What happens next in GLP-1 — and when.

Pipeline › survodutide

survodutide

Not FDA-approved, and in phase 3 development, not authorised in the European Union. 6 active trials, the next due to complete 2027-11-30.

GLP-1/glucagon agonist, SC, from Boehringer Ingelheim / Zealand. Every figure below is taken directly from ClinicalTrials.gov, Drugs@FDA, the FDA Drug Shortage Database, the EMA register or Europe PMC, and re-checked every four hours.

Status
phase3
Target
GLP-1/glucagon
Route
SC
Sponsor
Boehringer Ingelheim / Zealand
First FDA approval
Not approved
EU authorisation
Not authorised
Active trials
6 (5 in phase 3)
Participants enrolled
5,310
Trials with a reporting date
3
Approved FDA submissions
0

Recent changes

DetectedChangeTrialDetailPhase
2026-09-30New trial registeredELEVATE-LIVER: A Study to Test Whether Survodutide Helps Improve Heart Structure and Function in People With Overweight or Obesity and Fatty Liver Disease
NCT07850063 · Boehringer Ingelheim
Not yet recruiting, n=600P3
2026-09-30New trial registeredSYNCHRONIZE®-HERA: A Study to Test Whether Survodutide Helps Women Who Are Living With Overweight or Obesity and Are Going Through or Have Finished Menopause, to Lose Weight
NCT07850050 · Boehringer Ingelheim
Not yet recruiting, n=600P3

When these trials report

01Q4 26: 0 trials reportingQ1 27: 0 trials reportingQ2 27: 0 trials reportingQ3 27: 0 trials reportingQ4 27: 1 trial reportingQ1 28: 1 trial reporting, 1 phase 3Q2 28: 0 trials reportingQ3 28: 1 trial reporting, 1 phase 3Q4 26Q1 27Q2 27Q3 271Q4 271Q1 28Q2 281Q3 28
When trials are due to report, by quarter — hover a bar for the count. These dates are filed by the sponsor and often move.

Next 3 of 3 active trials by estimated primary completion.

Est. completionTrialSponsorPhaseParticipants
2027-11-30Albuminuria Reduction Study With Survodutide Treatment in Kidney Disease
NCT07206290 · Change in first morning void UACR
University Medical Center GroningenP2120
2028-01-17A Study to Test Whether Survodutide Helps People With Type 2 Diabetes Control Their Blood Sugar
NCT07754461 · Absolute change in glycosylated haemoglobin A1c (HbA1c) (%) from baseline to Week 41
Boehringer IngelheimP3600
2028-07-26SYNCHRONIZE®-HERA: A Study to Test Whether Survodutide Helps Women Who Are Living With Overweight or Obesity and Are Going Through or Have Finished Menopause, to Lose Weight
NCT07850050 · Percentage change in body weight from baseline to Week 52
Boehringer IngelheimP3600

Indications under study

Chronic Kidney Disease; Liver Fibrosis; Metabolic Dysfunction Associated Steatohepatitis; Metabolic Dysfunction Associated Steatohepatitis (MASH); Metabolic Dysfunction-associated Steatotic Liver Disease; Obesity; Type 2 Diabetes.

