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Eli Lilly's Next-Gen Obesity Drug Shows Biggest Weight Loss yet in Clinical Trial

  • On Nov. 21, 2025, Eli Lilly announced TRIUMPH-4, a Phase 3, 68-week trial, showed retatrutide’s highest dose averaged 23.7% weight loss in adults with obesity or overweight and knee osteoarthritis.
  • Retatrutide, a `triple G` therapy, works by mimicking GLP-1, GIP and glucagon, and Lilly is positioning it as the next pillar after Zepbound in a market some analysts estimate at about $100 billion.
  • On-Treatment analysis showed the highest dose delivered 28.7% average weight loss, reduced WOMAC pain score by up to 62.6%, and more than one in eight patients were pain-free at 68 weeks.
  • Discontinuations due to adverse events showed rates of 12.2% and 18.2% for retatrutide 9 mg and 12 mg, with gastrointestinal events common and dropout rates "highly correlated" with baseline BMI, Lilly said.
  • With seven readouts slated for 2026, Lilly plans to present detailed TRIUMPH-4 findings at a future medical meeting from the program, which began in 2023 and enrolled more than 5,800 participants.
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ramaonhealthcare.com broke the news in on Thursday, December 11, 2025.
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