peptide wiki

Survodutide

aka BI 456906

GLP-1 / Metabolic

Mechanism

Survodutide is a dual GLP-1 / glucagon receptor agonist co-developed by Boehringer Ingelheim and Zealand Pharma. NOT FDA-approved; received FDA Breakthrough Therapy Designation in 2024 for non-cirrhotic MASH with moderate/advanced fibrosis. Phase 3 ongoing (SYNCHRONIZE in obesity/T2DM; LIVERAGE and LIVERAGE-Cirrhosis in MASH).

Identification

CAS number2805997-46-8
Molecular formulaC192H289N47O61
Typical dose0.3–2.7 mg once weekly subcutaneous (clinical trials; Phase II/III dose-escalation)
Half-life~6 days

Vendors selling Survodutide

VendorSizePriceListed purityTrust
Orbitrex Peptides 10 mg $99.99 95
Skye Peptides $89.00 90
Peptidology 10 mg $79.99 89
Qihang Peptide 87
EZ Peptides 10 mg $78.00 85
Qing Li Peptide 63
Peptiatlas 51
HongDa Peptide $343.00 43
zztai Peptide Ltd 43
MJT peptides 10 mg $321.00 39
Flawless Compounds
Genetic Peptide 10 mg $200.00
Kimera Chems $99.99
Peptira $89.00
Polaris Peptides 5 mg $75.00
Solution Peptides 12 mg $100.00
True Peptide 10 mg $120.00
Wellness Peptides $90.00

Research

Dual Glucagon and GLP-1 Receptor Agonist Survodutide Improves Biomarkers of Beta-Cell Function and Insulin Sensitivity in People With Type 2 Diabetes or Living With Overweight/Obesity
Ekinci EI, Maldonado SG, Unseld A, Martinez JA, Hennige AM, Schoelch C. · Diabetes, obesity & metabolism (2026) ·

Aims This post hoc analysis evaluated the effect of survodutide on beta-cell function, insulin sensitivity, and glucose biomarkers in two phase 2 trial populations.

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How does survodutide work? Plain language review of a potential new medication for obesity and liver disease
Almandoz JP, Miras AD, Seufert J, Paul E. · Therapeutic advances in gastroenterology (2026) · review

What is this review about? This review provides an overview of a medication called survodutide. Survodutide is not yet approved for use but is currently being tested to treat people living with obesity , as well as those living with MASH (metabolic dysfunction-associated steatohepatitis).

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Survodutide for the Treatment of Obesity Disease in Japanese Participants: Rationale, Design and Baseline Characteristics of the Phase 3 SYNCHRONIZE-JP Trial
Yokote K, Yamauchi T, Fukushima Y, Takatsuka Y, Kato M, Yan S, Inoue T, Borowska L, Brueckmann M, Ogawa W, SYNCHRONIZE‐JP Trial Investigators. · Diabetes, obesity & metabolism (2026) ·

Aims There is an unmet need for effective pharmacotherapy for obesity disease management in Japan. Survodutide is a novel glucagon receptor/glucagon-like peptide-1 receptor (GLP-1R) dual agonist with the potential to induce greater weight reductions than GLP-1R mono-agonists.

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Survodutide in adults with obesity and metabolic dysfunction-associated steatotic liver disease: SYNCHRONIZE-MASLD, a randomized, double-blind, placebo-controlled phase 3 trial
Kaplan LM, Startseva E, le Roux CW, Wharton S, Bozkurt B, Mazo DF, von Schlippenbach J, González Maldonado S, Ajaz Hussain S, Neff GW, Gonzalez Rojas Y, Smith C, Younes R, Sanyal A, et al. · Nature medicine (2026) ·

Survodutide is a glucagon receptor/glucagon-like peptide-1 receptor dual agonist under investigation for treating obesity and related diseases.

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Survodutide Once Weekly for the Treatment of Adults with Obesity
le Roux CW, Wharton S, Startseva E, Kloer IM, Hussain SA, Unseld A, Bozkurt B, Ard JD, Bays HE, Bogdański P, Ekinci EI, Jastreboff AM, Ji L, Ogawa W, Pedersen SD, Pietiläinen KH, S, et al. · The New England journal of medicine (2026) ·

Background Although medications with glucagon-like peptide-1 (GLP-1) receptor agonist activity have transformed the management of obesity and shown substantial cardiometabolic benefits, unmet needs remain.

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Efficacy of pharmacotherapies in improving liver fibrosis among patients with MASLD and fibrosis stages of F1-F3: systematic review and network meta-analysis
Sun XY, Jiang HL, Ma YT, Xiong TQ, Leng XY, Zhao YF, Shen XF, Zhang C, Tang YJ. · Journal of translational medicine (2026) ·

Background Metabolism-associated steatotic liver disease (MASLD) is one of the most prevalent chronic liver diseases worldwide.

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Survodutide acts through circumventricular organs in the brain and activates neuronal regions associated with appetite regulation
Zimmermann T, Bleymehl K, Haebel P, Perens J, Roostalu U, Hecksher-Sørensen J, Doerr J, Jarosch S, Lam D, Klein H, Pekcec A, Chehimi SN, Crist RC, Reiner BC, Hayes MR, Augustin R. · Molecular metabolism (2026) ·

Survodutide is a novel GCG/GLP-1 receptor (GCGR/GLP-1R) dual agonist in clinical development for people with obesity and people with metabolic dysfunction-associated steatohepatitis (MASH).

