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    Survodutide

    GLP-1 / Glucagon Dual AgonistPhase 3 (SYNCHRONIZE trials)

    Also known as: BI 456906, Boehringer GLP-1/glucagon

    Survodutide (BI 456906) is a once-weekly subcutaneous dual GLP-1 / glucagon receptor agonist developed by Boehringer Ingelheim and Zealand Pharma. As of 2026 it is in Phase 3 clinical trials (SYNCHRONIZE program) for obesity and metabolic dysfunction-associated steatohepatitis (MASH, formerly NASH).

    Half-Life: ~140-150 hours (weekly dosing supported)Route: Subcutaneous61 PubMed Studies
    Last reviewed:
    61
    PubMed Studies
    GLP-1 / Glucagon Dual Agonist
    Category
    Phase 3 (SYNCHRONIZE trials)
    Research Stage

    Overview

    At A Glance

    Mechanism

    Dual receptor agonism: simultaneously activates the GLP-1 receptor (suppressing appetite, slowing gastric emptying, improving glucose-dependent insulin secretion) AND the glucagon receptor (raising basal energy expenditure and stimulating hepatic lipolysis). The glucagon arm diff

    Half-Life
    ~140-150 hours (weekly dosing supported)
    Dosing
    Once weekly subcutaneous
    Dose Range
    600-6000 mcg (0.6-6 mg) weekly research dosingmcg
    Routes
    Subcutaneous
    Common Vials
    5mgmg10mgmg
    Potential Benefits
    Up to 19% body weight reduction in Phase 2 trialsMASH (steatohepatitis) resolution potential beyond GLP-1 aloneOnce-weekly dosing convenienceGlucagon-driven energy expenditure increaseHepatic lipid mobilization
    Safety Notes
    Common
    Nausea (dose-dependent)VomitingDiarrheaDecreased appetiteInjection site reaction
    Serious
    Thyroid C-cell tumor signal in rodents (class label)Pancreatitis risk (GLP-1 class)Tachycardia possible from glucagon arm

    Overview

    Survodutide (BI 456906) is a once-weekly subcutaneous dual GLP-1 / glucagon receptor agonist developed by Boehringer Ingelheim and Zealand Pharma. As of 2026 it is in Phase 3 clinical trials (SYNCHRONIZE program) for obesity and metabolic dysfunction-associated steatohepatitis (MASH, formerly NASH). Reported Phase 2 weight-loss results from late 2024 trials approached 19% body-weight reduction at the highest dose, placing it in the same outcome tier as Eli Lilly's retatrutide. Unlike pure GLP-1 agonists (semaglutide, tirzepatide's GLP-1 component), survodutide's glucagon agonism is hypothesized to drive higher resting energy expenditure and direct hepatic lipid mobilization - important mechanisms for MASH resolution where weight loss alone is insufficient.

    Potential Research Fields

    ObesityMASH/NASHType 2 diabetesGLP-1 receptorGlucagon receptor

    Chemical Information

    IUPAC Name

    Not yet available

    CAS Number

    Not yet available

    Molecular Formula

    C-rich peptide (sequence not publicly disclosed)

    Molecular Mass

    Not yet available

    Dosing & Protocols

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    Research

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    Interactions

    Contraindications

    Personal or family history of medullary thyroid carcinoma (MTC) or MEN2 syndrome. Pregnancy and breastfeeding. Active pancreatitis. Severe gastroparesis or active inflammatory bowel disease.

    Research Disclaimer

    This interaction data is compiled from published research and community reports. It may not be exhaustive. Always consult a healthcare professional before combining compounds.

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    Research Score

    66

    61 PubMed studies

    Quality Indicators

    Data Completeness

    75%
    Description
    Mechanism of Action
    Chemical Data
    Dosing Protocols
    Safety Profile
    PubMed Studies
    Interactions
    Vendor Listings

    Research Credibility

    61PubMed studies

    Well-researched compound

    Quick Facts

    Half-Life

    ~140-150 hours (weekly dosing supported)

    Administration

    Subcutaneous

    Trial Phase

    Phase 3 (SYNCHRONIZE trials)

    Safety Profile

    Common Side Effects

    • Nausea (dose-dependent)
    • Vomiting
    • Diarrhea
    • Decreased appetite
    • Injection site reaction

    Research Disclaimer

    This information is for educational and research purposes only. Not intended as medical advice. Consult a healthcare professional before use.

    Frequently Asked Questions

    What is Survodutide used for in research?

    Survodutide (BI 456906) is a once-weekly subcutaneous dual GLP-1 / glucagon receptor agonist developed by Boehringer Ingelheim and Zealand Pharma. As of 2026 it is in Phase 3 clinical trials (SYNCHRONIZE program) for obesity and metabolic dysfunction-associated steatohepatitis (MASH, formerly NASH). Reported Phase 2 weight-loss results from late 2024 trials approached 19% body-weight reduction at the highest dose, placing it in the same outcome tier as Eli Lilly's retatrutide.

    Unlike pure GLP-1 agonists (semaglutide, tirzepatide's GLP-1 component), survodutide's glucagon agonism is hypothesized to drive higher resting energy expenditure and direct hepatic lipid mobilization - important mechanisms for MASH resolution where weight loss alone is insufficient.

    What forms does Survodutide come in?

    Survodutide is available in vials, capsules, and sprays forms.

    How much does Survodutide cost?

    Pricing varies by vendor and form.

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