Retatrutide Statistics & Trial Data (2026)
Every published retatrutide efficacy and safety figure, pulled from the Phase 2 and Phase 3 readouts, with a primary source on every number. Free to quote and embed.
“In Lilly's pivotal Phase 3 trial (TRIUMPH-1), retatrutide drove an average 28.3% body-weight loss at 80 weeks on the 12 mg dose — the largest weight loss reported for the drug to date.”
Pastes with a live link in most editors.
Weight loss by dose (TRIUMPH-1, 80 weeks)
In TRIUMPH-1, retatrutide produced average weight loss of 19.0% at 4 mg, 25.9% at 9 mg, and 28.3% at 12 mg — versus 2.2% on placebo — at 80 weeks.
| Metric | Value | Source |
|---|---|---|
| 4 mg | −19.0% | [1] |
| 9 mg | −25.9% | [1] |
| 12 mg | −28.3% | [1] |
| Placebo | −2.2% | [1] |
Phase 3, n=2,339 randomized, 80-week primary endpoint. The 12 mg arm averaged −70.3 lbs (−31.9 kg). Figures are the efficacy (on-treatment) estimand; the more conservative treatment-regimen estimand for 12 mg was −25.0% (−62.1 lbs).
Source: Eli Lilly and Company [1]
Read more: Retatrutide dosage guide · Dose calculator
The response deepens over time (12 mg)
On the 12 mg dose, average weight loss was 28.3% at 80 weeks. In a pre-specified extension of participants who began with a BMI of 35 or higher, those who continued to 104 weeks lost an average of 30.3% (−85.0 lbs) — still losing weight at the last measurement.
| Metric | Value | Source |
|---|---|---|
| 80 weeks (full 12 mg arm) | −28.3% | [1] |
| 104 weeks (BMI ≥35 extension subgroup) | −30.3% | [1] |
The 80-week 28.3% is the full 12 mg arm. The 104-week 30.3% (−85.0 lbs / −38.5 kg) is a pre-specified blinded extension of the baseline-BMI-≥35 subgroup (~532 participants) — not the whole arm. Efficacy estimand.
Source: Eli Lilly and Company [1]
Read more: Retatrutide dosage guide · Dose calculator
How many hit each weight-loss milestone
In the Phase 2 obesity trial, 12 mg retatrutide got 100% of participants to ≥5% weight loss, 93% to ≥10%, and 83% to ≥15% — and in Phase 3 TRIUMPH-1, 45.3% reached ≥30%.
| Metric | Value | Source |
|---|---|---|
| ≥5% weight loss | 100% | [3] |
| ≥10% weight loss | 93% | [3] |
| ≥15% weight loss | 83% | [3] |
| ≥30% weight loss (TRIUMPH-1) | 45.3% | [1] |
The ≥5/≥10/≥15% thresholds are Phase 2 obesity (NEJM 2023, 12 mg from a 2 mg escalation); the ≥30% figure is Phase 3 TRIUMPH-1 at 80 weeks. Cross-trial — populations and durations differ.
Sources: New England Journal of Medicine [3] · Eli Lilly and Company [1]
Read more: Retatrutide dosage guide · Dose calculator
How retatrutide compares to approved drugs
Retatrutide's 28.3% weight loss (TRIUMPH-1) exceeds tirzepatide's 22.5% (SURMOUNT-1) and semaglutide's 14.9% (STEP 1) — across the three generations of GLP agonists, though cross-trial comparisons have real limits.
| Drug & trial | Weight loss |
|---|---|
| Retatrutide 12 mg — TRIUMPH-1, 80 wks | −28.3% |
| Tirzepatide 15 mg — SURMOUNT-1, 72 wks | −22.5% |
| Semaglutide 2.4 mg — STEP 1, 68 wks | −14.9% |
Cross-trial comparison — populations, durations, designs, AND statistical estimands differ. Each is the highest-dose result from that drug's pivotal general-obesity trial. Retatrutide and tirzepatide figures are efficacy estimands; semaglutide's −14.9% is the treatment-policy estimand (its efficacy estimand was −16.9%).
Sources: Eli Lilly and Company [1] · New England Journal of Medicine [4] · New England Journal of Medicine [5]
Read more: Retatrutide vs Mounjaro vs Ozempic
Development & readout timeline
Retatrutide's Phase 3 readouts landed in sequence: TRIUMPH-4 (Dec 2025), TRANSCEND-T2D-1 (Mar 2026), and the pivotal TRIUMPH-1 (May 2026).
