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Retatrutide outperformed Ozempic in diabetes trial; not yet approved

Lilly reported Phase 3 results on 28 October 2026.

By SHIFT AI Newsroom · Published 29 October 2026

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In TRANSCEND-T2D-2, adults with type 2 diabetes taking retatrutide lost an average 19.5%–20.9% of body weight over 80 weeks, versus 9.4% with Ozempic 2 mg. HbA1c fell 2.2 percentage points versus 1.8.

Side effects matter too: 4.8%–7.9% stopped retatrutide because of adverse events, versus 2.7% with Ozempic. Digestive problems were common.

These are Lilly’s headline findings, using an analysis estimating outcomes if participants remained on treatment without additional glucose-lowering medication. Full peer-reviewed results are pending. This was not a comparison with Wegovy’s obesity regimen or Mounjaro.

SHIFT’s take

What we think this could mean for you, and what remains uncertain.

Promising research, not a treatment offer: retatrutide remains investigational and unapproved.

Known facts

  • The trial studied adults with type 2 diabetes.

Sources and evidence

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