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Weight ManagementPhase IIIIntermediate

Survodutide

Survodutide (BI 456906)

Also known as: BI 456906, BI456906

Overview

A dual glucagon and GLP-1 receptor agonist developed by Boehringer Ingelheim and Zealand Pharma. Survodutide leverages glucagon receptor activation to increase energy expenditure while using GLP-1 agonism for appetite suppression, with a particular focus on metabolic-associated steatohepatitis (MASH) and liver health.

Half-Life
~5-6 days
Typical Dose
0.3–6 mg
Frequency
Once weekly
Cycle Length
Ongoing / indefinite under medical supervision

Administration

Subcutaneous

Benefits

  • Significant weight loss (up to 19% in Phase 2)
  • Potent liver fat reduction and MASH resolution
  • Improved hepatic and metabolic health markers
  • Increased energy expenditure via glucagon signaling

Side Effects

  • Nausea and gastrointestinal discomfort
  • Diarrhea and vomiting
  • Decreased appetite
  • Transient heart rate increases
  • Injection site reactions

Mechanism of Action

  • GLP-1 receptor agonism reduces appetite and improves glycemic control
  • Glucagon receptor agonism increases hepatic fat oxidation and energy expenditure
  • Dual action promotes negative energy balance through complementary pathways

Contraindications

  • Personal or family history of medullary thyroid carcinoma
  • MEN2 syndrome
  • Severe hepatic impairment
  • History of pancreatitis
  • Pregnancy or breastfeeding

Storage & Reconstitution

Store at 2–8°C (36–46°F), protected from light. Follow manufacturer guidelines once commercially available.

Common peptide amounts:1.5 mg3 mg

Research Summary

Phase 2 data showed survodutide produced up to 18.7% weight loss at 46 weeks and significant improvements in MASH histological endpoints, including fibrosis. The compound demonstrated 83% relative reduction in liver fat content. Phase 3 trials are ongoing for both obesity and MASH indications. Boehringer Ingelheim positions survodutide as a liver-focused metabolic therapy with strong weight loss as a co-benefit.

Commonly Stacked With

Weight ManagementMOTS-c
Growth HormoneAOD-9604

This information is for educational purposes only. Always consult a qualified healthcare professional before using any peptide.