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Human trialsMetabolic BI 456906

Survodutide

A glucagon/GLP-1 dual agonist with unusually strong phase 2 liver data.

Class
Dual glucagon / GLP-1 receptor agonist
Molar mass
~5,000 g/mol
Half-life
~6 days
Human PK
Published (phase 2)
Regulatory
Investigational
Sport
Not prohibited

What it is claimed to help

These are the uses attached to Survodutide in research, clinical practice, or marketing. Listing a claim is not endorsing it — tap any of them to see every other compound carrying the same claim.

What the human evidence actually is

Grade: Human trials

Randomised controlled human trials exist. Not necessarily approved, and not necessarily positive.

Phase 2 in NEJM (2024) reported biopsy-confirmed improvement in MASH in the majority of treated patients, with fibrosis improvement in a substantial fraction — a harder endpoint than liver fat alone. Phase 3 ongoing. Not approved.

How it is supposed to work

Glucagon receptor agonism raises energy expenditure and acts directly on hepatocytes; GLP-1 agonism suppresses appetite.

Safety

GI effects; the glucagon component complicates glycaemic effects. No long-term data.

Storage and handling

Lyophilised peptide is generally stored at 2–8 °C, or below −20 °C for long-term storage. Reconstituted in bacteriostatic water (0.9% benzyl alcohol) a solution is typically treated as usable for about 28 days refrigerated, versus roughly 24 hours for plain sterile water, which has no preservative. Add the water slowly down the vial wall and swirl — never shake, which shears peptide chains and foams the solution.

The arithmetic is the dangerous part

Whatever number a protocol or a prescriber gave you, converting it into syringe units is where a misplaced decimal becomes a tenfold error. Our calculators do that conversion and nothing else — they never invent a dose.

Open the calculators

Sources

  1. Sanyal AJ et al. Survodutide in MASH, NEJM 2024
  2. Boehringer Ingelheim phase 3 programme

Verified against primary sources on 27 August 2026. Regulatory status in this field changes several times a year. See How We Rate Evidence.

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