Metabolic

Survodutide

GLP-1/glucagon receptor dual agonist (BI 456906)

Investigational survodutide; no FDA-approved product verified.

What does it do?

Obesity

Study

Phase 3 studies; findings remain population- and protocol-specific.1

Molecular information

3

Amino-acid sequence

An exact sequence has not been verified for this formulation.

LengthNot independently verified
Molecular weight · DaNot independently verified for the exact supplied form
Molecular formulaNot independently verified for the exact supplied form3

Salt, hydration, glycosylation and blend composition may change the supplied material; no unsupported formula or mass is assigned.

Pharmacokinetics

Unverified reference estimateNot independently confirmed
Reference half-life6.5 days8
Route / formulationSource page: Injectable. Exact PK route not verified.

This value is reported by a secondary reference. The stated attribution has not been independently verified as a route- and formulation-matched human PK measurement.

Illustrative half-life model for Survodutide: Pep-Pedia estimateNormalized terminal-phase decline, not measured blood concentration or effect duration. Five half-lives leaves 3.125%. 0%50%100%06.5 d13 d19.5 d26 d32.5 d1 half-life
50%of reference level

Illustrative scenario using an unverified reference estimate.

About 3% remaining after 32.5 d

Five half-lives in this estimated model. This is not a prediction of when effects stop.

About this estimate

Population: Not established by the reference estimate

Source’s stated attribution: Phase 2 Clinical Trial Data (Boehringer Ingelheim)

Source’s reported peak time: 2 days. This has not been independently confirmed and is not used in the elimination curve.

100 × 2−time / half-life. Time zero is a reference level, not the moment of administration. Absorption, repeated dosing, metabolites and clinical effects are not modeled. Five half-lives leaves 3.125%, not zero. This curve cannot determine a dosing interval.

What to expect

Study outcomes

Published phase 3 weight result

Mean weight change at 76 weeks was −13.0% with 6 mg versus −5.4% with placebo in adults without diabetes (treatment-regimen estimand).1

Additional 2026 diabetes-population trial

A separate phase 3 publication evaluates weekly 3.6 or 6.0 mg in adults with type 2 diabetes and BMI at least 27. It is a different population from SYNCHRONIZE-1.2

Reported timelines

Reference & community

Source expectations

GI/appetite changes weeks 1–4; weight change weeks 4–24+, with trial outcomes assessed around week 46. Not individual forecasts.9

These are reported timelines, not a prediction of your response.

Doses & schedules

6 rows

Scroll to compare all columns →

One row for each documented route and dose or dose range
RouteDoseFrequencyGoal / evidenceDurationReferences
SubQSubcutaneous3.6 mg targetOnce weeklySYNCHRONIZE-1 obesity trial725 adults with obesity without diabetesHuman study76 weeks1
SubQSubcutaneous6 mg targetOnce weeklySYNCHRONIZE-1 obesity trial725 adults with obesity without diabetesHuman study76 weeks1
SubQ0.6 mg titrated over 24 weeksStarting doseOnce weekly with 4-week intervalsObesity - Conservative StartReference reportLong-term therapy - trials up to 76 weeks, likely continuous use9
SubQSubQ (abdomen/thigh)3.6-6.0 mgOnce weeklyObesity - Standard ProtocolReference reportLong-term therapy - trials up to 76 weeks, likely continuous use9
SubQ2.4-4.8 mgOnce weeklyMASH TreatmentReference reportLong-term therapy - trials up to 76 weeks, likely continuous use9
SubQ0.3-2.7 mgOnce weeklyType 2 DiabetesReference reportLong-term therapy - trials up to 76 weeks, likely continuous use9

Study and label doses retain their study context. Reference reports are unvalidated practices, not personal treatment instructions. Ranges remain ranges; escalation stages are labeled.

Cycles & timing

Reference reports9

Reported use periods and breaks. These do not establish a safe cycle or prove that breaks prevent tolerance.

Injectable

Use period
Long-term therapy - trials up to 76 weeks, likely continuous use
Break
No cycling required - continuous weekly therapy
Reported timing

Any time of day, with or without food - maintain consistent weekly schedule

Side effects & safety

Frequent GI adverse events

GI symptoms occurred in 80.9% and 89.7% of the two survodutide groups, versus 47.9% with placebo.

1

Additional reported cautions

Reference reports9

Common

Nausea, vomiting, diarrhea and heart-rate elevation.

Urgent

Persistent GI symptoms/dehydration, severe abdominal/back or RUQ pain, hypoglycemia, allergy or arrhythmia.

Unknowns

Pregnancy/breastfeeding and combination safety uncertain; organ-impairment claims require trial context.

Not a complete safety screen. Discuss health decisions with a qualified clinician.

Combinations & interactions

9 entries

Check cautions and reported pairings. A compatibility claim does not establish that a combination is safe.

