Apotheon
§ INJ-03·Triple agonist · weekly SubQ

Retatrutide Dosage Chart

Weekly escalation for Lilly's investigational triple GIP / GLP-1 / glucagon receptor agonist. Phase 3 data and the dysesthesia signal, surfaced.

Phase 3TRIUMPH-4 + TRANSCEND-T2D-128.7%weight loss at 68 wkNDA 2026–2027expected FDA filing

§ MECHANISM

What retatrutide is and where it's headed

Retatrutide (LY3437943) is a synthetic peptide from Eli Lilly that simultaneously activates GIP, GLP-1, and glucagon receptors. A fatty diacid conjugation extends its half-life to ~6 days, enabling once-weekly subcutaneous dosing. The Phase 2 protocol escalates 2 → 4 → 8 → 12 mg in four-week steps; Phase 3 TRIUMPH-4 used a 12 mg maintenance dose.

Not yet FDA-approved. NDA expected Q4 2026–Q1 2027 with a PDUFA target in mid-to-late 2027.

§ ReferencesNEJM · Lancet · TRIUMPH Phase 3 design paper
  1. 01Jastreboff et al. — NEJM 2023 (Phase 2 obesity)
  2. 02Rosenstock et al. — Lancet 2023 (Phase 2 T2D)
  3. 03TRIUMPH Phase 3 design paper — Diabetes Obes Metab 2026

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