Receptor agonism
- Retatrutide
- Triple: GLP-1R, GIPR, GCGR
- Semaglutide
- Single: GLP-1R
Compound comparison
Receptor breadth is the difference. Semaglutide engages the GLP-1 receptor alone; retatrutide engages GLP-1, GIP and glucagon receptors. Semaglutide has completed multiple phase 3 programmes and holds approvals; retatrutide has published phase 2 data with phase 3 ongoing. Work needing the glucagon arm uses retatrutide; semaglutide is the single-receptor reference and is not stocked here.
Quick Answer
Count the receptors. Semaglutide (CAS 910463-68-2, 4,114 Da) engages one — the GLP-1 receptor. Retatrutide (LY3437943, CAS 2381089-83-2, 4,731 Da) engages three: GLP-1, GIP and glucagon. The glucagon arm is the one with no counterpart in semaglutide at all, and it points in the opposite metabolic direction to the other two. Semaglutide has completed phase 3 trials and holds approvals; retatrutide is investigational with phase 2 data published and phase 3 running.
Receptor agonism
Sponsor development code
CAS number
Molecular formula
Molecular weight
Amino acid count
Lipidation
Reported plasma half-life
Highest published human trial stage
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Available at Peptide.Express
Retatrutide compared with Semaglutide across mechanism, structure and research attributes. Research reference only.
Semaglutide is a GLP-1 receptor agonist and nothing else. Its structure is the GLP-1(7-37) backbone with an alpha-aminoisobutyric acid substitution at position 8 that blocks DPP-IV cleavage, plus a C18 fatty diacid on Lys26 that binds albumin and stretches the plasma half-life to about a week. Retatrutide keeps the weekly-dosing architecture — it is also fatty-acylated — but rebuilds the pharmacology around three receptors instead of one.
The third receptor is where the interesting problem sits. GLP-1R and GIPR activation both push glucose down. GCGR activation pushes hepatic glucose output up, which reads as self-defeating until you account for the rest of what glucagon signalling does: it raises energy expenditure and drives hepatic lipolysis. The design bet is that the GLP-1 arm holds the glycaemic side in check while the thermogenic and lipolytic effects accumulate on top. Whether that bet holds at scale is a phase 3 question, not a settled one.
The evidence gap between the two is the part most comparisons skate over. Semaglutide has completed multiple phase 3 programmes with cardiovascular outcome data, and there are approved pharmaceutical products built on that record.
Retatrutide has published phase 2 results — the Jastreboff 2023 NEJM report is real and specific — and is in phase 3. Phase 2 runs smaller cohorts over shorter windows with different selection criteria, and drug development history is full of phase 2 effect sizes that shrank in phase 3. No head-to-head trial of retatrutide against semaglutide has been published; setting their separate trial numbers side by side is not the same as comparing them.
One structural point, corrected: an earlier version of this page said Eli Lilly had released neither a primary sequence nor a molecular formula for retatrutide. Both are public. The IUPHAR/BPS Guide to Pharmacology publishes molecular formula C221H342N46O68 and the 39-residue sequence YAQGTFTSDYSILLDKKAQAAFIEYLLEGGPSSGAPPPS on ligand record 13769, which also carries the CAS number and PubChem CID this page already reported. Sequence-level identity is therefore checkable against a named registry record rather than by mass alone.
Receptor breadth. Semaglutide agonises the GLP-1 receptor only. Retatrutide agonises GLP-1, GIP and glucagon receptors with a single molecule. The glucagon arm has no counterpart in semaglutide and adds a thermogenic and lipolytic component that a pure GLP-1 agonist cannot produce.
No published head-to-head trial exists, so the question has no evidence-based answer. Retatrutide's reported figures come from phase 2; semaglutide's come from completed phase 3 programmes with outcome data. Those are different evidence standards, and comparing numbers across them is the most common error made on this topic.
Both are engineered for weekly dosing and their published figures are close. Semaglutide's plasma half-life is reported at approximately one week, around 165 hours. Retatrutide's phase 1 pharmacokinetics report approximately six days. Both owe that duration to fatty acylation, which keeps the peptide bound to serum albumin and out of renal clearance.
Semaglutide, decisively. It has completed phase 3 trials across several indications plus cardiovascular outcome studies, and a large post-approval literature. Retatrutide's human dataset is one published phase 2 trial and its phase 1 pharmacokinetics, with phase 3 still running.
There is no published rationale for combining them. Retatrutide already contains full GLP-1 receptor agonism, so adding semaglutide adds redundancy at that receptor rather than a new pathway, while making any observed effect impossible to attribute. No study has tested the combination.
No. Semaglutide is not in the catalogue and appears on this page only as the mechanistic reference point. The incretin-pathway compounds stocked here are retatrutide and tirzepatide, each at ≥99% purity by reverse-phase HPLC with a batch-specific Certificate of Analysis, for in-vitro laboratory research use only.
Compiled by the Peptide.Express Research Team. Written and reviewed by Peptide.Express Editorial Team. Molecular identity on this page (name, CAS number, molecular formula and molecular weight) is resolved from a single internal entity record and checked against primary registries (PubChem, CAS Common Chemistry) rather than retyped per page. A field with no verified value is left out instead of estimated. Literature is cited to a DOI, PMID or PMCID permalink so every reference resolves to the specific record it names.