Triple Incretin Agonists (GLP-1 / GIP / Glucagon)

Triple incretin agonists activate three metabolic hormone receptors:

These agents are investigational and represent the next evolution in incretin-based metabolic therapy.

Dual GLP-1/GIP Incretin AgonistsGLP-1 Receptor Agonists


Physiologic Rationale

Each receptor contributes unique metabolic effects.

GLP-1 receptor activation:

GIP receptor activation:

Glucagon receptor activation:

The combination aims to:


Mechanism of Action

Triple agonists:

Hypoglycemia risk remains low due to glucose-dependent insulin release.


Investigational Agents

Retatrutide is the most advanced triple incretin agonist in clinical development.

Early trials show:

Not yet FDA approved.


Clinical Potential

Compared to:

Triple agonists may produce:

Long-term cardiovascular outcome data are pending.


Safety Considerations

Similar expected adverse effects to GLP-1 agents:

Potential concerns:

Long-term safety is still under investigation.


Future Directions

Triple incretin therapy may redefine obesity and diabetes management.

Ongoing studies are evaluating:

These agents represent a shift toward multi-hormonal metabolic modulation.