Compound profile

Survodutide

Also known as BI 456906

Investigational
  • GLP-1 & weight-loss peptides

Last reviewed October 2026

Educational only. A summary of published research, not medical advice or a recommendation. No doses are listed.

Quick take

An investigational dual agonist of the glucagon and GLP-1 receptors.

Class
GLP-1 & weight-loss peptides
Status
Investigational
Evidence
Early or small human studies
Half-life
Not well documented

Mechanism fingerprint

What it acts on, and how. Each chip links to that pathway on the map.

Pairs GLP-1 effects on appetite with glucagon-receptor activity, which may increase energy use and reduce liver fat.

What makes it different

Pairs GLP-1 with glucagon-receptor activity, without the GIP component. Still in trials.

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Mechanism & pathways

Survodutide
  • Agonist GLP-1 receptor

    Receptor for the gut hormone GLP-1, found on insulin-making cells in the pancreas, in the brain and in the gut. Activating it boosts insulin release when blood sugar is high, slows stomach emptying and reduces appetite.

    Leads to Insulin receptor & insulin signaling

  • Agonist Glucagon receptor

    Receptor for glucagon, mainly in the liver. Glucagon raises blood sugar, but in weight-loss drugs its receptor is targeted to raise energy use and reduce liver fat, alongside GLP-1 effects.

See Survodutide on the pathway map

Evidence overview

Early or small human studies

Phase 2 trials reported dose-dependent weight loss and reductions in liver fat. Phase 3 trials are under way.

A breakdown into human, animal and cell studies hasn't been added for this compound yet.

Why it's used

Being developed for obesity and fatty liver disease.

Side effects & risks

Reported side effects

  • Nausea, vomiting and diarrhea
  • Higher heart rate

Risks and warnings

  • Long-term safety is not yet established
  • Products sold as “research use only” are not quality-controlled medicines; purity, sterility and labeled amount are not verified.

FAQ

Short answers taken from this profile.

What is Survodutide?

An investigational dual agonist of the glucagon and GLP-1 receptors.

How does Survodutide work?

Pairs GLP-1 effects on appetite with glucagon-receptor activity, which may increase energy use and reduce liver fat.

What receptors or pathways does Survodutide act on?

GLP-1 receptor (agonist) and glucagon receptor (agonist). Downstream, that leads to insulin receptor & insulin signaling.

How is Survodutide different from similar compounds?

Pairs GLP-1 with glucagon-receptor activity, without the GIP component. Still in trials.

Is Survodutide approved?

Not approved. In Phase 3 trials (Boehringer Ingelheim) for obesity and fatty liver disease (MASH) at the time of review.

What has Survodutide been studied for?

Being developed for obesity and fatty liver disease.

How strong is the evidence?

Early or small human studies. Phase 2 trials reported dose-dependent weight loss and reductions in liver fat. Phase 3 trials are under way.

What are the main risks?

Long-term safety is not yet established. Products sold as “research use only” are not quality-controlled medicines; purity, sterility and labeled amount are not verified.

Sources

  • le Roux CW et al. Glucagon and GLP-1 receptor dual agonist survodutide for obesity: a phase 2 trial. Lancet Diabetes Endocrinol 2024.