All therapiesEvidence snapshot 2026-09-13
Weight & glucose

Survodutide

Activates GLP-1 and glucagon receptors.

At a glance

Selected evidence in this atlas
Studied use & population

Adults with obesity or overweight and a weight-related complication; without diabetes

Study context
Approval & development

Investigational; phase 3 results reported

Status & indications
Selected efficacy evidence

13% reported weight loss · 5.4% loss with placebo · 76 weeks

SYNCHRONIZE-1 · Phase 3 · peer-reviewed · Up to 6.0 mg once weekly · Regardless of stopping treatment

Evidence & limitations
Important safety context

Gastrointestinal events predominate; full safety details require the trial report.

Safety context
Next milestone

A next milestone is not summarized for this therapy.

Milestone details

Study results apply to their own population, dose and analysis. They do not establish a ranking between therapies.

Evidence in the atlas

2 results

Each result belongs to its own study population, dose and analysis. Open a result for its chart, comparator, safety findings and limitations.

Weight loss

SYNCHRONIZE-1

13% reported weight loss · 5.4% loss with placebo · 76 weeks

Up to 6.0 mg once weekly

Adults with obesity or overweight and a weight-related complication; without diabetes

Trial calls this the treatment-regimen estimand; includes discontinuation and prohibited obesity therapies. Modified intention-to-treat population: 725 dosed of 726 randomized. Investigational; phase 3 results reported

Safety context

Gastrointestinal events predominate; full safety details require the trial report.

Limitations: Cross-trial comparison is indirect. Trial population and estimand differ from efficacy headlines.

Glucose control

Dose-ranging study

1.68 percentage-point HbA1c decrease · 0.15 pp decrease with Placebo · 16 weeks

1.8 mg twice weekly (3.6 mg total per week)

Adults with type 2 diabetes

Adjusted mean from the primary mixed model for repeated measures; 36 participants in this arm contributed at the final assessment.

Safety context

Across survodutide arms, 77.8% reported adverse events, mainly gastrointestinal; 15.9% stopped because of adverse events, versus 5.1% with placebo.

Limitations: Highest total weekly dose shown. The separately reported unadjusted mean decrease of 1.88 pp is a different analysis.

Biology & identity

Status in this atlas: Investigational; phase 3 results reported

Hormone activity

Activates GLP-1 and glucagon receptors.

Investigational; no approved trade name identified as of 2026-09-13. Survodutide and BI 456906 are not approved brands; obesity and MASH are distinct development programs.

Boehringer Ingelheim · Global licensee solely responsible for development and commercialization.; Zealand Pharma · Licensor and research partner; eligible for milestones and royalties under the collaboration.

Uses, doses and availability depend on the formulation, indication and country. Study doses below describe research; they are not prescribing instructions.

The molecule

Activates GLP-1 and glucagon receptors.
Structure not yet verified

Structure not verified

Activates GLP-1 and glucagon receptors.

Shown: Peptide drug

The downloaded PubChem biological diagram contains stereochemical and unexpanded modification annotations that were not reconciled with the exact drug, so it was withheld.

Survodutide

Development timeline

Next milestone

A next milestone is not summarized for this therapy. This does not mean development has ended.

Development history3 selected milestones

Survodutide · compound history across indications

Selected milestones only. Earlier studies may be missing; the first listed date should not be interpreted as the start of development.

  1. Boehringer–Zealand partnership

    Zealand entered a licence, research and development collaboration granting Boehringer global rights to the lead dual glucagon/GLP-1 program, now survodutide.

    Source
  2. SYNCHRONIZE-1 topline results

    Zealand announced Boehringer's phase 3 obesity trial had met its co-primary endpoints under both efficacy and treatment-regimen analyses.

    Source
  3. Phase 3 obesity results published

    The 76-week SYNCHRONIZE-1 results were published in the New England Journal of Medicine.

    Source

Selected sources checked Sep 13, 2026. This is not an exhaustive history.