MOLRECORD
Topic primer

Metabolic and the GLP-1 class

The GLP-1 class is where peptide medicine has the most data and the most money. The 2026 story is next-generation agents reporting Phase 3 results, oral options arriving, and a growing literature on how the drugs are used and tolerated in practice.

TIMELINE

  1. 19 Mar 2026
    Retatrutide TRANSCEND-T2D-1 topline.
  2. Apr 2026
    Orforglipron, the first oral small-molecule GLP-1 agonist, approved.
  3. 30 Apr 2026
    Nature paper: five-target peptide–drug conjugate in mice.
  4. 21 May 2026
    Retatrutide TRIUMPH-1 topline: 28.3 % at 80 weeks.
  5. 23 Jul 2026
    Retatrutide TRIUMPH-2 and TRIUMPH-3 topline.
  6. 10 Aug 2026
    Yale study on AgRP neurons and GLP-1 therapy.

ENTRIES ON THIS TOPIC · 5

10 Aug 2026
PAPER
GLP-1 drugs recruit hunger neurons to sustain fat loss, Yale study finds

Researchers at Yale report that GLP-1 therapies recruit agouti-related peptide neurons, long treated as drivers of hunger, to help maintain fat loss.

19 Mar – 23 Jul 2026
TRIAL
Retatrutide: four Phase 3 readouts in 2026

Between March and July 2026 Eli Lilly reported topline results from TRANSCEND-T2D-1, TRIUMPH-1, TRIUMPH-2 and TRIUMPH-3. Weight reduction at 80 weeks on the 12 mg dose ranged from 20.8 % to 28.3 % depending on the population.

Mar – Jun 2026
PAPER
What GLP-1 users do differently: activity, bone and persistence

Reports in 2026 describe falling physical activity among people on GLP-1 drugs, claims-data signals on bone and joint conditions with long-term use, and one-year persistence nearly doubling since 2021.

30 Apr 2026
PAPER
A peptide–drug conjugate that hits five targets, in mice

A Nature paper describes linking the pan-PPAR agonist lanifibranor to a GLP-1/GIP peptide with a pH-sensitive linker. In mice the conjugate acted on five receptors and produced marked weight reduction.

Apr 2026
TRIAL
Orforglipron approved; the oral GLP-1 question

April 2026 brought approval of orforglipron, the first oral small-molecule GLP-1 receptor agonist. Oral options so far produce less weight reduction than leading injectables but are easier to make and take.