GLP3-RT (Retatrutide)
Retatrutide is an investigational triple hormone receptor agonist that targets GLP-1, GIP, and glucagon receptors. Clinical trials have shown unprecedented weight loss efficacy, surpassing dual agonists, by combining appetite suppression with increased energy expenditure.
01Dosing reference
02Mechanism of action
Triple Receptor Agonism
Binds to and activates GLP-1, GIP, and glucagon receptors simultaneously.
Synergistic Metabolic Regulation
GLP-1 and GIP reduce appetite and improve insulin secretion, while glucagon receptor activation increases energy expenditure and fat oxidation.
Enhanced Weight Loss
The combined triple action leads to greater reductions in body weight and liver fat compared to single or dual incretin therapies.
03Human evidence
Achieved up to 24.2% weight loss at 48 weeks in Phase 2 trials.
Phase 2 randomized, double-blind, placebo-controlled trial in adults with obesity.
Significant reduction in liver fat, resolving non-alcoholic fatty liver disease (NAFLD) in a majority of patients.
Sub-study of the Phase 2 trial involving patients with NAFLD.
04Preclinical evidence
Increased energy expenditure and lipolysis beyond what is seen with GLP-1/GIP dual agonists.
Murine models comparing triple agonism to dual and single agonists.
Improved glucose tolerance and robust body weight reduction.
Preclinical studies in non-human primates and diet-induced obese rodent models.
05What is known vs. unknown
- Retatrutide is a 'triple G' agonist targeting GLP-1, GIP, and Glucagon receptors.
- It has demonstrated the highest weight loss percentage in Phase 2 trials among incretin-based therapies to date.
- Glucagon receptor activation specifically helps increase basal metabolic rate and liver fat clearance.
- It is currently in Phase 3 clinical trials (TRIUMPH program) for obesity and related conditions.
- Long-term cardiovascular outcomes and safety profile are still being evaluated in Phase 3 trials.
- The exact contribution of the glucagon component to long-term weight maintenance versus potential risks (like increased heart rate) requires further study.
06Safety & regulatory context
07Compared with Tirzepatide
08Appears in protocols
09Glossary
10Knowledge check
11Sources
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