Retatrutide for the treatment of obesity, obstructive sleep apnea and knee osteoarthritis: Rationale and design of the TRIUMPH registrational clinical trials.
Retatrutide reduces body weight, apnea-hypopnea index, and knee osteoarthritis pain.
Retatrutide is a first-in-class investigational triple hormone receptor agonist (GIP, GLP-1, and glucagon) developed by Eli Lilly. In the Phase 2 trial (Jastreboff et al., NEJM 2023, n=338), the 12 mg dose achieved 24.2% mean body weight reduction at 48 weeks, with 100% of participants achieving at least 5% weight loss. Multiple Phase 3 TRIUMPH trials are ongoing, with TRIUMPH-4 (Dec 2025) reporting average loss up to 71.2 lbs with osteoarthritis pain relief. Expected FDA approval is 2027-2028.

Typical dose
0.5-12 mg weekly
Weekly, escalate every 4 weeks
Route
Subcutaneous weekly
Once weekly injection, same day each week.
Cycle
Continuous therapy
Typical duration
Storage
2-8°C
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Marketplace
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What the research reports
Outcomes described across the published literature and ongoing study, not promised results. Read each as research context, not a personal guarantee.
Significant weight loss potential
Triple receptor activation
Metabolic enhancement
Appetite control
Dosage and protocol
Retatrutide is a triple agonist (GLP-1/GIP/glucagon) in clinical trials showing up to 24% weight loss. Dosing follows careful titration from 1mg to 12mg weekly. Half-life: ~6 days.
01 Route
Subcutaneous weekly
02 Example range
1mg → 2mg → 4mg → 8mg → 12mg
03 Frequency
Weekly, escalate every 4 weeks
04 Timing
Once weekly injection, same day each week.
Educational reference only. Use clinician guidance for dosing decisions.
Evidence
Retatrutide reduces body weight, apnea-hypopnea index, and knee osteoarthritis pain.
Retatrutide produced dose-dependent weight loss up to 24.2% at 48 weeks versus 2.1% for placebo.
Retatrutide improved HbA1c by up to 2.02% and reduced body weight by up to 16.94% in type 2 diabetes.
Retatrutide reduced total body fat mass by 15-26% vs placebo in type 2 diabetes.
Retatrutide reduced liver fat by up to 82.4% at 24 weeks, with 86% achieving normal liver fat levels.
Interactions
Oral medications
Retatrutide's GLP-1 activity may delay gastric emptying and potentially alter the absorption or timing of some oral medications.
Other GLP-1 receptor agonists
Concurrent use has not been adequately studied and may produce overlapping gastrointestinal and metabolic effects.
Drugs affecting heart rate
Retatrutide has been associated with dose-dependent increases in heart rate in clinical trials, so combinations with other heart-rate–raising agents may warrant caution.
FAQ
Retatrutide is a triple agonist peptide representing the cutting edge of weight loss research. It targets GLP-1, GIP, and glucagon receptors simultaneously, showing remarkable results in clinical trials for weight reduction.