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# Survodutide

GLP-1 / Glucagon Dual Agonist Phase 3 (SYNCHRONIZE trials) 

Download  PDF

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:  ~100 hours (about 4 days), supporting once-weekly dosing Route:  Subcutaneous MW:  ~4.9 kDa (acylated peptide) [61 PubMed Studies](https://pubmed.ncbi.nlm.nih.gov/?term=survodutide)

Last reviewed: May 4, 2026 

[

61

PubMed Studies



](https://pubmed.ncbi.nlm.nih.gov/?term=survodutide)[

GLP-1 / Glucagon Dual Agonist

Category



](/wiki#cat-glp-1-/-glucagon-dual-agonist)

Phase 3 (SYNCHRONIZE trials)

Research Stage

OverviewChemical InfoDosing & ProtocolsInteractionsResearchCompare PricesRelated

## 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 

~100 hours (about 4 days), supporting once-weekly dosing

Dosing 

Once weekly subcutaneous

Dose Range 

600-6000 mcg (0.6-6 mg) weekly research dosingmcg 

Routes 

Subcutaneous 

Common Vials 

5mgmg 10mgmg 

Potential Benefits 

Up to 19% body weight reduction in Phase 2 trials MASH (steatohepatitis) histologic improvement without worsening of fibrosis in a Phase 2 trial (investigational; not resolution or approved use) Once-weekly dosing convenience Glucagon-driven energy expenditure increase Hepatic lipid mobilization 

Safety Notes 

Common 

Nausea (dose-dependent) Vomiting Diarrhea Decreased appetite Injection 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

Obesity MASH/NASH Type 2 diabetes GLP-1 receptor Glucagon receptor 

## Chemical Information

IUPAC Name

Not yet available 

CAS Number

Not yet available 

Molecular Formula

C-rich peptide (sequence not publicly disclosed)

Molecular Mass

~4.9 kDa (acylated peptide)

## Dosing & Protocols

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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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[

View Full Dosage Guide →

Protocols, calculator & safety for Survodutide



](/guides/dosage/survodutide)

### 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

61 PubMed studies 

Well-researched compound

### Quick Facts

Half-Life

~100 hours (about 4 days), supporting once-weekly dosing

Molecular Weight

~4.9 kDa (acylated peptide)

Administration

Subcutaneous

Trial Phase

Phase 3 (SYNCHRONIZE trials)

### Safety Profile

Common Side Effects

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

[Full Dosage Guide](/guides/dosage/survodutide)[Calculate Your Dose](/tools/reconstitution)

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.

How do I compare Survodutide vendors?

Compare prices, payment methods, shipping, and COA scores across 0 vendors.

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