Published trial ladder
Retatrutide Phase 2 12 mg arm: published ladder and modeled levels
Short answer
Retatrutide Phase 2 12 mg arm: 2/4/8/12 mg weekly, 4 weeks per step (Eli Lilly, hosted on ClinicalTrials.gov, Aug 29, 2022). The final 12 mg step begins in week 13. With t½ 6 days and R = 1.8033, the modeled amount peaks at 19.67 mg-eq. As published, not a recommendation; as of Oct 19, 2026.
- Weeks per step
- 4 4 steps
- Final step
- 12 mg from week 13
- Modeled peak
- 19.67 mg-eq
- Accumulation R
- 1.8033 t½ 6 d
- Weekly dose (published steps)
- Modeled amount (mg-eq)
- Stable window
| Weeks | Weekly dose | First week starts |
|---|---|---|
| 1–4 | 2 mg | Jan 5, 2026 |
| 5–8 | 4 mg | Feb 2, 2026 |
| 9–12 | 8 mg | Mar 2, 2026 |
| 13 onward | 12 mg | Mar 30, 2026 |
Weekly modeled amounts
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28 weeks. Highlighted rows start a new dose step. Model details: model card.
| Week | Starts | Dose mg | Peak | Trough | Average |
|---|---|---|---|---|---|
| 1 | Jan 5, 2026 | 2 | 1.782 | 0 | 1.287 |
| 2 | Jan 12, 2026 | 2 | 2.608 | 0.921 | 1.945 |
| 3 | Jan 19, 2026 | 2 | 2.978 | 1.331 | 2.238 |
| 4 | Jan 26, 2026 | 2 | 3.144 | 1.514 | 2.368 |
| 5 | Feb 2, 2026 | 4 | 4.993 | 1.595 | 3.713 |
| 6 | Feb 9, 2026 | 4 | 5.857 | 2.553 | 4.397 |
| 7 | Feb 16, 2026 | 4 | 6.244 | 2.979 | 4.701 |
| 8 | Feb 23, 2026 | 4 | 6.417 | 3.169 | 4.837 |
| 9 | Mar 2, 2026 | 8 | 10.043 | 3.254 | 7.471 |
| 10 | Mar 9, 2026 | 8 | 11.74 | 5.133 | 8.814 |
| 11 | Mar 16, 2026 | 8 | 12.5 | 5.971 | 9.412 |
| 12 | Mar 23, 2026 | 8 | 12.838 | 6.343 | 9.678 |
| 13 | Mar 30, 2026 | 12 | 16.535 | 6.51 | 12.37 |
| 14 | Apr 6, 2026 | 12 | 18.268 | 8.426 | 13.739 |
| 15 | Apr 13, 2026 | 12 | 19.043 | 9.279 | 14.349 |
| 16 | Apr 20, 2026 | 12 | 19.388 | 9.659 | 14.62 |
| 17 | Apr 27, 2026 | 12 | 19.542 | 9.829 | 14.741 |
| 18 | May 4, 2026 | 12 | 19.611 | 9.904 | 14.795 |
| 19 | May 11, 2026 | 12 | 19.641 | 9.938 | 14.819 |
| 20 | May 18, 2026 | 12 | 19.655 | 9.953 | 14.83 |
| 21 | May 25, 2026 | 12 | 19.661 | 9.959 | 14.834 |
| 22 | Jun 1, 2026 | 12 | 19.664 | 9.962 | 14.837 |
| 23 | Jun 8, 2026 | 12 | 19.665 | 9.964 | 14.838 |
| 24 | Jun 15, 2026 | 12 | 19.665 | 9.964 | 14.838 |
| 25 | Jun 22, 2026 | — | 10.356 | 4.635 | 7.118 |
| 26 | Jun 29, 2026 | — | 4.613 | 2.065 | 3.171 |
| 27 | Jul 6, 2026 | — | 2.055 | 0.92 | 1.412 |
| 28 | Jul 13, 2026 | — | 0.915 | 0.41 | 0.629 |
Sources
- Study Protocol J1I-MC-GZBF(b) for NCT04881760 (Prot_000.pdf). Eli Lilly and Company, hosted on ClinicalTrials.gov, Aug 29, 2022. Accessed Oct 19, 2026.
- Triple-Hormone-Receptor Agonist Retatrutide for Obesity - A Phase 2 Trial. N Engl J Med 2023;389(6):514-526 (abstract via PubMed PMID 37366315; doi:10.1056/NEJMoa2301972), Jun 26, 2023. Accessed Oct 19, 2026.
- A Study of LY3437943 in Participants Who Have Obesity or Are Overweight (NCT04881760) - registry record with posted results. ClinicalTrials.gov (U.S. NLM), Sep 13, 2023. Accessed Oct 19, 2026.
- LY3437943, a novel triple GIP, GLP-1, and glucagon receptor agonist in people with type 2 diabetes: a phase 1b, multicentre, double-blind, placebo-controlled, randomised, multiple-ascending dose trial. The Lancet 2022;400(10366):1869-1881 (abstract via PubMed PMID 36354040; doi:10.1016/S0140-6736(22)02033-5), Oct 27, 2022. Accessed Oct 19, 2026.