- 2023Phase 2 obesity readout (NEJM)
- Dec 2025TRIUMPH-4 (knee osteoarthritis) readout
- Mar 19, 2026TRANSCEND-T2D-1 (type 2 diabetes) readout
- May 21, 2026TRIUMPH-1 (pivotal obesity) topline
| Metric | Value | Source |
|---|---|---|
| Phase 2 obesity readout (NEJM) | 2023 | [3] |
| TRIUMPH-4 (knee osteoarthritis) readout | Dec 2025 | [6] |
| TRANSCEND-T2D-1 (type 2 diabetes) readout | Mar 19, 2026 | [7] |
| TRIUMPH-1 (pivotal obesity) topline | May 21, 2026 | [1] |
| Total Phase 3 program enrolment | ~5,800 | [8] |
| TRIUMPH-1 participants randomized | 2,339 | [2] |
Program-wide enrolment (~5,800) is across the four core TRIUMPH weight-management trials, per the published TRIUMPH design paper. Retatrutide remains investigational — no FDA filing or approval date has been confirmed by Lilly or the FDA.
Sources: New England Journal of Medicine [3] · Eli Lilly and Company [6] · Eli Lilly and Company (via PR Newswire) [7] · Eli Lilly and Company [1] · TRIUMPH program design publication (PubMed) [8] · ClinicalTrials.gov [2]
Read more: FDA approval timeline
Safety signals by dose
In TRIUMPH-4, dysesthesia (abnormal skin sensation) affected 20.9% of the 12 mg arm versus 8.8% at 9 mg, and discontinuation for adverse events was 18.2% at 12 mg versus 12.2% at 9 mg.
| Metric | Value | Source |
|---|---|---|
| Dysesthesia, 12 mg | 20.9% | [6] |
| Dysesthesia, 9 mg | 8.8% | [6] |
| Discontinuation (AEs), 12 mg | 18.2% | [6] |
| Discontinuation (AEs), 9 mg | 12.2% | [6] |
| Nausea, 12 mg (TRIUMPH-4) | 43.2% | [6] |
Dysesthesia, discontinuation and nausea rates are all from TRIUMPH-4 (knee osteoarthritis). Nausea was 43.2% at 12 mg versus 10.7% on placebo. All gastrointestinal events were mostly mild-to-moderate and clustered during dose escalation.
Source: Eli Lilly and Company [6]
Read more: Side effects & safety
- Long-term cardiovascular and renal safety — the TRIUMPH-5 outcomes trial (MACE endpoints) is multi-year and still accumulating.
- Whether the dysesthesia signal persists or resolves with continued dosing — it emerged as a new, dose-dependent event and is being watched across readouts.
- Head-to-head safety versus tirzepatide and semaglutide — no direct comparative trial has reported.
- Real-world adherence and long-term weight maintenance after stopping — TRIUMPH-6 (weight maintenance) has not read out.
How we compile these statistics
- Every figure links to its primary source — a peer-reviewed publication, a Lilly press release, or a trial registry record.
- Dose-bearing numbers (efficacy by dose, adverse-event rates, titration) are human-checked against the source before publishing, because a wrong dose is real-world harm.
- This is a founder-owned editorial compilation of published data — not clinical advice, and not affiliated with any manufacturer.
- Cross-trial figures (e.g. retatrutide vs semaglutide vs tirzepatide) come from separate trials with different populations, durations, and designs. We flag these comparisons as indicative, not head-to-head.
More on how we review.
Sources
- Lilly. "Retatrutide delivered powerful weight loss in pivotal Phase 3 obesity trial (TRIUMPH-1)." Investor Relations, May 21, 2026. Eli Lilly and Company
- TRIUMPH-1 trial record, ClinicalTrials.gov NCT05929066. ClinicalTrials.gov
- Jastreboff AM, et al. "Triple-Hormone-Receptor Agonist Retatrutide for Obesity — A Phase 2 Trial." NEJM, 2023. New England Journal of Medicine
- Jastreboff AM, et al. "Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1)." NEJM, 2022. New England Journal of Medicine
- Wilding JPH, et al. "Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1)." NEJM, 2021. New England Journal of Medicine
- Lilly. "Retatrutide delivered weight loss average… (TRIUMPH-4, knee osteoarthritis)." Investor Relations, December 2025. Eli Lilly and Company
- Lilly. "Retatrutide demonstrated significant reductions in A1C and weight in first Phase 3 diabetes trial (TRANSCEND-T2D-1)." March 19, 2026. Eli Lilly and Company (via PR Newswire)
- TRIUMPH Phase 3 weight-management program design; over 5,800 participants across four core trials. TRIUMPH program design publication (PubMed)
- What this is
- Educational information, not medical advice. It reports published research — it doesn’t recommend that you use, obtain, or supply anything.
- Regulatory status
- Retatrutide and similar peptides are investigational — not approved by the FDA or any regulator. Semaglutide and tirzepatide are prescription-only medicines, available only through a licensed prescriber.
- Our standard
- Every claim traces to a primary source. We label the strength of evidence and flag estimates as estimates — never as clinical fact.
- No commercial ties
- We don’t sell, supply, or link to suppliers of any medicine, and aren’t affiliated with any manufacturer.
Do not make decisions about your health without consulting a qualified healthcare provider. For trial enrolment, see ClinicalTrials.gov. More on how we review.