Obesity

Triple–Hormone-Receptor Agonist Retatrutide for Obesity — A Phase 2 Trial

N Engl J MedPublished Randomised controlled trial

Authors' conclusion

In adults with obesity, retatrutide treatment for 48 weeks resulted in substantial reductions in body weight.

Study context

Population
Adults with body-mass index (BMI) ≥30, or BMI 27 to <30 plus ≥1 weight-related condition; 51.8% menrandomized 2:1:1:1:1:2:2
Participants
338 adults
Comparison
Once-weekly subcutaneous retatrutide vs placebo for 48 weeks
Primary endpoint
Percentage change in body weight from baseline
Follow-up
24 weeks
Methodological detailsphase 2, double-blind, placebo-controlled
  • Phase 2
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Least-squares mean percentage change in body weight

1 mg

−7.2%

least-squares mean

Combined 4 mg

−12.9%

least-squares mean

Combined 8 mg

−17.3%

least-squares mean

12 mg

−17.5%

least-squares mean

Placebo

−1.6%

least-squares mean

Secondary outcomes

OutcomeValues
Least-squares mean percentage change in body weight · 48 weeks1 mg least-squares mean −8.7% · Combined 4 mg least-squares mean −17.1% · Combined 8 mg least-squares mean −22.8% · 12 mg least-squares mean −24.2% · Placebo least-squares mean −2.1%
Weight reduction ≥5% · 48 weeksCombined 4 mg 92% · Combined 8 mg 100% · 12 mg 100% · Placebo 27%
Weight reduction ≥10% · 48 weeksCombined 4 mg 75% · Combined 8 mg 91% · 12 mg 93% · Placebo 9%
Weight reduction ≥15% · 48 weeksCombined 4 mg 60% · Combined 8 mg 75% · 12 mg 83% · Placebo 2%

Safety

Adverse events

Most common AEs with retatrutide were gastrointestinal: dose-related, mostly mild to moderate, partially mitigated with lower starting dose (2 mg vs 4 mg)
Dose-dependent increases in heart rate peaked at 24 weeks and declined thereafter

Original publication

Triple–Hormone-Receptor Agonist Retatrutide for Obesity — A Phase 2 Trial. N Engl J Med. Published 26 June 2023. doi:10.1056/nejmoa2301972

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