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MetabolicResearch strength: ModerateEvidence: Moderate

Mazdutide

Mazdutide (GLP-1 / glucagon dual agonist)

Also known as: IBI362, LY3305677

An investigational GLP-1 and glucagon receptor dual agonist studied for obesity and type 2 diabetes, with advanced trials in China.

Overview

Mazdutide is an investigational once-weekly dual agonist of the GLP-1 and glucagon receptors, based on the natural dual-acting hormone oxyntomodulin. It has been studied for obesity and type 2 diabetes, with Phase 3 trials in China reporting substantial weight loss. It is not yet approved by the FDA. Update, September 2026: mazdutide was approved in China in June 2025 for obesity and in September 2025 for type 2 diabetes, the first GLP-1/glucagon dual agonist approved anywhere. It is not FDA-approved.

Mechanism of action

Agonizes GLP-1 and glucagon receptors to reduce appetite and improve glucose control while increasing energy expenditure.

Key studies & citations

  • Human2025

    Once-weekly mazdutide in Chinese adults with obesity or overweight (GLORY-1)

    Phase 3 in 610 adults: mean weight change of minus 10.1% (4 mg) and minus 12.6% (6 mg) versus plus 0.5% on placebo at week 32.

    New England Journal of Medicine
  • Human2026

    Mazdutide versus dulaglutide in Chinese adults with type 2 diabetes

    Phase 3 in 731 adults: both mazdutide doses were superior to dulaglutide 1.5 mg for HbA1c and produced 3.8 to 5.8 percentage points more weight loss at 28 weeks.

    Nature
  • Review2025

    Mazdutide: first approval

    Documents the June 2025 China approval for chronic weight management and the September 2025 approval for type 2 diabetes, the first for a GLP-1/glucagon dual agonist.

    Drugs

Frequently asked questions

Is mazdutide available in the US?

No. It is investigational and its most advanced trials have been conducted in China. It is not FDA-approved.

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