Research Brief
Retatrutide: Safety Profile & Research Summary
Preclinical & Clinical Research Summary
Key Preclinical (Animal) Studies
| Estudo | Modelo | Principais Achados | Ref |
|---|---|---|---|
| Coskun et al. (2022) Cell Metabolism | DIO C57/Bl6 mice; 10 nmol/kg daily SC | 36.9% peso corporal loss (vs. 21.2% tirzepatide); 86.8% massa gorda reduction; melhorou glicose sanguinea, insulin, ALT, liver triglycerides; engages all three receptors in vivo | [4] |
| Urva et al. (2023) Diabetes Obes. Metab. | C57/Bl6 camundongos obesos; 10 nmol/kg SC | Dose-dependent gastric emptying delay; cronico(a) treatment atenuou GI slowing (tachyphylaxis); superior weight/food intake reduction vs. semaglutide alone | [17] |
| Ma et al. (2025) Endocrine | Diabetic db/db mice; 10 nmol/kg daily SC, 10 weeks | Superior efficacy over liraglutide and tirzepatide in reducing ALT, AST, cholesterol, triglycerides, LDL; mitigou inflammatory and fibrotic processes in diabetic kidney | [15] |
| Marathe et al. (2025) NPJ Metab. Health Dis. | Pancreatic and lung cancer models in camundongos obesos | Reduced tumor engraftment; retardou tumor onset; greater tumor supressao do que semaglutide; durable antitumor effects apesar de partial weight regain | [14] |
Key Clinical (Human) Studies
| Estudo | Population / Design | Key Results | Ref |
|---|---|---|---|
| Urva et al. (2022) Lancet (Phase 1b) | T2D subjects; MAD, 0.5–12 mg SC weekly; RCT | Dose-dependent HbA1c and reducao de pesos; t1/2 ~6 days confirmou; GI AEs dose-related; bem tolerado(a) overall | [8] |
| Jastreboff et al. (2023) NEJM (Phase 2) | Adults with obesidade (no T2D); 1, 4, 8, 12 mg SC weekly; 48 wks; RCT | -24.2% mean perda de peso (12 mg); dose-dependente; not plateaued at 48 wks; GI AEs a maioria common | [1] |
| Rosenstock et al. (2023) Lancet (Phase 2) | Adults with T2D; 0.5–12 mg SC weekly; 36 wks; RCT | HbA1c -2.02% (12 mg); significant perda de peso; melhorou sensibilidade a insulina; bem tolerado(a) | [2] |
| Sanyal et al. (2024) Nature Med. (Phase 2a) | MASLD substudy; MRI-PDFF assessed liver fat; 48 wks | >85% alcancou liver fat normalization (<5%) at 8–12 mg doses; up to 86% relative liver fat reduction | [3] |
| TRIUMPH-4 (Phase 3, 2025) Eli Lilly Press Release | Obesity + knee OA; 9 & 12 mg SC weekly; 68 wks | Up to 28.7% mean perda de peso; WOMAC pain scores melhorou by up to 75.8%; primeiro(a) successful Phase 3 trial | [5] |
Safety Profile Summary
| Category | Detail | Incidence / Notes |
|---|---|---|
| Common GI AEs | Nausea, diarrhea, vomiting, constipation, diminuiu appetite | Nausea up to 63% at highest doses; dose-dependente; a maioria common during titration[12][13] |
| Skin Hyperesthesia | Increased skin sensitivity, dysesthesia, "skin pain" | Up to 7% (vs. 1% placebo) in Phase 2[10] |
| Heart Rate | Dose-dependent increase, peaking at 24 weeks before declining | Mild to moderate arrhythmias relatado(a)[10] |
| Serious AEs | Acute pancreatitis (single cases); gallbladder disease; hipotensao | SAE rate semelhante a placebo (~4–5%)[12] |
| Hepatic Safety | No hepatotoxicity signals; transient ALT/AST elevations resolved | Monitored in all trials[12] |
Dosage Summary
| Setting | Dose | Route / Schedule | Notes |
|---|---|---|---|
| In Vitro (EC50) | 0.0643 nM (GIPR), 0.775 nM (GLP-1R), 5.79 nM (GCGR) | Cell culture | Biased toward GIP potency[4] |
| Animal (Mice) | 10 nmol/kg daily | SC injection | Standard efficacy dosing; t1/2 21 h in mice[4] |
| Phase 1 (SAD) | 0.1–6 mg (dose unica) | SC injection | Safety/PK assessment[8] |
| Phase 2 (Maintenance) | 1, 4, 8, 12 mg | SC once weekly; titrated from 2 or 4 mg | Titration by 2–4 mg every 4 weeks[1][2] |
| Phase 3 (TRIUMPH) | Target doses: 9 mg and 12 mg | SC once weekly; iniciou at 2 mg | Ongoing registrational trials[5] |
Pharmacokinetic Profile
| Parametro | Valor | Notes |
|---|---|---|
| Half-life (Human) | ~6 days | Supports once-dosagem semanal[8] |
| Half-life (Mouse) | ~21 hours | Single 47 μg/kg dose[4] |
| Tmax | 12–72 hours | Post-SC dose in humans |
| Metabolism | Hepatic proteolise; fatty acid β-oxidation | No CYP450 interaction |
| Clearance (Mouse) | 11.22 mL/h/kg | CD-1 mice |
&x26A0;️ Important Disclaimer
This product is sold strictly for in-vitro research and laboratory use only. It nao e aprovado(a) por the FDA for human consumption, medical use, diagnostic use, or veterinary use. Bodily introduction of qualquer kind into humans or animals is strictly forbidden by law. All products are supplied as research chemicals only. The information provided here is compiled from revisado(a) por pares scientific literature e e intended solely for educational and informational purposes.
