Compound profile

Mazdutide

GLP-1 / glucagon dual agonist

An investigational GLP-1 and glucagon receptor dual agonist studied mainly in China for obesity and type 2 diabetes, where the added glucagon activity may raise energy expenditure and lower liver fat.

Reviewed for accuracy · Last reviewed July 8, 2026
ClassGLP-1 / glucagon dual agonist
RouteSubcutaneous injection
Common research range3 – 9 mg, weekly
StorageRefrigerated, ~3–4 weeks once mixed

Overview

Mazdutide (also called IBI362 or LY3305677) activates two metabolic receptors at once: GLP-1, which curbs appetite and slows gastric emptying, and glucagon, which is proposed to increase energy expenditure and reduce hepatic fat. Its development has centered on Chinese trial populations, where Phase 2 and Phase 3 studies reported dose-dependent weight loss alongside improvements in cardiometabolic markers.

It is given as a once-weekly subcutaneous injection, usually started low and stepped up over several weeks. Mazdutide gained China NMPA approval for weight management and glycemic control in 2025 but is not FDA- or EMA-approved, so any independent use is investigational and unlabeled.

Dosing

Trials used once-weekly subcutaneous doses from 3 mg through 6 mg (Phase 2 and GLORY-1) up to a 9 mg maintenance arm (GLORY-2). Mazdutide is investigational outside China, so there is no approved prescribing dose for independent use.

Read the full Mazdutide dosage guide →

Side effects

Across trials the most common adverse events were gastrointestinal (nausea, diarrhea, vomiting) plus reduced appetite, generally mild to moderate and dose-related.

Read the full Mazdutide side effects guide →

Storage

Keep unmixed vials refrigerated and away from light. Once reconstituted, most research reports store it refrigerated for roughly 3–4 weeks. See the full storage & safety guide for handling and disposal basics.

FAQ

How is mazdutide different from tirzepatide or retatrutide?Mazdutide pairs GLP-1 with glucagon rather than GIP. The glucagon arm is thought to add energy expenditure and liver-fat effects, but it is a different receptor combination than the GIP-based agonists.
Is mazdutide FDA-approved?No. It received China NMPA approvals in 2025 for weight management and glycemic control, but it is not FDA- or EMA-approved, so use outside China is investigational.
Why do trials titrate the dose up slowly?Gastrointestinal side effects were dose-related in the trials, so stepping the dose up gradually is how studies aimed to keep nausea, diarrhea, and vomiting tolerable.

References

  1. A phase 2 randomised controlled trial of mazdutide in Chinese overweight adults or adults with obesityNature Communications · 2023 · PMID 38092790 · DOI 10.1038/s41467-023-44067-4
  2. Once-Weekly Mazdutide in Chinese Adults with Obesity or Overweight (GLORY-1)New England Journal of Medicine · 2025 · DOI 10.1056/NEJMoa2411528 · N Engl J Med 392(22):2215-2225
  3. Treatment With 9-mg Mazdutide for Weight Reduction in Chinese Adults With Obesity: The GLORY-2 Randomized Clinical TrialJAMA · 2026 · DOI 10.1001/jama.2026.8142
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This page is an independent educational reference and is not medical advice, and does not indicate any approval status for any use. Talk to a doctor before starting any compound.