Retatrutide

GIP + GLP-1 + glucagon triple agonist · GLP-1 class · sc weekly · Eli Lilly

Top dose
12 mg
HbA1c reduction
-1.94%
at week 40 · treatment regimen
AE discontinuation
6.0%
Status
phase 3

Pivotal trial

Trial
TRANSCEND-T2D-1
Indication
type 2 diabetes
Duration
40 weeks
ClinicalTrials.gov
NCT06354660
Sponsor
Eli Lilly

Notes

TRANSCEND-T2D-1 (Lancet 2026), the Phase 3 T2D readout: 12 mg HbA1c -1.94% at week 40 (treatment-regimen estimand), 9 mg -1.86%, 4 mg -1.69%; 89% of the 12 mg arm reached HbA1c <=6.5%. (The earlier seeded -2.02% was the Phase 2 efficacy-estimand figure from Rosenstock Lancet 2023.) The triple agonist also leads on weight loss (see /obesity/).

Publication

Lancet 2026 (TRANSCEND-T2D-1)