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Логотип Ретатрутид (Retatrutide Triple Agonist)

Retatrutide Protocols

Retatrutide (LY3437943)Triple Agonist

Clinical guideline, titration schedule, dosages, and side effect management for obesity and T2D

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Updated October 2026

Retatrutide Research News

Key results of the Eli Lilly Phase 3 programme (TRIUMPH, TRANSCEND-T2D) with links to primary sources.

Regulatory status: Retatrutide is not approved by any regulator. Eli Lilly plans to submit a BLA to the FDA in Q1 2027. The information is for reference only and is not medical advice.

TRIUMPH-2

Full TRIUMPH-2 results presented at EASD and published in The Lancet

Lilly presented detailed Phase 3 data in adults with type 2 diabetes and obesity (1,152 participants, 80 weeks) at the EASD meeting in Milan.

  • Weight loss: 12.7% (4 mg), 19.1% (9 mg), 20.8% (12 mg); placebo 4.0%.
  • HbA1c fell by 1.4% (4 mg), 1.6% (9 mg) and 1.5% (12 mg); up to 40.0% reached <5.7%.
  • In participants with BMI ≥ 35 on 12 mg: −23.4%. 59.5% on 12 mg no longer met the BMI criteria for obesity.
  • Adverse events at 12 mg: nausea 28.0%, diarrhea 33.6%, vomiting 15.7%, dysesthesia 7.3%; discontinuation due to AEs 7.7% (placebo 4.9%).
Source: Eli Lilly
TRIUMPH-2 / TRIUMPH-3

Two more successful Phase 3 trials; FDA submission planned for Q1 2027

Topline TRIUMPH-2 and TRIUMPH-3 results met the primary endpoint. Lilly said the clinical data package for obesity, knee osteoarthritis pain and sleep apnea is now complete.

  • TRIUMPH-3 (severe obesity and CVD, 1,949 participants): −21.6% (9 mg) and −22.6% (12 mg) at 80 weeks; placebo −3.2%.
  • TRIUMPH-2: up to −20.8% (12 mg) with HbA1c reduction up to 1.6%.
  • Lilly is completing the CMC package and plans to submit a BLA to the FDA in Q1 2027.
Source: Eli Lilly
TRIUMPH-1 · ADA

Additional data: knee pain, sleep apnea and type 2 diabetes

Lilly reported additional Phase 3 results showing improvement in knee osteoarthritis pain, obstructive sleep apnea severity and type 2 diabetes measures.

  • WOMAC pain score fell by up to 4.3 points (73.1%).
  • Apnea-hypopnea index fell by up to 36.1 events per hour (60.6%) in moderate-to-severe sleep apnea.
  • In TRIUMPH-1 on 12 mg, 65.3% of participants reached a BMI below 30.
Source: Drugs.com (пресс-релиз Lilly)
TRIUMPH-1

TRIUMPH-1: up to 28.3% weight loss at 80 weeks

The largest trial of the programme (2,339 adults with obesity or overweight, without diabetes) met its primary and key secondary endpoints.

  • Weight loss: 19.0% (4 mg), 25.9% (9 mg), 28.3% (12 mg); placebo 2.2% (efficacy estimand).
  • 45.3% on 12 mg lost ≥ 30% of body weight; in the 104-week extension (BMI ≥ 35, 532 participants) — 30.3%.
  • Nausea on 12 mg 42.4% (placebo 14.8%), dysesthesia 12.5% (placebo 0.9%); discontinuation due to AEs 11.3% (placebo 4.9%).
Source: Eli Lilly
TRANSCEND-T2D-1

First Phase 3 trial in type 2 diabetes: HbA1c down by up to 2.0%

In the 40-week trial of 537 participants retatrutide beat placebo on HbA1c and body weight; no weight-loss plateau was observed.

  • HbA1c (baseline 7.9%): −1.7% (4 mg), −2.0% (9 mg), −1.9% (12 mg); placebo −0.8%.
  • Weight: −11.5%, −15.5%, −16.8%; placebo −2.5%.
  • Discontinuation due to AEs: 2.2% (4 mg), 4.5% (9 mg), 5.1% (12 mg); placebo 0%.
Source: Eli Lilly
TRIUMPH-4

TRIUMPH-4: first successful Phase 3 trial — weight up to −28.7%, knee pain up to −75.8%

In 445 participants with obesity and knee osteoarthritis retatrutide met both co-primary endpoints at 68 weeks.

  • Weight: −26.4% (9 mg) and −28.7% (12 mg); placebo −2.1%.
  • WOMAC pain: −75.8% (9 mg) and −74.3% (12 mg); placebo −40.3%.
  • Completely free of knee pain (post-hoc): 14.1% (9 mg), 12.0% (12 mg) vs 4.2% on placebo.
Source: Eli Lilly

Reference application for Retatrutide (LY3437943) administration protocols. Developed based on published clinical trial data from TRIUMPH and TRANSCEND (Eli Lilly, NEJM, Lancet 2023–2026).

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