Semaglutide / tirzepatide

Caution reported

Overlapping GLP-1 signaling.9

Reference report · Pep-Pedia label: Use Caution

Sulfonylureas

Caution reported

Hypoglycemia.9

Reference report · Pep-Pedia label: Monitor Combination

Oral contraceptives

Caution reported

One-hour source rule unverified.9

Reference report · Pep-Pedia label: Requires Timing

Warfarin

Caution reported

Potential INR/absorption changes.9

Reference report · Pep-Pedia label: Monitor Combination

Other glucagon agonists

Avoidance reported

Receptor duplication.9

Reference report · Pep-Pedia label: Avoid Combination

Metformin

Unverified pairing

Background trial therapy.9

Reference report · Pep-Pedia label: Compatible

SGLT2 inhibitors

Unverified pairing

Permitted trial co-treatment.9

Reference report · Pep-Pedia label: Compatible

Insulin

Unverified pairing

Glucose effects require assessment.9

Reference report · Evidence context: Dose dependent

Other medicines and research compounds

Not established

No clinical interaction study for the exact proposed combination was verified; absence of evidence does not establish compatibility.3

Research context

Reconstitution

Product-specific information required

No universal bacteriostatic-water volume or validated preparation method is established for this entry.3

Reference preparation details

Reported handling information, not a validated formulation or instruction to prepare an injectable product.

Injectable

Pep-Pedia describes preparation for this route; product-specific stability has not been independently verified.

Solvents mentioned
Bacteriostatic water
Reported parameters
The source specifies refrigeration after preparation.

The source describes gentle mixing and avoiding vigorous shaking.

9

Appearance & documentation

Appearance and a purity certificate cannot establish sterility, identity, or suitability for injection.

Reported appearanceClear to slightly opalescent solutionReported appearanceSealed vial with intact rubber stopperReported appearanceWithin expiration dateReported variationSlight foam after reconstitutionReported concernCloudy solution or visible particlesReported concernDiscoloration of powder or solution
9

Available forms

No verified packaging examples included.

Packaging examples, not a market survey. Approved and research products are not interchangeable.

Storage after mixing

Reconstituted research vials

Pep-Pedia reports these handling limits after mixing. They are not validated stability or sterility limits for your vial.

Injectable

Unverified report9
2–8°C · 4 weeks

Storage notes

9
Injectable

Refrigerate at 2-8°C, protect from light, use within 4 weeks of reconstitution

Storage depends on the formulation, diluent, container, and handling. Follow the specific product label or pharmacist’s instructions.

Evidence limits

View findings →

Research-market product identity, purity and formulation cannot be established from a publication.1

2 distinct primary sources or abstracts checked. Evidence may concern a parent compound, individual blend ingredient, animal, or cell model; it does not necessarily establish a benefit for this exact product.

Evidence definitions →

Research findings

Human trials

Source context

Week16–24 “steady state” claim is not a PK calculation; source combination labels do not establish safety.

Compound identity & other names

An investigational dual receptor agonist with published obesity and liver-disease trials. New phase 3 data are reported with the study population and estimand.

Investigational survodutide; no FDA-approved product verified.

GLP-1/glucagon receptor dual agonist (BI 456906)3

How it may work

Combines appetite/glucose effects with glucagon-related energy and liver-fat metabolism.9

Published phase 3 weight result

Mean weight change at 76 weeks was −13.0% with 6 mg versus −5.4% with placebo in adults without diabetes (treatment-regimen estimand).

1

Additional 2026 diabetes-population trial

A separate phase 3 publication evaluates weekly 3.6 or 6.0 mg in adults with type 2 diabetes and BMI at least 27. It is a different population from SYNCHRONIZE-1.

2

Research areas and evidence gaps

Obesity research. Phase 3 studies; findings remain population- and protocol-specific.1

  • Research-market product identity, purity and formulation cannot be established from a publication.

Additional uses listed by Pep-Pedia

Weight. Obesity with or without diabetes and maintenance.9

Metabolic / liver. MASH, liver fat and glycemic control.9

Cardiovascular. BP, lipids and other risk markers; clinical outcome benefit requires separate evidence.9

Community reports Unvalidated

Weight discussions as described by Pep-Pedia.3

No representative survey, independently verified products, or controlled outcomes.

Search coverage and review status

The targeted check identified relevant additional literature or current regulatory information; checked findings are separated from retained bibliography-only references.

Checked
2026-10-12
Search
survodutide 2026 phase 3 study site:pubmed.ncbi.nlm.nih.gov
Catalog
Pep-Pedia ↗ · 4 listed references retained
  • Targeted search, not an exhaustive systematic review.
  • Bibliography-only entries are retained for traceability and are not treated as verified findings.

AI-prepared summaries. Independent medical editorial review is pending.

Community poll 10 topics · Pep-Pedia snapshot

Voluntary, unverified reports. These percentages do not measure effectiveness or safety.

Primary goal

Fat loss77%
General wellness9%
Muscle growth5%
Other: Weight loss and reducing fatty liver 5%
Other: Hepatic fatty liver and weight loss5%

Number of responses to this question: not disclosed.

Source & limitations

The source displays “203 responses” for this profile. This is not a confirmed participant count or a denominator for individual questions.

