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Clinical evidence records

Retatrutide: clinical evidence record

Also known as: LY3437943

Evidence: Human RCT
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Oliver Mackman · Editorial director · Best Business Loans Ltd (16833937)

Last updated 2026-05-22

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AI-friendly summary · Retatrutide

Eli Lilly investigational compound (LY3437943). Phase 2 trial data reports double-digit body-weight reduction at 48 weeks. Phase 3 TRIUMPH programme is in progress. Not licensed in any jurisdiction.

Mechanism of action

How Retatrutide works

Synthetic peptide acting as a triple agonist at three distinct receptors simultaneously: GLP-1, GIP, and glucagon. Combines appetite suppression, insulin sensitivity, and glucagon-mediated energy expenditure in a single molecule.

Top peer-reviewed citations

Selection of the most-cited peer-reviewed literature on Retatrutide. Where a verified PMID or DOI is shown, the citation links to the original record. Other citations list the title, authors, journal and year so the reader can locate the paper through the journal index or the PubMed search linked below. PeptideClear publishes editorial commentary, not clinical guidance.

  1. Triple-hormone-receptor agonist retatrutide for obesity: a phase 2 trial

    Jastreboff AM, Kaplan LM, Frias JP, et al.. New England Journal of Medicine, 2023.

    PMID: 37366315 DOI: 10.1056/NEJMoa2301972

  2. Retatrutide for type 2 diabetes phase 2 trial

    Rosenstock J, Frias J, Jastreboff AM, et al.. The Lancet, 2023.

    PMID: 37385280 DOI: 10.1016/S0140-6736(23)01053-X

  3. Retatrutide pharmacology of triple GLP-1 GIP glucagon receptor agonism

    Coskun T, Urva S, Roell WC, et al.. Cell Metabolism, 2022.

    PMID: 35985340 DOI: 10.1016/j.cmet.2022.07.013

  4. Hepatic effects of retatrutide in metabolic dysfunction-associated steatohepatitis

    Sanyal AJ, Bedossa P, Fraessdorf M, et al.. New England Journal of Medicine, 2024.

    PMID: 38858523 DOI: 10.1038/s41591-024-03018-2

  5. Effects of retatrutide on body composition in people with type 2 diabetes: a substudy of a phase 2, double-blind, parallel-group, placebo-controlled, randomised trial

    Coskun T, Wu Q, Schloot NC, et al.. The lancet. Diabetes & endocrinology, 2025.

    PMID: 40609566 DOI: 10.1016/S2213-8587(25)00092-0

  6. Decreases in circulating ANGPTL3/8 concentrations following retatrutide treatment parallel reductions in serum lipids

    Wen Y, Lemen D, Lin Y, et al.. Diabetes, obesity & metabolism, 2025.

    PMID: 40726454 DOI: 10.1111/dom.16661

  7. Retatrutide for the treatment of obesity, obstructive sleep apnea and knee osteoarthritis: Rationale and design of the TRIUMPH registrational clinical trials

    Giblin K, Kaplan LM, Somers VK, et al.. Diabetes, obesity & metabolism, 2026.

    PMID: 41090431 DOI: 10.1111/dom.70209

  8. Rationale, Design, and Baseline Characteristics of the TRANSCEND-CKD trial of Retatrutide in Patients with Chronic Kidney Disease

    Heerspink HJL, van Raalte DH, Bjornstad P, et al.. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2025.

    PMID: 41160422 DOI: 10.1093/ndt/gfaf230

  9. Appetite, eating attitudes, and eating behaviours during treatment with retatrutide in adults with type 2 diabetes: Results of a phase 2 study

    Kanu C, Boye KS, Poon JL, et al.. Diabetes, obesity & metabolism, 2025.

    PMID: 40916752 DOI: 10.1111/dom.70097

Full PubMed search: https://pubmed.ncbi.nlm.nih.gov/?term=retatrutide+LY3437943.

UK regulatory status

Plain-English summary of where Retatrutide sits under the four UK and international frameworks that govern peptide supply. Editorial commentary, not legal advice.

  • Misuse of Drugs Act 1971: Not controlled under the Misuse of Drugs Act 1971.
  • Psychoactive Substances Act 2016: Not scheduled under the Psychoactive Substances Act 2016.
  • MHRA medicines classification: No UK marketing authorisation as a medicine.
  • WADA Prohibited List: Not currently listed on the WADA Prohibited List.

Full regulatory record: Retatrutide UK regulatory status.

Risks and unknowns

What the literature does not yet show about Retatrutide

Known concerns

Open questions in the literature

Regulatory note

No UK marketing authorisation as a medicine. Not currently listed on the WADA Prohibited List. The moment a UK seller or commentator makes a therapeutic claim, MHRA can treat the product as an unlicensed medicinal product.

Important: PeptideClear publishes encyclopedia commentary only and does not recommend human use. Speak to a UK-registered prescriber before any medical decision.

Related reading on PeptideClear

Frequently asked questions

What is the evidence level for Retatrutide?
Eli Lilly investigational compound (LY3437943). Phase 2 trial data reports double-digit body-weight reduction at 48 weeks. Phase 3 TRIUMPH programme is in progress. Not licensed in any jurisdiction.
What is the UK regulatory status of Retatrutide?
No UK marketing authorisation as a medicine. Not controlled under the Misuse of Drugs Act 1971. Not scheduled under the Psychoactive Substances Act 2016. Not currently listed on the WADA Prohibited List.
Has Retatrutide been tested in human clinical trials?
Retatrutide has been studied in randomised human clinical trials. See the cited peer-reviewed literature above. PeptideClear publishes no dosing or human-use protocols.
Where can I read the source literature for Retatrutide?
The full PubMed search is linked above. Each cited paper has its title, author list and journal. Where we have a verified PMID or DOI the citation links directly. Other citations can be located by the reader through the journal index or the PubMed search.

Last verified 2026-05-22. Editorial commentary, not legal or clinical advice. Citations without a linked identifier can be located through the PubMed search and the journal index.

Reviewed by Oliver Mackman, editorial director · last reviewed 2026-05-22T12:00:00.000Z