Recent papers

PublishedTitleJournal
2026-10-02Survodutide for the treatment of obesity: Mechanistic rationale, clinical evidence, and remaining uncertainties
Sergi CM.
Contemp Clin Trials
2026-10-01Nephroprotective Effects of the Dual GCGR/GLP-1R Agonist Survodutide in Hypertension-Accelerated Diabetic Kidney Disease
Hamilton A, Thisted L, Ougaard M, Hahn M, Andersen K, Perens J, Augustin R, Bajrami B, Rist W, Christensen M, Hansen HH, Klein T.
Diabetes Obes Metab
2026-10-01Survodutide Once Weekly in Adults with Obesity and Type 2 Diabetes
Wharton S, le Roux CW, Startseva E, Kloer IM, Alhussein A, Hussain SA, Unseld A, Bozkurt B, Ard JD, Bays HE, Bogdański P, Butt JH, Ekinci EI, Jastreboff AM, Ji L, Schou M, Tinahones FJ, Kokkinos AD, Merkely B, Ogawa W, Pedersen SD, Pietiläinen KH, Quinn D, Sattar N, Seufert J, Stenlöf K, van Beek AP, Vangoitsenhoven R, Brueckmann M, Younes R, Kaplan LM, SYNCHRONIZE-2 Investigators.
N Engl J Med
2026-08-25Author Correction: Survodutide in adults with obesity and metabolic dysfunction-associated steatotic liver disease: SYNCHRONIZE-MASLD, a randomized, double-blind, placebo-controlled phase 3 trial
Kaplan LM, Startseva E, le Roux CW, Wharton S, Bozkurt B, Mazo DF, von Schlippenbach J, González Maldonado S, Ajaz Hussain S, Neff GW, Gonzalez Rojas Y, Smith C, Younes R, Sanyal AJ, SYNCHRONIZE-MASLD Investigators.
Nat Med
2026-08-14Survodutide for Obesity in Chinese Adults: Phase 3 Randomized Trial Design and Baseline Characteristics (SYNCHRONIZE™-CN)
Ji L, Chen L, Cheng Z, Lu Y, Yang Y, Fu F, Zhu Y, Jin L, Kloer IM.
Diabetes Ther
2026-08-03Weight reduction-dependent/-independent effects of survodutide on liver endpoints: Mediation analysis of a phase 2 trial in MASH
Noureddin M, Sanyal AJ, Bedossa P, Fraessdorf M, Schoelch C, Startseva E, Marshall SR, Marshall SR, Alhussein A, Neff GW, Lawitz EJ, Lawitz EJ, Bugianesi E, Anstee QM, Newsome PN, Ratziu V, Hosseini-Tabatabaei A, Schattenberg JM, Alkhouri N, Younes R.
Hepatology
2026-06-22Dual Glucagon and GLP-1 Receptor Agonist Survodutide Improves Biomarkers of Beta-Cell Function and Insulin Sensitivity in People With Type 2 Diabetes or Living With Overweight/Obesity
Ekinci EI, Maldonado SG, Unseld A, Martinez JA, Hennige AM, Schoelch C.
Diabetes Obes Metab
2026-06-07Survodutide in adults with obesity and metabolic dysfunction-associated steatotic liver disease: SYNCHRONIZE-MASLD, a randomized, double-blind, placebo-controlled phase 3 trial
Kaplan LM, Startseva E, le Roux CW, Wharton S, Bozkurt B, Mazo DF, von Schlippenbach J, González Maldonado S, Ajaz Hussain S, Neff GW, Gonzalez Rojas Y, Smith C, Younes R, Sanyal AJ, SYNCHRONIZE-MASLD Investigators.
Nat Med
2026-06-07Survodutide Once Weekly for the Treatment of Adults with Obesity
le Roux CW, Wharton S, Startseva E, Kloer IM, Hussain SA, Unseld A, Bozkurt B, Ard JD, Bays HE, Bogdański P, Ekinci EI, Jastreboff AM, Ji L, Ogawa W, Pedersen SD, Pietiläinen KH, Sattar N, Seufert J, Stenlöf K, van Beek AP, Vangoitsenhoven R, Brueckmann M, Younes R, Kaplan LM, SYNCHRONIZE-1 Investigators.
N Engl J Med
2026-06-05How does survodutide work? Plain language review of a potential new medication for obesity and liver disease
Almandoz JP, Miras AD, Seufert J, Paul E.
Ther Adv Gastroenterol
2026-05-31Survodutide for the Treatment of Obesity Disease in Japanese Participants: Rationale, Design and Baseline Characteristics of the Phase 3 SYNCHRONIZE-JP Trial
Yokote K, Yamauchi T, Fukushima Y, Takatsuka Y, Kato M, Yan S, Inoue T, Borowska L, Brueckmann M, Ogawa W, SYNCHRONIZE‐JP Trial Investigators.
Diabetes Obes Metab
2026-03-19A review of survodutide: a new dual acting agonist
Yathindra MR, Bhattacharjee A, Pundir N, Patel P, Jacob NE, Jossy PE, Seetharaman R.
Minerva Endocrinol (Torino)
2026-02-04Optimization of patient and site engagement in the SYNCHRONIZE™ phase 3 clinical trial program for survodutide in obesity through clinical trial simulation
Rubino DM, Mooney V, van de Walle V, Baanstra D, Daniëls W, Recaldin C, Nadglowski J.
Contemp Clin Trials Commun
2026-02-02Survodutide acts through circumventricular organs in the brain and activates neuronal regions associated with appetite regulation
Zimmermann T, Bleymehl K, Haebel P, Perens J, Roostalu U, Hecksher-Sørensen J, Doerr J, Jarosch S, Lam D, Klein H, Pekcec A, Chehimi SN, Crist RC, Reiner BC, Hayes MR, Augustin R.
Mol Metab
2025-12-22Operationalising disease modification in obesity trials: A blueprint based on the SYNCHRONIZE-1 survodutide study
Wang B, Huang J, Chen Z.
Diabetes Obes Metab