  • Voluntary self-reports from Pep-Pedia visitors; identity, treatment, outcomes and timing are unverified. These data are not efficacy or safety estimates.
  • The source displays a profile-wide response label, not a confirmed unique participant count. It stays unchanged across questions. Question-specific denominators and absolute option counts are not exposed.
  • Only the top five categories are displayed for some questions. Extra categories are retained as an undisplayed-category count; their labels and percentages are unavailable.
  • Displayed percentages are rounded. They may not total 100%, especially where categories are hidden.
  • This is a dated snapshot, not a live survey or current recommendation.

References

Original sources and review status. Open a reference to read its summary.

9 sources

1SYNCHRONIZE-1: survodutide once weekly in adults with obesityTrial · 2026 · pubmed.ncbi.nlm.nih.govAbstract checked
AI-PREPARED SUMMARY

2026 phase 3 trial in 725 adults without diabetes: mean change at 76 weeks −12.2% (3.6 mg), −13.0% (6 mg), and −5.4% placebo under the treatment-regimen estimand.

Published phase 3 weight result

Mean weight change at 76 weeks was −13.0% with 6 mg versus −5.4% with placebo in adults without diabetes (treatment-regimen estimand).

Additional research · Checked 2026-10-12

Original source
2Survodutide in adults with obesity and type 2 diabetesTrial · 2026 · pubmed.ncbi.nlm.nih.govAbstract checked
AI-PREPARED SUMMARY

2026 publication reports a phase 3 trial in adults with obesity and diabetes; the abstract reports greater weight reduction than placebo.

Additional 2026 diabetes-population trial

A separate phase 3 publication evaluates weekly 3.6 or 6.0 mg in adults with type 2 diabetes and BMI at least 27. It is a different population from SYNCHRONIZE-1.

Additional research · Checked 2026-10-12

Original source
3Pep-Pedia: Survodutide — community referenceCommunity · 2026 · pep-pedia.orgCommunity source checked
AI-PREPARED SUMMARY

Accessed October 12, 2026. Secondary descriptions and bibliography; community schedules are unvalidated reports, not recommendations.

Original source
4Phase 2 Obesity Trial Without Diabetes (2024)Research reference · 2024 · pep-pedia.orgPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: The obesity trial reportedly found 14.9% mean weight loss at 4.8 mg versus 2.8% on placebo over 46 weeks.

Reported population / model
Human

Reported study details
0.6-4.8mg weekly · 46 weeks · Up to 14.9% weight loss

Pep-Pedia supplies no original study link for this card. Study identity, design, doses and result remain unverified.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Source report
5Phase 2 MASH and Fibrosis Trial (2024)Research reference · 2024 · pep-pedia.orgPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: MASH improvement without worse fibrosis occurred in 43–62% across dose groups versus 14% with placebo; responses were not simply dose-proportional.

Reported population / model
Human

Reported study details
2.4-6.0mg weekly · 48 weeks · 47-62% MASH improvement

Pep-Pedia supplies no original study link for this card. Study identity, design, doses and result remain unverified.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Source report
6Phase 2 Type 2 Diabetes Trial (2023)Research reference · 2023 · pep-pedia.orgPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: The source reports greater short-term weight loss than semaglutide 1 mg in diabetes; this does not compare against obesity-dose semaglutide.

Reported population / model
Human

Reported study details
0.3-2.7mg weekly · 16 weeks · Superior to semaglutide

Pep-Pedia supplies no original study link for this card. Study identity, design, doses and result remain unverified.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Source report
7Preclinical Pharmacology Study (2022)Research reference · 2022 · pep-pedia.orgPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: Laboratory receptor activity and animal half-lives supported development; mouse and dog elimination values are not human dosing evidence.

Reported population / model
Animal/In vitro

Reported study details
Various doses · EC50 0.52nM GCGR, 0.33nM GLP-1R

Pep-Pedia supplies no original study link for this card. Study identity, design, doses and result remain unverified.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Source report
8Pep-Pedia: Survodutide — reported pharmacokineticsReference estimate; not independently verified human PKCommunity · 2026 · pep-pedia.orgCommunity source checked
AI-PREPARED SUMMARY

Lists a half-life of 6.5 days and a peak time of 2 days. Stated attribution: Phase 2 Clinical Trial Data (Boehringer Ingelheim). This value is reported by a secondary reference. The stated attribution has not been independently verified as a route- and formulation-matched human PK measurement. Five half-lives is not complete clearance, and the source’s “cleared” value is not used as a measured endpoint.

Secondary reference page checked; the underlying quantitative claim is not independently confirmed. · Checked 2026-10-12

Original source
9Pep-Pedia: Survodutide — route-specific referenceReference page checked; underlying claims require separate verification.Community · Checked 2026 · pep-pedia.orgCommunity source checked
AI-PREPARED SUMMARY

Source page checked across available routes. Protocols, cycles, storage, mechanisms and pairing claims are secondary reports; checking the page does not independently validate those claims. Original concise summaries are used here.

Content coverage audit · Checked 2026-10-12

Original source
Source details