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MetabolicResearch strength: ModerateEvidence: Moderate

MariTide

Maridebart Cafraglutide (MariTide, AMG 133)

Also known as: Maridebart cafraglutide, AMG 133

Amgen's monthly-dosed obesity drug that pairs GLP-1 activation with GIP receptor blockade, reaching around 20% weight loss in Phase 2.

Overview

MariTide is Amgen's investigational obesity therapy that uniquely combines a GLP-1 receptor agonist peptide with a GIP receptor antagonist antibody, an unusual design since other leading drugs activate GIP rather than block it. Phase 2 reported up to about 20% weight loss at 52 weeks with once-monthly dosing (efficacy estimand; 12.3% to 16.2% versus 2.5% for placebo in the NEJM treatment-policy analysis), and it has advanced to Phase 3 (MARITIME). Update, September 2026: the Phase 3 MARITIME-1 and MARITIME-2 weight-management trials are ongoing with primary readouts expected in 2027. The monthly schedule could set it apart from weekly injectables.

Mechanism of action

Activates the GLP-1 receptor while blocking the GIP receptor, delivered as a long-acting peptide-antibody conjugate for monthly dosing.

Key studies & citations

  • Human2025

    Once-monthly maridebart cafraglutide for the treatment of obesity: a phase 2 trial

    592 participants: 12.3% to 16.2% weight loss at 52 weeks in the obesity cohort versus 2.5% with placebo (treatment-policy estimand), with no plateau.

    New England Journal of Medicine
  • Human2025

    Results from Amgen's Phase 2 obesity study of monthly MariTide presented at the American Diabetes Association 85th Scientific Sessions

    Up to about 20% weight loss (efficacy estimand) in obesity and about 17% with type 2 diabetes at 52 weeks; Phase 3 MARITIME program initiated.

    Amgen press release

Frequently asked questions

Why does MariTide block GIP when other drugs activate it?

It is a live scientific debate. Both GIP activation (as in tirzepatide) and GIP blockade (as in MariTide) can aid weight loss, and trials are testing which approach wins.

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