Every survodutide trial on file

All 14 registered trials of survodutide, largest first. Each links to its own page and to the registry record.

TrialStatusPhaseParticipants
A Study to Test the Effect of Survodutide (BI 456906) on Cardiovascular Safety in People With Overweight or Obesity (SYNCHRONIZE™ - CVOT)
NCT06077864 · Boehringer Ingelheim
CompletedP35,531
LIVERAGE™: A Study to Test Whether Survodutide Helps People With a Liver Disease Called NASH/MASH Who Have Moderate or Advanced Liver Fibrosis
NCT06632444 · Boehringer Ingelheim
RecruitingP31,800
LIVERAGE™ - Cirrhosis: A Study to Test Whether Survodutide Helps People With a Liver Disease Called NASH/MASH Who Have Cirrhosis
NCT06632457 · Boehringer Ingelheim
RecruitingP31,590
A Study to Test Whether Survodutide (BI 456906) Helps People Living With Overweight or Obesity Who Also Have Diabetes to Lose Weight
NCT06066528 · Boehringer Ingelheim
CompletedP3755
A Study to Test Whether Survodutide (BI 456906) Helps People Living With Overweight or Obesity Who do Not Have Diabetes to Lose Weight
NCT06066515 · Boehringer Ingelheim
CompletedP3726
ELEVATE-LIVER: A Study to Test Whether Survodutide Helps Improve Heart Structure and Function in People With Overweight or Obesity and Fatty Liver Disease
NCT07850063 · Boehringer Ingelheim
Not yet recruitingP3600
SYNCHRONIZE®-HERA: A Study to Test Whether Survodutide Helps Women Who Are Living With Overweight or Obesity and Are Going Through or Have Finished Menopause, to Lose Weight
NCT07850050 · Boehringer Ingelheim
Not yet recruitingP3600
A Study to Test Whether Survodutide Helps People With Type 2 Diabetes Control Their Blood Sugar
NCT07754461 · Boehringer Ingelheim
RecruitingP3600
A Study to Test Whether Different Doses of BI 456906 Help People With Overweight or Obesity to Lose Weight
NCT04667377 · Boehringer Ingelheim
CompletedP2387
A Study to Test Whether Survodutide (BI 456906) Helps Chinese People Living With Overweight or Obesity to Lose Weight
NCT06214741 · Boehringer Ingelheim
CompletedP3307
A Study to Test Safety and Efficacy of Survodutide (BI456906) in Adults With Non-alcoholic Steatohepatitis (NASH) and Fibrosis (F1-F3)
NCT04771273 · Boehringer Ingelheim
CompletedP2295
A Study to Test Whether Survodutide Helps Japanese People Living With Obesity Disease
NCT06176365 · Boehringer Ingelheim
CompletedP3274
A Study to Test Whether Survodutide Helps People Living With Obesity or Overweight and With a Confirmed or Presumed Liver Disease Called Non-alcoholic Steatohepatitis (NASH) to Reduce Liver Fat and to Lose Weight (SYNCHRONIZE-MASLD)
NCT06309992 · Boehringer Ingelheim
CompletedP3218
Albuminuria Reduction Study With Survodutide Treatment in Kidney Disease
NCT07206290 · University Medical Center Groningen
Not yet recruitingP2120

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