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retatrutide peptide vs metformin

Retatrutide vs Semaglutide for Type 2 Diabetes

Not currently recruiting at 91 trial locations DB BC AM VA JG DV Overseen ByNeda Rasouli Age: 18+ Sex: Any Trial Phase: Phase 3 Sponsor: Eli Lilly and Company Must be taking: Metformin, SGLT2i No Placebo GroupAll trial participants will receive the active study treatment (no placebo) Pivotal Trial (Near Approval)This treatment is in the last trial phase befo

Published 2026-07-27GlycoMetrix
Abstract study of peptide signaling across a cell membrane

Not currently recruiting at 91 trial locations

DB

BC

AM

VA

JG

DV

Overseen ByNeda Rasouli

Age: 18+

Sex: Any

Trial Phase: Phase 3

Sponsor: Eli Lilly and Company

Must be taking: Metformin, SGLT2i

No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval

Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines how well two medications, retatrutide and semaglutide, help people with Type 2 Diabetes manage blood sugar levels when metformin alone isn't sufficient. Researchers aim to assess the effectiveness and safety of these treatments over approximately 26 months. Participants will be divided into groups to receive different doses of retatrutide or semaglutide. Ideal candidates have Type 2 Diabetes, struggle with blood sugar control despite taking metformin, and face challenges like maintaining a stable weight for at least 90 days. As a Phase 3 trial, this is the final step before FDA approval, offering participants a chance to contribute to potentially groundbreaking diabetes treatments.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but you must have been on a stable diabetes treatment with metformin, with or without SGLT2 inhibitors, for at least 90 days before joining. If you're taking weight loss medications, you must stop them 90 days before the trial.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that retatrutide is generally safe for people with type 2 diabetes. Studies have found its safety and tolerability to be similar to other approved diabetes treatments, with most people not experiencing serious side effects. Common side effects were mild, such as nausea, which often occurs with similar drugs.

Semaglutide, already approved by the FDA for treating type 2 diabetes, has been found safe for many people. While some side effects may occur, they are usually mild and manageable.

Overall, both retatrutide and semaglutide are considered safe. Retatrutide has shown similar safety to existing treatments, and semaglutide has proven its safety through FDA approval.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about retatrutide for type 2 diabetes because it offers a potentially new approach compared to existing treatments like metformin, sulfonylureas, and GLP-1 receptor agonists such as semaglutide. Retatrutide is unique because it is a triple agonist, meaning it targets three different receptors involved in glucose and energy balance, which might improve blood sugar control more effectively than current options. Additionally, with its subcutaneous administration, retatrutide could offer a convenient delivery method similar to semaglutide but with enhanced benefits. Overall, this new mechanism of action could lead to better outcomes for patients managing type 2 diabetes.

What evidence suggests that this trial's treatments could be effective for Type 2 Diabetes?

This trial will compare Retatrutide and Semaglutide for managing type 2 diabetes. Research has shown that Retatrutide, which participants in this trial may receive, can significantly reduce body weight and improve energy processing in people with type 2 diabetes. In studies, Retatrutide led to a noticeable decrease in total body fat compared to other treatments. Meanwhile, Semaglutide, another treatment option in this trial, is known for improving blood sugar levels and aiding weight loss. It has helped nearly half of the patients reach their target blood sugar levels and has shown effective weight reduction in many cases. Both treatments are under study for their potential to better manage type 2 diabetes.12356

Who Is on the Research Team?

C1

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Principal Investigator

Eli Lilly and Company

Are You a Good Fit for This Trial?This trial is for adults with Type 2 Diabetes who aren't managing their blood sugar well using metformin alone or with an SGLT2 inhibitor. Participants should be committed to the study duration of about 26 months and up to 24 visits.

Inclusion Criteria

I have Type 2 Diabetes.

Are of stable weight for at least 90 days prior to screening

I have been taking at least 1500 mg of metformin daily for diabetes, with or without SGLT2i, for the last 90 days.

See 2 more

Exclusion Criteria

Have Type 1 Diabetes (T1D)

I have had or am planning to have surgery for weight loss.

Have a known clinically significant gastric emptying abnormality

See 11 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either retatrutide or semaglutide administered subcutaneously

26 months

Up to 24 visits

Follow-up

Participants are monitored for safety and effectiveness after treatment

4-8 weeks

What Are the Treatments Tested in This Trial?

Interventions

Retatrutide Semaglutide

Trial Overview

The trial is testing the effectiveness and safety of a new diabetes medication, Retatrutide, compared to an existing one, Semaglutide. It aims to see which better controls blood sugar levels in participants over the course of the study.

How Is the Trial Designed?

Treatment groups

Experimental Treatment

Active Control

Group I: Retatrutide Dose Level 2Experimental Treatment1 Intervention

Participants will receive retatrutide administered SC.

Group II: Retatrutide Dose Level 1Experimental Treatment1 Intervention

Participants will receive retatrutide administered subcutaneously (SC).

Group III: SemaglutideActive Control1 Intervention

Participants will receive semaglutide administered SC.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Eli Lilly and Company

Lead Sponsor

Trials

2,708

Recruited

3,720,000+

Dr. Daniel Skovronsky

Eli Lilly and Company

Chief Medical Officer since 2018

MD from Harvard Medical School

David A. Ricks

Eli Lilly and Company

Chief Executive Officer since 2017

BSc from Purdue University, MBA from Indiana University

Published Research Related to This Trial

Citations