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Trial data explainer

Retatrutide results: what the trials actually reported

Retatrutide produced the most striking weight-reduction data in the history of incretin research — but headlines flatten the details. This guide walks through the published Phase 2 numbers, the liver-fat sub-study, and what the Phase 3 TRIUMPH programme is measuring now.

The headline numbers

The Phase 2 trial (NEJM, June 2023) randomised 338 adults with obesity across placebo and four weekly dose arms for 48 weeks:

Phase 2 results at 48 weeks
ArmMean weight change≥15% weight loss
Placebo−2.1%2%
1 mg weekly−8.7%
4 mg weekly−17.1%~57%
8 mg weekly−22.8%~75%
12 mg weekly−24.2%83%

Three details the headlines miss

The curve hadn’t plateaued. At 48 weeks the higher-dose arms were still losing weight when the trial ended — unlike semaglutide and tirzepatide trials, where the curves flattened before the endpoint. Phase 3’s longer duration will show where it settles.

The liver-fat sub-study. Among participants with MRI-confirmed fatty liver disease, more than 80% in the higher-dose arms reached normal liver-fat content (<5%) by 48 weeks — data that spawned a dedicated Phase 3 metabolic-liver-disease programme.

Glycaemic findings. A parallel Phase 2 in type 2 diabetes reported HbA1c reductions up to ~2.2%, alongside the weight effects. The glucagon-receptor arm of its mechanism — the component semaglutide and tirzepatide lack — is associated in published research with increased energy expenditure, not just reduced intake.

Research-grade retatrutide

For laboratory research use — third-party tested batch by batch, certificates of analysis available.

Frequently asked questions

What results did retatrutide show in trials?

How do retatrutide's results compare to semaglutide and tirzepatide?

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