Eli Lilly's next-generation obesity drug delivers strong weight loss, reduces knee pain in late-stage trial  

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The Eli Lilly logo appears connected the company’s bureau successful San Diego, California, U.S., Nov. 21, 2025.

Mike Blake | Reuters

Eli Lilly connected Thursday said its next-generation obesity drug delivered beardown value nonaccomplishment and reduced genu arthritis symptom successful a late-stage study, clearing the archetypal of respective upcoming trials connected the play injection. 

The highest dose of the cause helped patients with obesity and a benignant of genu arthritis suffer an mean of 23.7% of their assemblage value astatine 68 weeks, erstwhile analyzing each participants, including those who discontinued treatment. 

When evaluating lone patients who stayed connected the cause – fundamentally the best-case script – the highest dose delivered 28.7% value nonaccomplishment connected average. 

It is the archetypal late-stage information connected the retatrutide, which works otherwise from existing injections and appears to beryllium much effective. Eli Lilly is betting large connected retatrutide arsenic the next pillar of its obesity portfolio aft its value nonaccomplishment injection Zepbound and its upcoming pill. 

It's a captious portion of the drugmaker's program to support its marketplace stock bulk implicit Novo Nordisk successful the booming marketplace for value nonaccomplishment and diabetes drugs. Some analysts estimation the conception could beryllium worthy astir $100 cardinal by the 2030s.

Retatrutide besides met the trial's different main extremity of reducing symptom from genu osteoarthritis – a communal information that wears down the joint's cartilage and leads to symptom and stiffness – by up to 62.6% connected mean erstwhile analyzing each patients, based connected a wide utilized survey. More than 1 successful 8 patients who took the cause were wholly escaped from genu symptom by the extremity of the trial, Eli Lilly said. 

The institution believes retatrutide "could go an important enactment for patients with important value nonaccomplishment needs and definite complications, including genu osteoarthritis," Kenneth Custer, president of Lilly Cardiometabolic Health, said successful a statement. 

But astir 18% of patients connected the highest dose of the cause stopped attraction owed to broadside effects, compared to 4% of those successful the placebo group. Eli Lilly said those dropout rates were "highly correlated" to patients' starting BMI and included discontinuations owed to "perceived excessive value loss." 

Around 43% of patients connected the highest dose experienced nausea, portion astir 33% and 20.9% had diarrhea and vomiting, respectively. 

The study, called TRIUMPH-4, didn't solely absorption connected value loss, meaning that different trials specifically designed for that result could nutrient antithetic oregon higher results. Eli Lilly expects to study findings from 7 further signifier 3 trials connected the cause by the extremity of 2026. 

Dubbed the "triple G" drug, retatrutide works by mimicking 3 hunger-regulating hormones – GLP-1, GIP and glucagon – alternatively than conscionable 1 oregon 2 similar existing treatments. That appears to person much potent effects connected a person's appetite and restitution with nutrient than different treatments.

Tirzepatide, the progressive constituent successful Eli Lilly's value nonaccomplishment changeable Zepbound, mimics GLP-1 and GIP. Novo Nordisk's obesity cause Wegovy mimics lone GLP-1.

Higher doses of tirzepatide helped patients with obesity suffer up to 22.5% of their assemblage value connected mean successful late-stage studies.

Eli Lilly's main rival, Novo Nordisk, is racing to drawback up. In March, Novo Nordisk said it agreed to pay up to $2 cardinal for the rights to an aboriginal experimental cause from the Chinese pharmaceutical institution United Laboratories International. 

Novo Nordisk's recently acquired cause is simply a wide imaginable rival to retatrutide due to the fact that it likewise uses a three-pronged attack to promoting value nonaccomplishment and regulating humor sugar. But Novo Nordisk's cause is overmuch earlier successful development, meaning it volition instrumentality respective years earlier it reaches patients.

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