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Weight & Metabolic
Clinical

Petrelintide

Also known as: Petrelintide

Petrelintide is a long-acting amylin analog in phase 2/3 development for weight management, notable for producing meaningful weight loss with markedly less gastrointestinal burden than incretin-based drugs.

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Mechanism of Action

Petrelintide is a long-acting analog of amylin, a hormone co-secreted with insulin by pancreatic beta cells. It acts at amylin and calcitonin receptor complexes in the hindbrain to promote satiation (the sense of having finished a meal), slow gastric emptying, and suppress post-prandial glucagon secretion. This is a distinct pathway from GLP-1 receptor agonism, which is why the tolerability profile differs so sharply. The molecule was engineered for chemical and physical stability without fibrillation near neutral pH, which permits co-formulation and co-administration with other peptides — a deliberate design choice supporting future combination products.

Half-life
Approximately 10 days after subcutaneous injection in phase 1 trials, supporting once-weekly dosing.
Administration Routes
subcutaneous
Research Status
Clinical

Reported Benefits

  • Up to 10.7% mean body weight reduction at week 42 in phase 2 (vs 1.7% placebo)
  • No cases of vomiting reported at the maximally effective dose in phase 2
  • No discontinuations for gastrointestinal adverse events at the maximally effective dose
  • Once-weekly subcutaneous dosing
  • Engineered for co-formulation with other peptides
  • Studied as monotherapy rather than only as an add-on

Potential Side Effects

  • Nausea (reported, but at markedly lower rates than incretin agonists)
  • Injection-site reactions
  • Long-term safety not yet established — phase 3 has not reported
  • Full adverse-event profile at scale still unknown

Common Dosing

No established human dosing outside clinical trials. The phase 2 ZUPREME-1 trial evaluated once-weekly subcutaneous dosing over 42 weeks. Petrelintide is an investigational drug and is not approved for human use anywhere. Not medical or dosing advice.

The dosing information above is aggregated from research literature and anecdotal community reports for educational purposes only. It is not a recommendation, prescription, or medical advice. Peptides are sold as research chemicals only and are not intended for human use.

Contraindications

  • Not approved for human use in any jurisdiction
  • Pregnancy and breastfeeding
  • No characterized interaction profile outside trial settings

No documented stacking partners for Petrelintide yet.

  • Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Petrelintide for Weight Management: Two Randomized, Controlled Phase 1 Trials

    2026

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  • Development of Petrelintide: a Potent, Stable, Long-Acting Human Amylin Analogue

    2025

    View

Because the bet is on tolerability rather than peak efficacy. In phase 2 it reported no vomiting and no gastrointestinal discontinuations at the maximally effective dose, against roughly 11% discontinuation at GLP-3 R's top phase 3 dose. A drug people can stay on for years may outperform a stronger drug that a meaningful fraction of users abandon.

No. It is an investigational compound developed by Zealand Pharma in partnership with Roche, and it is not approved for human use in any country. Phase 2 ZUPREME-1 reported in 2026, with ZUPREME-2 in people with type 2 diabetes expected to report in the second half of 2026.

PeptideChat is for educational and research purposes only. Nothing on this site constitutes medical advice. Peptides are sold as research chemicals only and are not intended for human use. These statements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease. PeptideChat is an independent educational resource — not a pharmacy, compounding, or 503A/503B outsourcing facility — and does not sell products or provide medical advice.