Compound profile

Survodutide

GLP-1 / Glucagon

An investigational glucagon-receptor / GLP-1-receptor dual agonist studied for weight loss and for MASH (fatty liver disease). It is not FDA-approved.

Reviewed for accuracy · Last reviewed July 8, 2026
ClassGLP-1 / glucagon dual agonist
RouteSubcutaneous injection
Studied range0.6 – 4.8 mg, weekly (obesity trial)
StatusInvestigational (Phase 2/3), not FDA-approved

Overview

Survodutide (development code BI 456906) activates two metabolic receptors at once: GLP-1 and glucagon. The GLP-1 arm is shared with drugs like semaglutide and helps curb appetite, while the glucagon arm is proposed to add direct effects on liver fat and energy expenditure. That dual action is why it has been studied both for weight loss and for MASH (metabolic dysfunction-associated steatohepatitis).

It is given as a once-weekly subcutaneous injection, starting low and escalating over several weeks. Survodutide is investigational: it is being developed by Boehringer Ingelheim (licensed from Zealand Pharma) and is not approved by the FDA for any use, so the figures here describe what trials tested rather than an approved regimen.

Dosing

The Phase 2 obesity trial escalated once-weekly subcutaneous survodutide from 0.6 mg up to a 4.8 mg maintenance dose over 46 weeks. It is investigational, so there is no approved prescribing dose.

Read the full Survodutide dosage guide →

Side effects

Across trials the most common adverse events were gastrointestinal (nausea, vomiting, diarrhea, constipation), generally dose-related and most prominent during escalation.

Read the full Survodutide side effects guide →

Storage

Keep unmixed material refrigerated and away from light. Because survodutide is investigational, there is no consumer storage label; general peptide handling applies. See the full storage & safety guide for handling and disposal basics.

FAQ

Is survodutide FDA-approved?No. Survodutide is investigational. It has Phase 2 data in obesity and in MASH, and Phase 3 obesity trials are ongoing, but it is not approved by the FDA for any use.
How is survodutide different from tirzepatide or retatrutide?It targets a different receptor pair. Survodutide activates GLP-1 and glucagon receptors; tirzepatide targets GLP-1 and GIP, and retatrutide targets GLP-1, GIP, and glucagon. The glucagon arm is proposed to add effects on liver fat.
What was survodutide studied for besides weight loss?A Phase 2 trial studied it in MASH (fatty liver disease) with fibrosis, where it improved MASH versus placebo without worsening fibrosis over 48 weeks.

References

  1. Glucagon and GLP-1 Receptor Dual Agonist Survodutide for Obesity: A Randomised, Double-Blind, Placebo-Controlled, Dose-Finding Phase 2 TrialThe Lancet Diabetes & Endocrinology · 2024 · PMID 38330987 · DOI 10.1016/S2213-8587(23)00356-X · NCT04667377
  2. A Phase 2 Randomized Trial of Survodutide in MASH and FibrosisNew England Journal of Medicine · 2024 · PMID 38847460 · DOI 10.1056/NEJMoa2401755 · NCT04771273
Researching this protocol? PepHub can log weekly doses and track your titration.Learn more →

This page is an independent educational reference and is not medical advice, and does not indicate any approval status for any use. Survodutide is investigational. Talk to a doctor before starting any compound.