WEIGHT & METABOLIC COMPARISON

The Incretin Comparison

Retatrutide, Tirzepatide, and Cagrilintide are the leading peptides studied for weight and metabolic research—but they differ in receptor targets, evidence stage, and research emphasis. Compare them side by side.

COMPARE THE PROFILES

How they stack up

Highlight one compound to see its relative profile across the key research dimensions. Bars reflect studied research emphasis and evidence stage, not a guarantee of results.

Human Evidence Documented human research (per Evidence Framework)
Tirzepatide
FDA-approved
Retatrutide
Phase 3
Cagrilintide
Phase 3
Weight-Loss Research Magnitude Reported study effect size
Retatrutide
Largest reported
Tirzepatide
Strong
Cagrilintide
Moderate (mono)
Established Real-World Use Research-market track record
Tirzepatide
Widely used
Retatrutide
~2 years use
Cagrilintide
Developing

The three compared in detail

Dual Agonist

Tirzepatide

Established

A dual GIP + GLP-1 agonist and an FDA-approved medication in its clinical formulations. The most clinically established of the three, studied for weight, glucose, and body composition.

  • Two receptor targets (GIP + GLP-1)
  • FDA-approved — the strongest human-evidence tier
  • Broad clinical and research track record
  • Studied for weight and glycemic outcomes

Triple Agonist

Retatrutide

Established

A triple GLP-1 + GIP + glucagon agonist reporting the largest weight-loss effects of the three in trials. Phase 3 complete (not yet approved), with roughly two years of research-market use.

  • Three receptor targets — adds glucagon
  • Largest reported weight-loss magnitude
  • Phase 3 complete, not yet FDA-approved
  • Established through ~2 years of real-world use

Amylin Agonist

Cagrilintide

Emerging

A long-acting amylin receptor agonist studied for satiety through a different pathway than the incretins. Phase 3 data reported, but real-world use is still developing.

  • Amylin/calcitonin pathway — complements GLP-1
  • Studied as a satiety-focused compound
  • Phase 3 data reported, not yet approved
  • Emerging: strong evidence, developing real-world use

WHY RESEARCHERS COMPARE THEM

Different receptors, different evidence stages

Receptor Reach

From dual (Tirzepatide) to triple (Retatrutide) incretin agonism, plus the separate amylin pathway (Cagrilintide).

Evidence Stage

One is FDA-approved, two completed Phase 3—the comparison shows how evidence maturity differs even among leading compounds.

Framework-Scored

Each is rated with the same Evidence Framework, so the bars reflect a consistent standard rather than marketing.

How to read this comparison

Bars reflect each compound's studied research emphasis and evidence stage relative to the other two—not absolute effect sizes or a promise of results. Retatrutide and Cagrilintide are investigational and not FDA-approved. All materials are offered strictly for laboratory and research use. See each compound page for its full Evidence Snapshot.