Survodutide

BI 456906 · Boehringer Ingelheim dual agonist

Weight LossInvestigationalPhase IIIResearchSubQ

Popular for:Weight loss, MASH/NASH liver disease, dual GLP-1/glucagon agonist

24

Registered Trials

7

Trial Publications

60

PubMed References

Phase III

Evidence Level

Overview

Survodutide is a dual GLP-1/glucagon receptor agonist developed by Boehringer Ingelheim, currently in Phase III clinical trials for obesity and metabolic dysfunction-associated steatohepatitis (MASH, formerly NASH). The short version: people usually care about it for weight loss, mash/nash liver disease, dual glp-1/glucagon agonist, but the strength of the evidence depends heavily on indication and study type.

Survodutide is a dual GLP-1/glucagon receptor agonist developed by Boehringer Ingelheim, currently in Phase III clinical trials for obesity and metabolic dysfunction-associated steatohepatitis (MASH, formerly NASH). It represents a different dual-agonist approach than tirzepatide — instead of GLP-1/GIP, survodutide combines GLP-1 with glucagon receptor activation.

The glucagon component is significant: while it may seem counterintuitive to activate a hormone that raises blood sugar, glucagon receptor activation increases hepatic fat oxidation and energy expenditure. Phase II results showed up to 19% weight loss and significant liver fat reduction, making it a promising candidate for both obesity and fatty liver disease.

Research Snapshot

What the evidence says

Phase III

Survodutide currently shows 24 registered trials from ClinicalTrials.gov, 7 PubMed trial publications (6 RCT-tagged), and 60 PubMed references matching the stored source query. Treat PubMed references as literature surface area, not a count of clinical trials.

Known vs uncertain

Known signals

  • 24 registered trials are tracked from ClinicalTrials.gov intervention records.
  • 7 PubMed clinical-trial publications are indexed.
  • 6 PubMed randomized controlled trial publications are indexed.
  • 60 PubMed references are tracked separately from trial counts and can include animal, in-vitro, review, mechanism, or clinical records.

Open questions

  • Evidence strength may vary by indication, route, formulation, and population.
  • Public anecdotes can highlight interest or concern but do not establish clinical efficacy.
  • Regulatory status and compounding access can change independently from the research literature.

Mechanism of Action

Survodutide activates both GLP-1 and glucagon receptors.

Key Research Benefits

Dual GLP-1/glucagon mechanism — different from tirzepatide (GLP-1/GIP)
Phase II showed up to 19% weight loss
Specifically targets liver fat (MASH/NASH application)
Increases energy expenditure via glucagon activation
In Phase III for both obesity and liver disease

Clinical Evidence Summary

Research Pipeline

Preclinical
Animal
Phase I
Phase II
Phase III
Approved

24

Registered Trials

7

Trial Publications

6

RCT Publications

60

PubMed References

ClinicalTrials.govPubMed ESearchExact-name queryChecked May 3, 2026

Registered trials are ClinicalTrials.gov intervention records. Trial publications are PubMed records tagged as clinical trials or randomized controlled trials. PubMed references are broader source-query matches and can include animal studies, in-vitro work, reviews, mechanism papers, and trial publications.

24

Registered trials

7

Trial publications

6

RCT publications

60

PubMed references

31

Reviews

7

Meta-analyses

Registered trials source

Jun 1, 2026

Survodutide

Uses the exact compound name as a ClinicalTrials.gov intervention query.

View source

Publication counts source

May 3, 2026

Survodutide

Uses the exact display name.

View source

Investigational — Phase III clinical trials ongoing (Boehringer Ingelheim). Not available outside clinical trials. Potential regulatory submission expected 2027-2028.

Key PubMed References

60 PubMed references · showing top 25 by relevance

View all on PubMed

Baseline characteristics in the SYNCHRONIZE™-2 randomized phase 3 trial of survodutide, a glucagon receptor/GLP-1 receptor dual agonist, for obesity in people with type 2 diabetes.

Human Study

Wharton S, le Roux CW, Bozkurt B, et al. · Diabetes, obesity & metabolism · 2026

PMID: 41216778

Novel GLP-1-based Medications for Type 2 Diabetes and Obesity.

Review

Son JW, le Roux CW, Blüher M, et al. · Endocrine reviews · 2026

PMID: 41054801

A review of survodutide: a new dual acting agonist.

Review

Yathindra MR, Bhattacharjee A, Pundir N, et al. · Minerva endocrinology · 2026

PMID: 41855048

Weight management treatment in obesity.

Review

Rubio-Herrera MA, Mera-Carreiro S · Medicina clinica · 2025

PMID: 40865172

Emerging pharmacotherapies for obesity: A systematic review.

Meta-Analysis

Kokkorakis M, Chakhtoura M, Rhayem C, et al. · Pharmacological reviews · 2025

PMID: 39952695

Anecdotes & Sentiment

Public discussion, not clinical evidence

This section summarizes what people are talking about in public sources. It can be useful for spotting questions, hype cycles, and recurring concerns, but it is separate from the evidence sections above.

No curated public-discussion themes are live for Survodutide yet.

Side Effects & Safety

- Nausea and vomiting (dose-dependent, common with GLP-1 class) - Diarrhea - Decreased appetite - Potential blood sugar elevation from glucagon component - Full safety profile not yet established

Nausea and vomiting (dose-dependent, common with GLP-1 class)
Diarrhea
Decreased appetite
Potential blood sugar elevation from glucagon component
Full safety profile not yet established

Known Interactions

No curated interaction entry is live for Survodutide yet.

Until the interaction table is fully populated, use the interaction checker and related peptides below to explore adjacent compounds and likely research pairings.

Comparison Pages

Comparison pages

All

No comparison page is linked yet.

Frequently Asked Questions

Research Disclaimer

This page is for research and educational purposes only. The information presented is based on published scientific literature and does not constitute medical advice, diagnosis, or treatment recommendations. Regulatory status can vary by compound, formulation, indication, and jurisdiction. Check official labeling, registry records, and qualified professional guidance before making any health-related decision. The studies referenced are linked to their original PubMed sources for verification.