About This Research Profile
This research profile was compiled from revisado(a) por pares sources incluindo publications no(a) New England Journal of Medicine, The Lancet, Nature Medicine, Cell Metabolism, e outros(as) high-impact journals. All citations reference publicly available scientific literature. The profile is regularly reviewed and updated to reflect the latest research findings. Last reviewed: February 2026.
Referencias
- Jastreboff AM, Kaplan LM, Frias JP, Wu Q, Du Y, Gurbuz S, Coskun T, Haupt A, Milicevic Z, Hartman ML. Triple-Hormone-Receptor Agonist Retatrutide for Obesity - A Phase 2 Trial. New England Journal of Medicine, 389(6), 514-526, 2023.
- 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 agonista do receptor, for people with diabetes tipo 2: a randomised, duplo-cego, placebo and active-controlled, parallel-group, phase 2 trial conducted no(a) USA. Lancet, 402(10401), 529-544, 2023.
- 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 agonista do receptor retatrutide for metabolic dysfunction-associated steatotic doenca hepatico(a)a: a randomizado phase 2a trial. Nature Medicine, 30(7), 2037-2048, 2024.
- 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, um(a) novo(a) triple glucagon, GIP, and GLP-1 agonista do receptor for glycemic control and perda de peso: From discovery to clinical proof of concept. Cell Metabolism, 34(9), 1234-1247.e9, 2022.
- Giblin K, Kaplan LM, Somers VK, Le Roux CW, Hunter DJ, Wu Q, Lalonde A, Ahmad N, Bethel MA. Retatrutide for o tratamento of obesidade, obstructive sleep apnea and knee osteoartrite: Rationale and design do(a) TRIUMPH registrational ensaios clinicos. Diabetes, Obesity and Metabolism, 28(1), 83-93, 2026.
- Coskun T, Wu Q, Schloot NC, Haupt A, Milicevic Z, Khouli C, Harris C. Effects of retatrutide on composicao corporal in people with diabetes tipo 2: a substudy of a phase 2, duplo-cego, parallel-group, controlado por placebo, randomised trial. The Lancet Diabetes & Endocrinology, 13(8), 674-684, 2025.
- Heerspink HJL, Lu Z, Du Y, Duffin KL, Coskun T, Haupt A, Hartman ML. The Effect of Retatrutide on Kidney Parameters in Participants With Type 2 Diabetes Mellitus and/or Obesity. Kidney International Reports, 10(6), 1980-1992, 2025.
- 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, um(a) novo(a) triple GIP, GLP-1, and glucagon agonista do receptor in people with diabetes tipo 2: a phase 1b, multicentre, duplo-cego, controlado por placebo, randomised, multiplos(as)-ascending dose trial. Lancet, 400(10366), 1869-1881, 2022.
- Heerspink HJL, van Raalte DH, Bjornstad P, Bunck MC, Wu P, Tunali I, Milicevic Z, Koeneman L. Rationale, design and caracteristicas basais do(a) TRANSCEND-CKD trial of retatrutide in patients with cronico(a) doenca renal. Nephrology Dialysis Transplantation, gfaf230, 2025.
- Katsi V, Koutsopoulos G, Fragoulis C, Dimitriadis K, Tsioufis K. Retatrutide - A Game Changer in Obesity Pharmacotherapy. Biomolecules, 15(6), 796, 2025.
- Abdul-Rahman T, Roy P, Ahmed FK, Mueller-Gomez JL, Sarkar S, Garg N, Femi-Lawal VO, Wireko AA, Thaalibi HI, Hashmi MU, Dzebu AS, Banimusa SB, Sood A. The power of three: Retatrutide's role in modern obesidade and diabetes therapy. European Journal of Pharmacology, 985, 177095, 2024.
- Maharshi V, Singh S, Manjhi PK, Singh SK, Kumar A, Kumar R. Navigating retatrutide safety: comprehensive insights from revisao sistematica and meta-analise. Journal of Public Health and Development, 24(1), 318-338, 2026.
- Abouelmagd AA, Abdelrehim AM, Bashir MN, Abdelsalam F, Marey A, Tanas Y, Abuklish DM, Belal MM. Efficacy and safety of retatrutide, um(a) novo(a) GLP-1, GIP, and glucagon agonista do receptor for obesidade treatment: a revisao sistematica and meta-analise of randomizado controlled trials. Proceedings (Baylor University Medical Center), 38(3), 291-303, 2025.
- Marathe SJ, Grey EW, Bohm MS, Joseph SC, Ramesh AV, Cottam MA, et al. Incretin triple agonist retatrutide (LY3437943) alleviates obesidade-associated cancer progression. NPJ Metabolic Health and Disease, 3(1), 10, 2025.
- Ma J, Hu X, Zhang W, Tao M, Wang M, Lu W. Comparison of o efeitos of Liraglutide, Tirzepatide, and Retatrutide on diabetic doenca renal in db/db mice. Endocrine, 87(1), 159-169, 2025.
- Tewari J, Qidwai KA, Tewari A, Kaur S, Tewari V, Maheshwari A. Efficacy and safety of triple hormone agonista do receptor retatrutide para o(a) management of obesidade: a revisao sistematica and meta-analise. Expert Review of Clinical Pharmacology, 18(1-2), 51-66, 2025.
- Urva S, O'Farrell L, Du Y, Loh MT, Hemmingway A, Qu H, Alsina-Fernandez J, Haupt A, Milicevic Z, Coskun T. The novel GIP, GLP-1 and glucagon agonista do receptor retatrutide retarda gastric emptying. Diabetes, Obesity and Metabolism, 25(11), 2784-2788, 2023.
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