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Comparative Efficacy and Safety of Glucagon Receptor Agonists on Metabolic Outcomes: A Network Meta-Analysis of Randomised Controlled Trials
Abulehia A, Ayesh H, Ayesh O, Jaber D, Asad T, Itbaisha A, Abugharbieh H, Gharbia R, Abu-Hilal LH, Leon BGC. · Endocrinology, diabetes & metabolism (2026) · review

Introduction Glucagon receptor agonists (GRAs) are an emerging class of therapies for obesity and type 2 diabetes, demonstrating encouraging metabolic and weight-reducing effects.

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A review of survodutide: a new dual acting agonist
Yathindra MR, Bhattacharjee A, Pundir N, Patel P, Jacob NE, Jossy PE, Seetharaman R. · Minerva endocrinology (2026) ·

Survodutide represents an innovative approach to obesity management and metabolic-associated fatty liver disease (MAFLD). These conditions, often closely linked with type 2 diabetes (T2DM) and cardiovascular diseases, demand effective treatment strategies.

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How does survodutide work? Plain language review of a potential new medication for obesity and liver disease
Almandoz J, Miras A, Seufert J, Paul E. · Therapeutic advances in gastroenterology (2026) · review
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Acute Contractile Effects of Glucagon-like-Peptide-1 Receptor Agonists in the Human Heart
Neumann J, Kirchhefer U, Hofmann B, Gergs U. · Pharmaceutics (2026) · review

Glucagon-like-peptide-1 receptor (GLP-1R) agonists are under development as new drugs to treat type 2 diabetes, liver disease, obesity and cardiovascular diseases. Some of these drugs are solely agonists of the GLP-1R.

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The ESSENCE of hope: what semaglutide's Food and Drug Administration approval means for metabolic dysfunction-associated steatohepatitis
Alamgir M, Sohal A, Kowdley KV. · Hepatobiliary surgery and nutrition (2026) ·
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A Study to Test Whether Survodutide (BI 456906) Helps Chinese People Living With Overweight or Obesity to Lose Weight
· ClinicalTrials.gov (2024) · rct

This study in China is open to adults who are at least 18 years old who are living with overweight or obesity. People with a body mass index (BMI) of 28 kg/m\^2 or higher or 24 kg/m\^2 or higher with at least 1 weight related problem can join the study.

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A Study to Test Whether BI 456906 (Survodutide) Influences the Amount of Bupropion, Caffeine and Midazolam in the Blood in People With Overweight or Obesity
· ClinicalTrials.gov (2024) · rct

This study is open to adults with overweight or obesity who are otherwise healthy. People can join the study if they have a body mass index of 27 to 39.9 kg/m2 and a body weight over 70 kg.

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A Study to Test Whether Multiple Doses of BI 456906 Have an Effect on Cardiac Safety in People With Overweight or Obesity
· ClinicalTrials.gov (2024) · rct

This study is open to adults between 18 and 55 years of age with overweight or obesity. The purpose of this study is to find out whether a medicine called survodutide (BI 456906) has an effect on cardiac safety. When a new medicine is developed, it is important to check whether it affects the heart.

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A Study to Test How BI 456906 is Taken up in the Blood of People With and Without Kidney Problems
· ClinicalTrials.gov (2024) · rct

This study is open to adults aged between 18 and 80 years of age with a body mass index (BMI) of 20 to 40 kg/m2. People with or without kidney problems can take part in the study.

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A Study in People With Obesity to Test the Effects of BI 456906 Compared With Semaglutide on Glucagon Receptor Activity in the Liver
· ClinicalTrials.gov (2024) · rct

This study is open to adults with obesity. People with a body mass index (BMI) in the range from 30 to 40 kg/m2 and a body weight of 70 to 150 kg can participate in the study.

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A Study in Women With Overweight or Obesity to Test Whether Different Doses of BI 456906 Influence the Amount of a Contraceptive in the Blood
· ClinicalTrials.gov (2023) · rct

This study is open to women with overweight or obesity who are otherwise healthy. Women with a body mass index (BMI) from 27 to 40 kg/m2 can participate. The purpose of this study is to find out whether taking multiple doses of BI 456906 influences the amount of ethinylestradiol and levonorgestrel in the blood.

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A Study to Test Whether Survodutide (BI 456906) Helps People Living With Overweight or Obesity Who Also Have Diabetes to Lose Weight
· ClinicalTrials.gov (2023) · rct

This study is open to adults who are at least 18 years old and have a body mass index of 27 kg/m² or more. People can take part if they have type 2 diabetes and if they are currently being treated only with diet and exercise or with specific diabetes medications.

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A Study to (1) Compare How BI 456906 is Taken up in the Body of Healthy People and People With Liver Problems and (2) Find Out How People With Overweight and Obesity, With and Without Liver Problems, Tolerate Different Doses of BI 456906
· ClinicalTrials.gov (2022) · rct

This study is open to adults who have different levels of liver problems and adults who are healthy. People with or without overweight or obesity can take part. This study has 2 parts. The purpose of Part 1 is to find out whether having liver problems influences how BI 456906 is taken up in the body.

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