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Mazdutide is an investigational glucagon-like peptide-1 (GLP-1) receptor and glucagon receptor dual agonist derived from an oxyntomodulin-based scaffold, studied in clinical trials for metabolic endpoints.
Mazdutide (development codes IBI362 / LY3305677) is an investigational peptide engineered as a dual agonist of the glucagon-like peptide-1 (GLP-1) receptor and the glucagon (GCG) receptor. Its design is based on an oxyntomodulin scaffold, a naturally occurring gut hormone that activates both receptor systems [1].
The molecule has been evaluated in a series of clinical trials, including studies conducted in China, examining metabolic and body-weight related endpoints in adult participants [2]. As an investigational compound, it has not received marketing authorization for general use at the time of writing.
Research interest in mazdutide centers on the concept of combining incretin (GLP-1) and glucagon receptor activity within a single molecule, an approach studied in the broader class of multi-receptor metabolic peptides.
Mazdutide acts as an agonist at two G-protein-coupled receptors. GLP-1 receptor activation is associated in the literature with glucose-dependent insulinotropic signaling and effects on gastric and appetite-related pathways, while glucagon receptor activation is associated with hepatic and energy-expenditure pathways studied in preclinical and clinical settings [1][3].
The dual-agonist design is intended, in the published rationale, to combine the two receptor activities. Reported effects and receptor pharmacology are described here strictly as findings from cited studies and not as outcomes for any individual.
Phase 2 randomized trial (adults, overweight/obesity): A randomized, double-blind, placebo-controlled trial evaluated mazdutide in adult participants and measured change in body weight and metabolic parameters across dose groups over the study period, reporting dose-related changes versus placebo [2]. Reported here for scientific reference only.
Phase 2 trial (type 2 diabetes): A controlled clinical study in participants with type 2 diabetes assessed change in HbA1c and additional glycemic and metabolic measures across randomized groups, reporting the primary and secondary endpoints defined in the protocol [3].
Preclinical receptor pharmacology: In vitro and animal studies characterized dual GLP-1R/GCGR potency and metabolic effects of the oxyntomodulin-based scaffold, informing the clinical development rationale [1].
Combinations examined in the research literature. Descriptive only — not a recommendation to combine compounds.