Weight Management

Survodutide

Survodutide (BI 456906)

Boehringer Ingelheim's dual-agonist targeting MASH and obesity

Survodutide is a dual GLP-1 and glucagon receptor agonist developed by Boehringer Ingelheim, showing strong results for both weight loss and metabolic dysfunction-associated steatohepatitis (MASH/NASH).

Sur

Admin routes

Subcutaneous

Popularity

Niche

Side effects

Generally mild

Vendors

0 rated

Key benefits

183% MASH resolution rate at highest dose in Phase 2
2Approximately 19% weight loss at 46 weeks
3Targets liver fat directly through glucagon receptor
4Weekly dosing

What to expect

1
Week 4-8

Initial weight loss during dose escalation

2
Week 24

Significant weight loss and liver enzyme improvements

3
Week 46

~19% weight loss and potential MASH resolution

Based on community reports and published research. Individual results vary significantly.

Dosing protocols

Obesity/MASH (Phase 2 trial dose)

Dose

Up to 6 mg

Frequency

Once weekly (subcutaneous)

Duration

Ongoing with dose escalation

Dosing information is sourced from published research and community protocols. This is not a recommendation. Consult a healthcare professional.

Research status|Phase 2 completed for obesity and MASH; Phase 3 ongoing

Overview

Survodutide activates both GLP-1 and glucagon receptors, similar to mazdutide. What sets it apart is its clinical data in MASH (formerly NASH), the fatty liver disease affecting millions worldwide. In a Phase 2 trial, survodutide achieved MASH resolution without worsening fibrosis in up to 83% of patients at the highest dose, along with approximately 19% weight loss. The dual-agonist approach is particularly suited to liver disease because glucagon receptor activation directly promotes hepatic fat oxidation. Boehringer Ingelheim is advancing it into Phase 3 trials for both obesity and MASH.

How it works

Survodutide activates GLP-1 receptors (reducing appetite, slowing gastric emptying, improving insulin secretion) and glucagon receptors (increasing hepatic fat oxidation, boosting energy expenditure, promoting glycogenolysis). The glucagon component is what drives the liver-specific benefits: glucagon directly stimulates the liver to burn stored fat, addressing the root cause of MASH.

Side effects

Nausea and vomiting
moderateCommon
Diarrhoea
mildCommon
Decreased appetite
mildCommon

Research history

2022

Phase 2 obesity data presented showing ~19% weight loss

2024

MASH Phase 2 results published in NEJM: 83% resolution rate

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References

  1. [1]Sanyal AJ, et al. 'Survodutide, a dual glucagon receptor/GLP-1 receptor agonist, for treatment of MASH.' New England Journal of Medicine, 2024.

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Disclaimer: This guide is for educational and informational purposes only. It is not medical advice. The dosing protocols listed are sourced from published research and community reports and do not constitute a recommendation. Always consult a qualified healthcare professional before using any peptide. Check your local regulations regarding peptide purchase and use.