Survodutide

InvestigationalModerate Research

Also known as: BI 456906 · Dual GLP-1/Glucagon Agonist

A dual GLP-1/glucagon receptor agonist showing remarkable liver fat reduction and weight loss, particularly promising for MASH/NASH treatment.

Overview

Survodutide (BI 456906) is a dual GLP-1 and glucagon receptor agonist developed by Boehringer Ingelheim that has shown particularly impressive results for liver fat reduction and metabolic-associated steatohepatitis (MASH/NASH). In Phase 2 clinical trials, survodutide demonstrated up to 18.7% body weight loss at 46 weeks and remarkable liver fat reduction — with up to 87% of patients achieving MASH resolution and 64% achieving fibrosis improvement. The glucagon receptor component is key to its liver-specific benefits, as glucagon directly stimulates hepatic fat oxidation and reduces lipogenesis. Survodutide represents an important advancement in treating the growing epidemic of fatty liver disease, which affects approximately 25% of the global population.

Mechanism of Action

Dual agonist of GLP-1 receptor (appetite suppression, insulin secretion, gastric emptying delay) and glucagon receptor (hepatic fat oxidation, thermogenesis, glycogenolysis). The glucagon component specifically targets liver metabolism, promoting fat oxidation and reducing de novo lipogenesis in hepatocytes.

Key Benefits

Significant weight loss (up to 18.7%)
Remarkable liver fat reduction
MASH/NASH resolution in majority of patients
Improved glycemic control
Increased energy expenditure
Potential fibrosis improvement

Potential Side Effects

Nausea
Vomiting
Diarrhea
Decreased appetite
Injection site reactions

Common Stacks

This peptide is commonly combined with the following compounds for synergistic effects:

MetforminSemaglutideL-Carnitine

Known Interactions

The following interactions have been documented for Survodutide. Always consult a healthcare professional before combining compounds.

Contraindicated (1)

SemaglutideContraindicated

Survodutide is a dual GLP-1/glucagon agonist. Adding semaglutide creates excessive GLP-1 stimulation with high GI side effect risk.

View all compound interactions

Scientific References

Quick Reference

Typical Dose

0.3mg-2.7mg

Frequency

1x daily

Route

Subcutaneous injection

Half-Life

~5-7 days

Cycle Length

1-2x weekly (split dose); as long as needed

FDA Status

Investigational — Phase 3 clinical trials ongoing for MASH and obesity. Not yet FDA approved.

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This information is for educational purposes only. Consult a qualified healthcare professional before using any peptide. Dosing information reflects commonly reported protocols and may not be appropriate for everyone.

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