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The Longevity Archive
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MetabolicResearch strength: PreliminaryEvidence: Preliminary

MET-233i

MET-233i, once-monthly amylin analog

Pfizer's monthly amylin analog (from Metsera) with a 19-day half-life, being co-formulated with berobenatide into a once-monthly GLP-1 plus amylin combination.

Overview

MET-233i shares the albumin-binding platform used by berobenatide. In Phase 1 it produced up to 8.4% placebo-subtracted weight loss by day 36 as a monotherapy, and Pfizer's 2026 pipeline lists the combination with berobenatide in Phase 2. If it works, it would be a monthly version of the CagriSema idea.

Mechanism of action

Ultra-long-acting amylin receptor agonism, designed for monthly dosing alone or with a GLP-1 agonist.

Key studies & citations

  • Review2026

    Pfizer pipeline update, Q1 2026

    MET-233i plus berobenatide combination listed in Phase 2.

    Pfizer
  • Human2025

    Metsera announces positive Phase 1 data for once-monthly amylin candidate

    Up to 8.4% placebo-subtracted weight loss at day 36; 19-day half-life.

    Metsera press release

Frequently asked questions

Is MET-233i available?

No. It is an early-stage investigational drug.

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