Retatrutide: Triple Receptor Agonism and Phase 3 Clinical Development
A summary of published research on retatrutide (LY3437943), a synthetic peptide under Phase 3 investigation as the first triple GIP/GLP-1/glucagon receptor agonist in clinical trials. For research purposes only — not for human therapeutic use.
What Is Retatrutide?
Retatrutide (LY3437943) is a synthetic, acylated peptide developed by Eli Lilly and currently in Phase 3 clinical investigation. It is the first triple receptor agonist targeting GIP, GLP-1, and glucagon receptors simultaneously to enter large-scale clinical trials, distinguishing it from dual agonists (tirzepatide) and single agonists (semaglutide) currently in clinical use. Its C18 fatty diacid modification enables albumin binding and an approximately one-week half-life — consistent with once-weekly dosing.
Triple Receptor Mechanism
GLP-1R Agonism
Enhances glucose-dependent insulin secretion, suppresses glucagon, slows gastric emptying, and acts centrally to reduce energy intake. Shared with semaglutide and tirzepatide.
GIPR Agonism
Potentiates insulin secretion, modulates adipose tissue metabolism. Shared with tirzepatide — hypothesised to improve tolerability and adipose-specific effects.
GCGR Agonism — The Distinguishing Mechanism
Glucagon receptor activation increases hepatic glucose output and thermogenesis. When combined with GLP-1R agonism, glycaemic effects are buffered while thermogenic and hepatic lipolytic effects are preserved — a unique metabolic research profile absent from both semaglutide and tirzepatide.
Phase 2 Published Data
Results published in the New England Journal of Medicine (Jastreboff et al., 2023) from a randomised Phase 2 trial across dose cohorts (1mg, 4mg, 8mg, 12mg once weekly) showed:
- ~24% mean body weight reduction from baseline at 48 weeks in the highest dose cohort
- Dose-dependent reductions in liver fat fraction (MRI-PDFF), triglycerides, and systolic blood pressure
- Adverse events consistent with GLP-1 class — predominantly gastrointestinal, dose-dependent
Source: Jastreboff AM et al. N Engl J Med. 2023;389(6):514-526. Phase 2 data only.
Phase 3 Programme: TRIUMPH Trials
TRIUMPH-1
Adults with obesity (no T2D). Primary endpoint: % body weight change at 72 weeks.
TRIUMPH-2
Adults with T2D and obesity. Glycaemic and weight outcomes at 52 weeks.
TRIUMPH-3
Cardiovascular outcomes trial — MACE in high-CV-risk population.
TRIUMPH-NASH
Biopsy-confirmed MASH/NASH — histological liver improvement at 48 weeks.
Retatrutide vs Tirzepatide
| Feature | Tirzepatide | Retatrutide |
|---|---|---|
| GLP-1R Agonism | ✓ | ✓ |
| GIPR Agonism | ✓ | ✓ |
| GCGR Agonism | ✗ | ✓ |
| Regulatory Status (AU) | TGA Approved | Phase 3 |
| Dedicated NASH Trial | ✗ | ✓ |
Available for Laboratory Research
Eternal Peptides Wholesale is one of Australia's only dedicated wholesale research peptide distributors supplying Janoshik-verified Retatrutide for laboratory research.
Retatrutide is available as a research peptide from Eternal Peptides Wholesale. All batches are submitted to Janoshik Analytical for third-party HPLC purity verification, sterility testing, endotoxin testing, and heavy metals analysis.
Frequently Asked Questions
What is retatrutide?
How does retatrutide differ from tirzepatide?
Is retatrutide approved for use in Australia?
Where can I source retatrutide for research in Australia?
Key References
Source: Jastreboff AM et al. N Engl J Med. 2023;389(6):514-526. PMID: 37184382
- Jastreboff AM et al. Triple-Hormone-Receptor Agonist Retatrutide for Obesity. N Engl J Med. 2023;389(6):514-526.
- Coskun T et al. LY3437943, a novel triple GIP, GLP-1, and glucagon receptor agonist. Cell Metab. 2022;34(9):1234-1247.
- ClinicalTrials.gov. TRIUMPH-1: NCT05882045.
- ✓Retatrutide (LY3437943) is a synthetic peptide and the first triple GIP/GLP-1/glucagon receptor agonist to enter Phase 3 clinical trials
- ✓Phase 2 data (Jastreboff et al., NEJM 2023): ~24% body weight reduction at 48 weeks in highest dose cohort — the largest reported for any incretin agonist at Phase 2
- ✓The glucagon receptor component is its distinguishing feature vs tirzepatide (dual GIP/GLP-1) and semaglutide (GLP-1 only)
- ✓TRIUMPH Phase 3 programme includes 4 trials: obesity (TRIUMPH-1), T2D (TRIUMPH-2), cardiovascular (TRIUMPH-3), and dedicated NASH liver disease trial
- ✓Not TGA-approved in Australia as of 2026; available as a research peptide from Eternal Peptides Wholesale for qualified laboratory use only