Peptide index
331 compounds across 19classes. Each one carries an evidence tier, because “there are studies” means something very different for semaglutide than it does for most of this list.
35 compounds
Adipotide
Animal data onlyExperimental pro-apoptotic peptidomimetic that kills the blood supply feeding white adipose tissue - it works in animals and it damaged their kidneys doing it.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Albiglutide
Approved drugAlbumin-fused weekly GLP-1 agonist that was withdrawn commercially in 2018 despite a positive cardiovascular outcomes trial - historically important, practically extinct.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Amycretin
Human trialsSingle-molecule GLP-1 and amylin co-agonist from Novo Nordisk with the steepest early weight-loss curve reported to date - about 22% in 36 weeks in a phase 1b/2a study.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Beinaglutide
Approved drugChinese-approved full-length recombinant human GLP-1, identical to the natural hormone and therefore dosed three times daily before meals.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
BRP (BRINP2-related peptide)
Animal data onlyA 12-amino-acid peptide found by AI screening at Stanford that suppresses appetite through hypothalamic POMC neurons without nausea - impressive in mice and pigs, untested in humans.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Cagrilintide
Human RCTWeekly amylin and calcitonin receptor agonist that produces satiety through a completely separate pathway from GLP-1 and appears to preserve lean mass better than incretins alone.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
CagriSema
Human RCTFixed-dose weekly combination of the amylin analogue cagrilintide with semaglutide, giving about 20% weight loss by hitting two independent satiety pathways at once.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Cotadutide
Human trialsAstraZeneca's daily GLP-1 and glucagon dual agonist, studied mainly in diabetic kidney disease and liver disease and now largely deprioritised.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Danuglipron
Human trialsPfizer's oral small-molecule GLP-1 agonist, discontinued after a liver-injury signal - the cautionary reference compound for the whole oral incretin class.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Dapiglutide
Human trialsZealand's GLP-1 and GLP-2 dual agonist, unusual in the class for targeting gut barrier integrity and inflammation alongside weight.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Dulaglutide
Approved drugWeekly GLP-1-Fc fusion protein used mainly for type 2 diabetes, with good glycaemic control but only modest weight effects.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Ecnoglutide
Approved drugcAMP-biased long-acting GLP-1 analogue newly approved in China for weight management, delivering about 13% placebo-adjusted weight loss at 2.4 mg weekly.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Efinopegdutide
Human trialsGLP-1 and glucagon dual agonist being developed by Merck primarily as a liver drug, after producing a roughly 73% reduction in liver fat over 24 weeks.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Efpeglenatide
Human RCTLong-acting exendin-based GLP-1 agonist notable for the AMPLITUDE-O trial, which showed cardiovascular and kidney benefit in a high-risk diabetic population.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Eloralintide
Human RCTEli Lilly's selective amylin receptor agonist, which produced roughly 20% weight loss in phase 2 with a strikingly clean gastrointestinal profile.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Exenatide
Approved drugGila-monster-venom-derived GLP-1 mimetic - the original incretin drug, and still the reference exendin scaffold that most long-acting analogues are built on.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Glucagon
Approved drugThe counter-regulatory pancreatic hormone used as rescue therapy for severe hypoglycaemia, and the parent scaffold for every glucagon-arm dual and triple agonist.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Insulin analogues
Approved drugThe archetypal therapeutic peptide hormone family, spanning rapid-acting mealtime analogues through to once-weekly basal insulin icodec.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Liraglutide
Approved drugFirst-generation daily GLP-1 agonist that produces around 8% weight loss - largely superseded by weekly drugs but now cheap and available generically.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Lixisenatide
Approved drugShort-acting prandial GLP-1 agonist built to crush postprandial glucose spikes rather than to produce weight loss.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
MariTide
Human RCTMonthly antibody-peptide conjugate that pairs GLP-1 agonism with GIP receptor antagonism, notable for how slowly weight comes back after dosing stops.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Mazdutide
Approved drugOxyntomodulin-based GLP-1 and glucagon dual agonist approved in China, notable for adding thermogenic energy expenditure to appetite suppression.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Orforglipron
Approved drugThe first non-peptide oral GLP-1 agonist approved for obesity - a real tablet with no food or water restrictions, giving about 12% weight loss at the top dose.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Oxyntomodulin
Human trialsThe endogenous proglucagon-derived dual GLP-1 and glucagon agonist that inspired the entire dual-agonist drug class.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Pemvidutide
Human RCTAltimmune's balanced 1:1 GLP-1 and glucagon dual agonist, positioned specifically for lean-mass-sparing weight loss and MASH rather than maximum scale-weight reduction.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Peptide YY (3-36)
Human trialsIleal satiety hormone acting on Y2 receptors, explored intranasally and as an adjunct to GLP-1 therapy but repeatedly defeated by nausea.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Petrelintide
Human RCTOnce-weekly amylin analogue from Zealand and Roche aiming for double-digit weight loss with essentially placebo-level nausea, now heading into phase 3.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Pramlintide
Approved drugFDA-approved synthetic amylin analogue taken with mealtime insulin to flatten postprandial glucose and reduce food intake - the only approved amylin drug there is.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Retatrutide
Human RCTTriple agonist at the GIP, GLP-1 and glucagon receptors that added glucagon-driven energy expenditure to appetite suppression and produced up to 30% weight loss in phase 3.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Semaglutide
Approved drugLong-acting GLP-1 receptor agonist that slows gastric emptying and blunts appetite, producing roughly 15% body-weight loss at 2.4 mg weekly.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Setmelanotide
Approved drugMelanocortin-4 receptor agonist approved for rare genetic and acquired hypothalamic obesity - it works spectacularly in the right genotype and does very little in ordinary obesity.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Survodutide
Human RCTBoehringer and Zealand's weekly glucagon and GLP-1 dual agonist, giving about 16.6% weight loss in phase 3 alongside some of the strongest liver-fibrosis data in the class.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Tesofensine
Human RCTTriple noradrenaline, dopamine and serotonin reuptake inhibitor used off-label for appetite suppression - not a peptide, but ubiquitous in peptide-adjacent weight protocols.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
Tirzepatide
Approved drugDual GIP and GLP-1 receptor agonist delivering around 21% mean weight loss at 15 mg weekly - currently the most effective approved obesity drug on the market.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)
VK2735
Human RCTViking Therapeutics' GLP-1 and GIP dual agonist, with both a weekly injection and a daily tablet in late-stage trials and unusually fast early weight loss.
Incretin & Metabolic (GLP-1 / GIP / Glucagon / Amylin)