Retatrutide Clinical Trials Tracker

    By Trimi Medical Team12 min read

    This tracker provides the latest information on all retatrutide clinical trials as of April 2026. The TRIUMPH Phase 3 program represents the largest clinical development effort for the triple agonist, with results that will determine FDA approval timing (Jastreboff et al., NEJM 2023).

    Medical Disclaimer: This article is for informational purposes only. Retatrutide is an investigational drug not yet approved by the FDA. Trial information is based on publicly available data from ClinicalTrials.gov and Eli Lilly press releases.

    TRIUMPH Phase 3 Program Overview

    TrialPopulationEnrollmentStatusExpected Results
    TRIUMPH-1Obesity (BMI 30+ or 27+ with comorbidity)~2,000+Enrolling/Active2026-2027
    TRIUMPH-2Type 2 diabetes~1,500+Enrolling/Active2026-2027
    TRIUMPH-3MASH (liver disease)TBDPlanning/Early enrollment2027+
    TRIUMPH-4Long-term safety/extensionTBDPlannedOngoing

    Completed Trials

    Phase 2 Obesity Trial (Published)

    Results: 24.2% weight loss at 12mg over 48 weeks. Published in NEJM, July 2023. 338 participants. Weight loss curves had not plateaued, suggesting potential for greater loss with longer treatment.

    Phase 2 Diabetes Trial (Published)

    Results: Significant HbA1c reductions and weight loss in type 2 diabetes. Published 2023. Demonstrated glycemic efficacy alongside weight loss.

    What Phase 3 Will Tell Us

    • Efficacy confirmation: Does the 24% weight loss replicate in larger, more diverse populations?
    • Long-term safety: Side effect profile over 52-72 weeks in thousands of patients
    • MASH histology: Does retatrutide improve liver biopsy findings in MASH patients?
    • Cardiovascular outcomes: Potential CV benefit data (may require separate CVOT)
    • Special populations: Safety in elderly, kidney disease, diverse ethnic groups

    Projected FDA Timeline

    MilestoneEstimated Timing
    Phase 3 topline resultsLate 2026 - Early 2027
    FDA submission (NDA)2027
    FDA review (standard: 10-12 months)2027-2028
    Potential FDA approvalLate 2027 - 2028
    Market availabilityWithin months of approval

    Timelines are estimates and subject to change based on trial outcomes and FDA review.

    GLP-1 Treatment Available Today

    While waiting for retatrutide approval, Trimi offers compounded semaglutide ($99/month) and compounded tirzepatide ($125/month) with proven weight loss results and full medical support. Learn how Trimi works.

    Frequently Asked Questions

    Can I join a retatrutide clinical trial?

    Check ClinicalTrials.gov for active enrollment sites near you. Eligibility criteria include BMI requirements, age limits, and specific health conditions. Trial participation provides free medication and medical monitoring.

    When will retatrutide be approved?

    The earliest realistic approval date is late 2027, depending on Phase 3 results and FDA review timeline. Priority review designation could accelerate this by several months.

    Will Phase 3 results match Phase 2?

    Phase 3 results may differ slightly from Phase 2 due to larger, more diverse populations and potentially different trial designs. However, dramatic weight loss in the 20%+ range is expected based on the Phase 2 signal.

    What if Phase 3 trials fail?

    Given the dramatic Phase 2 results, outright failure is unlikely. More realistic concerns include side effects that appear in larger populations or a narrower approved indication than hoped. The weight loss efficacy signal is strong.

    Sources & References

    1. Wilding JPH et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. NEJM 2021;384:989-1002.
    2. Jastreboff AM et al. Tirzepatide Once Weekly for the Treatment of Obesity. NEJM 2022;387:205-216.
    3. Lincoff AM et al. Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes. NEJM 2023;389:2221-2232.
    4. FDA Prescribing Information for Wegovy (semaglutide) and Zepbound (tirzepatide).

    Related Reading

    What's the latest on retatrutide trials?

