#10Metabolic & Frontier
Survodutide
dual GLP-1/glucagon receptor agonist
Evidence: human RCTReviewed 2026-07-25
Investigated uses
- Obesity and metabolic/liver disease in clinical development.
Mechanism and hypotheses
- Survodutide is a dual GLP-1/glucagon receptor agonist evaluated in randomized obesity trials.
- Hypothesized: The balance of appetite suppression, glucagon signaling and liver/metabolic effects remains under clinical study.
Human evidence
- A phase 2 randomized trial enrolled 387 adults and tested weekly target doses through 46 weeks; weight loss was greater than placebo. Limitations: Rapid escalation contributed to tolerability-related discontinuation; long-term safety remains investigational.
Safety highlights
- Gastrointestinal adverse events predominated and were concentrated during escalation.
- Long-term rare-event and cardiovascular safety remain under investigation.
Regulatory context
No FDA-approved product matching the exact catalog presentation was identified in this review.
Sources used for this entry
- PubMed search: Survodutide — PubMed
- Drugs@FDA database — U.S. Food and Drug Administration
- EMA medicines search — European Medicines Agency
- NCT04667377: Survodutide obesity trial — ClinicalTrials.gov
- Survodutide phase 2 obesity trial — The Lancet / PubMed