agonist Retatrutide for Obesity - A Phase 2 Trial.The New England journal of medicine · 2023PMID 37366315Accessed 2 Oct 2026
  4. 4Efficacy and Safety of GLP-1 Receptor Agonists, Dual Agonists, and Retatrutide for Weight Loss in Adults With Overweight or Obesity: A Bayesian NMA.Obesity (Silver Spring, Md.) · 2025PMID 40685589Accessed 2 Oct 2026

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