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Lilly’s Triple-Agonist Retatrutide Shows Major Phase 3 Weight Loss as Grey-Market Use Prompts Warning

Regulatory decisions await further phase 3 data in 2026.

Overview

  • In the phase 3 Triumph-4 study, a 12 mg weekly dose cut average body weight by 28.7% over 68 weeks and reduced knee osteoarthritis pain in a trial of more than 400 adults.
  • Retatrutide targets GLP-1, GIP, and glucagon receptors, with reported weight loss exceeding late-stage averages for tirzepatide in separate studies.
  • Doctors report gastrointestinal side effects and say long-term safety and durability of weight loss remain unestablished, and the drug is not FDA-approved.
  • Eli Lilly plans seven additional phase 3 readouts in 2026 across obesity and type 2 diabetes that will shape potential filings and commercial strategy.
  • Grey-market vendors are selling unapproved versions as “research chemicals,” and Lilly says any product claiming to be retatrutide for human use is illegal.