For research use only.
Tirzepatide
Tirzepatide is a lab-made dual agonist at the GIP and GLP-1 receptors, often called GLP-2.[1][2] The nickname doesn’t make it GLP-2, which is a separate hormone made in the gut.[3]
Origin: First described in 2018 by Coskun and colleagues at Eli Lilly in Indianapolis as LY3298176, a fatty-acid-modified peptide built to activate both the GIP and GLP-1 receptors.[1]
Research areas
Large human trials and FDA-approved labels point to several research and labeled uses.
- Blood sugar control in type 2 diabetes, as studied in the SURPASS program and labeled for Mounjaro[2][4]
- Body-weight reduction in adults with obesity or overweight, as studied in SURMOUNT-1 and related trials and labeled for Zepbound[5][6]
- Lower risk of major cardiovascular events in adults with type 2 diabetes at high risk, labeled for Mounjaro[2]
- Moderate to severe obstructive sleep apnea in adults with obesity, labeled for Zepbound[6]
- Head-to-head weight outcomes versus semaglutide in adults with obesity without type 2 diabetes (SURMOUNT-5)[7]
Evidence level
Level 4 of 4: Large human trialsSURMOUNT-1 randomized 2,539 adults with obesity, FDA based Mounjaro on evidence from thousands of people with type 2 diabetes, and tirzepatide is FDA approved as Mounjaro and Zepbound for labeled uses.[2][4][5][6]
Why so few human trials?Cautions
Studies and regulators point to several reasons for care.
- FDA labels carry a boxed warning that tirzepatide caused thyroid C-cell tumors in rats, and it is unknown whether that risk applies in people[2][6]
- Labels warn about acute pancreatitis, severe gastrointestinal reactions, gallbladder disease, and other serious risks[2][6]
- The approved brand-name medicines are for specific labeled uses with diet and activity guidance on the labels; research materials are not those medicines[2][4][6]
Tirzepatide is FDA approved as Mounjaro (type 2 diabetes, including cardiovascular risk reduction in high-risk adults) and as Zepbound (chronic weight management and obstructive sleep apnea in adults with obesity), each for the uses on its label.[2][4][6]
Tirzepatide goes by several names.
Storage basics General
These general basics apply to most freeze-dried research peptides.
Sources and studies
These studies and official pages are the research behind this profile.
- 1LY3298176, a novel dual GIP and GLP-1 receptor agonist for the treatment of type 2 diabetes mellitus: From discovery to clinical proof of conceptCoskun T, et al. (2018) · Molecular Metabolism
- 2MOUNJARO (tirzepatide) injection: prescribing informationU.S. Food and Drug Administration (2026) · Drugs@FDA
- 3Glucagon-like Peptide-2Estall JL, Drucker DJ (2006) · Annual Review of Nutrition
- 4Drug Trials Snapshots: MOUNJAROU.S. Food and Drug Administration (2022)
- 5Tirzepatide Once Weekly for the Treatment of ObesityJastreboff AM, et al. (2022) · The New England Journal of Medicine
- 6ZEPBOUND (tirzepatide) injection: prescribing informationU.S. Food and Drug Administration (2026) · Drugs@FDA
- 7Tirzepatide as Compared with Semaglutide for the Treatment of ObesityAronne LJ, et al. (2025) · The New England Journal of Medicine