    Retatrutide is in phase 3 clinical trials as of May 2026 — the TRIUMPH program includes multiple sub-studies addressing different indications: TRIUMPH-1 for obesity (extending phase 2 data with larger populations), TRIUMPH-2 for type 2 diabetes (evaluating glycemic control + weight outcomes), TRIUMPH-3 for cardiovascular outcomes (testing whether retatrutide reduces major adverse cardiovascular events similar to semaglutide's SELECT trial). Enrollment is ongoing across all sub-studies; major topline readouts are expected 2026-2027. The earliest possible FDA approval would be 2027-2028 if trials succeed and Eli Lilly submits a New Drug Application (NDA) promptly after primary readouts. Insurance coverage rollout post-approval typically takes 1-2 years as commercial plans negotiate formulary placement and step-therapy requirements; Medicare and Medicaid coverage usually lags further. Authoritative sources for trial status: ClinicalTrials.gov is the official US database for trial enrollment status, primary outcomes, and amendment notices; Eli Lilly press releases provide topline results when available. Important context: retatrutide is investigational and NOT available for prescription outside of legitimate clinical trial enrollment. Patients should NOT seek 'research peptide' retatrutide sold without prescription — illegal, no clinical oversight, no manufacturer accountability for safety, sterility, or potency. While waiting for retatrutide FDA approval, FDA-approved tirzepatide is the closest accessible alternative producing approximately 20-22.5% body-weight reduction (SURMOUNT-1, NEJM 2022) — Trimi Health offers compounded tirzepatide at $125/month annual.

    TRIUMPH phase 3 program ongoing; readouts 2026-2027.
    Earliest FDA approval 2027-2028 (if trials succeed).
    Tirzepatide (Trimi $125/mo annual) is closest accessible alternative.

    Key Takeaways

    • Retatrutide phase 3 program: TRIUMPH (multiple sub-studies including TRIUMPH-1 obesity, TRIUMPH-2 type 2 diabetes, TRIUMPH-3 cardiovascular).
    • Status May 2026: enrollment ongoing; major readouts expected 2026-2027; FDA approval pathway after phase 3 results.
    • Earliest possible FDA approval: 2027-2028 if trials succeed and Lilly submits NDA promptly; insurance coverage rollout typically takes 1-2 years post-approval.
    • ClinicalTrials.gov is the authoritative source for trial enrollment status; Eli Lilly press releases provide topline results.
    • While waiting: FDA-approved tirzepatide (Trimi compounded $125/mo annual) produces ~20-22.5% body-weight loss — closest accessible alternative.

    Medically Reviewed

    TMRT

    Trimi Medical Review Team

    Clinical review workflow for GLP-1 safety, dosing, and access content

    Team-based medical review process documented in Trimi's Medical Review Policy

    Last reviewed: May 18, 2026

    TCCT

    Written by Trimi Clinical Content Team

    Medical Writers & Healthcare Professionals

    Our clinical content team includes registered nurses, pharmacists, and medical writers who specialize in translating complex medical information into clear, actionable guidance for patients.

    Medically reviewed by Trimi Medical Review Team, Clinical review workflow for GLP-1 safety, dosing, and access content

    What real Trimi patients say

    Verbatim quotes from Trimi's Facebook and Reddit community reviews. First name and last initial preserved per editorial policy.

    I'm on my 4th week. No side effects. 5 lb loss which seems slow to me. Food noise is much better. We shall see!

    Outcome: 5 lbs lost in 4 weeks; no side effects; food noise reduced

    Lynn SchweitzerFacebook
    21 lbs down in 6 weeks! So happy I started with you guys!

    Outcome: 21 lbs lost in 6 weeks

    Robyn Lynn CurtisFacebook

    Editorial Standards

    Trimi publishes patient education using a medical-review workflow, source-based claim checks, and dated updates for fast-changing pricing, access, and safety topics.

    Review our Editorial Policy and Medical Review Policy for more details about sourcing, updates, and reviewer attribution.

    Scientific References

    1. Jastreboff AM, et al. (2022). Tirzepatide Once Weekly for the Treatment of Obesity. The New England Journal of Medicine.Read StudyDOI: 10.1056/NEJMoa2206038
    2. Eli Lilly and Company (2025). Zepbound (tirzepatide) prescribing information. U.S. Food and Drug Administration.Read Study
    3. U.S. Food and Drug Administration (2025). FDA clarifies policies for compounders as national GLP-1 supply begins to stabilize. FDA.Read Study

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