Mazdutide
Mazdutide is a once-weekly injection that activates both GLP-1 and glucagon receptors. It was developed by Eli Lilly with Innovent Biologics and, under the brand name Xinermei, is approved in China for weight management and type 2 diabetes. Outside China it is still being tested in clinical trials.
Approval status
Approved in China by the National Medical Products Administration (NMPA) in June 2025 for long-term weight management in adults with obesity, or overweight with a weight-related condition, and in September 2025 for blood sugar control in type 2 diabetes. Outside China it is still investigational; Eli Lilly is testing it in the US.3489
What it’s used or studied for
- Approved use
Long-term weight management in adults with obesity, or overweight with a weight-related condition, approved by China's NMPA (GLORY-1 trial).345
- Approved use
Blood sugar control in adults with type 2 diabetes, approved by China's NMPA; it lowered HbA1c and weight more than dulaglutide in the DREAMS-2 trial.36
- Human studies
Weight loss in Chinese adults with a BMI of 30 or more, testing a higher dose than earlier trials (GLORY-2 trial).7
- Human studies
Weight loss in US adults with obesity or overweight without diabetes, in a phase 2 trial run by Eli Lilly.8
Each label shows how strong the evidence is: an approved use, human studies, animal or lab studies only, or a popular claim with no published studies. Being studied is not the same as being proven safe or effective.
Side effects
Common
- Vomiting
- Nausea
- Diarrhea
These come from published trials. Stomach and bowel effects were the most common and mostly mild to moderate. In the US phase 2 trial, 20% of people on the highest dose tested stopped because of side effects, mainly stomach and bowel problems.5678
Cautions
- Outside China it is not approved. FDA has warned companies that illegally sold mazdutide falsely labeled “for research purposes” or “not for human consumption.”10
Sources
- KEGG DRUG: Mazdutide (D12225)
- FDA Global Substance Registration System (GSRS): Mazdutide
- Shirley M. Mazdutide: first approval (Drugs, 2025)
- Innovent Biologics press release: Mazdutide received approval from China's NMPA for chronic weight management, 27 June 2025
- Ji L et al. Once-weekly mazdutide in Chinese adults with obesity or overweight (GLORY-1) (N Engl J Med, 2025)
- Guo L et al. Mazdutide versus dulaglutide in Chinese adults with type 2 diabetes (DREAMS-2) (Nature, 2026)
- Gao L et al. Higher-dose mazdutide for weight reduction in Chinese adults with obesity: the GLORY-2 randomized clinical trial (JAMA, 2026)
- Hsia SH et al. Efficacy and safety of mazdutide in adults with obesity or overweight: a US-based phase 2 trial (Lancet Diabetes Endocrinol, 2026)
- WADA 2026 Prohibited List
- FDA: FDA's concerns with unapproved GLP-1 drugs used for weight loss (content current as of 1 October 2026)
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