Efficacy and safety of triple hormone receptor agonist retatrutide for the management of obesity: a systematic review and meta-analysis.
Tewari. Jay J; Qidwai. Khalid Ahmad KA; Tewari. Ajoy A; Kaur. Savneet S; Tewari. Vineeta V; Maheshwari. Anuj A
Key Findings
- Retatrutide produced dose‑dependent weight loss, with the 12 mg dose showing the greatest reductions.
- Safety outcomes were comparable to placebo, indicating no major increase in adverse events.
- All four randomized trials reported statistically significant improvements over placebo across the measured outcomes.
Practical Outcomes
- For self‑directed health optimizers, the current evidence points to a 12 mg daily dose as the most effective regimen for weight loss, with a safety profile similar to placebo. This suggests retatrutide could be incorporated into experimental protocols aimed at obesity and metabolic health, but users should await larger, longer‑term studies before committing to widespread use.
Summary
A new drug called retatrutide, which hits three hormone receptors at once, has been tested in four small clinical trials and consistently beat placebo in shrinking weight. The biggest effect was seen with a 12 mg dose, and side‑effects were about the same as taking a dummy pill. While more research is still needed, the early data suggest it could be a powerful tool for people looking to lose fat and improve metabolic health.
Abstract
Retatrutide is a novel triple hormone receptor agonist which has shown great promise in tackling obesity in preliminary trials. We did this systematic review and meta-analysis to pool the results of all available trials and ascertain its safety and efficacy in the treatment of obesity. A literature search was conducted in PubMed, Cochrane Central and Embase using appropriate search terms and randomized control trials (RCTs) were identified which reported the safety and efficacy of retatrutide. Data was pooled using mean differences for continuous variables and risk ratios for the safety profile in RStudio. After the initial search four RCTs were included in the analysis which compared the safety and efficacy of retatrutide versus placebo. Retatrutide showed a dose dependent relationship with the 12 mg dose causing the maximum reductions across all the outcomes considered. The safety profile of retatrutide was found to be comparable to the control group. In conclusion our analysis found retatrutide to be clinically and statistically better than placebo in the various studies outcomes. We eagerly await the conduction of further trials for more robust and substantial results. www.crd.york.ac.uk/prospero identifier is CRD42024566153.
Study Information
pubmed
2025
2025-01-16T00:00:00.000Z
10.1080/17512433.2025.2450254
3
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