Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Compound monograph · Incretin receptor agonists

Mazdutide — compound monograph

Dual glucagon and GLP-1 receptor agonist (oxyntomodulin analogue). Approved. The Institute assesses 2 outcomes for this compound and grades the strongest at moderate certainty.

Document identifier
CEI-MN-014
Series
Compound monograph
Version
3.1
Published
22 Feb 2025
Last reviewed
22 Jun 2026
Next review
22 Jun 2028
Identifier
10.71829/cei.mono.14
Certainty
Moderate
Cycle
2025 Q1

§1Identification and status

§1.1Nomenclature

Preferred name
Mazdutide
Compound class
Dual glucagon and GLP-1 receptor agonist (oxyntomodulin analogue)
Assessment series
Incretin receptor agonists
Synonyms and codes
LY3305677 · IBI362 · OXM analogue · mazdutide (INN)
Route as evaluated
Subcutaneous once weekly

§1.2Chemistry

Chemical identifiers are reproduced where they are public. Where a structure has not been published the monograph records not disclosed rather than constructing one.[1]

CAS registry number
2381089-83-2 (record disputed across sources)
Molecular formula
not published in full
Average mass
≈4600 (approximate)
Monoisotopic mass
not published
ATC classification
not assigned

§1.3Sequence and structural notes

An oxyntomodulin-based analogue with a lysine-linked fatty-diacid conjugate

Oxyntomodulin is an endogenous proglucagon product with intrinsic dual glucagon and GLP-1 receptor activity. Mazdutide is an engineered long-acting analogue of that natural dual agonist rather than a de-novo chimera. Published CAS assignments for this compound are inconsistent between secondary sources and the Institute does not treat any single record as authoritative.

§1.4Assessment status

The Institute assesses Mazdutide across 2 indications and grades the strongest of them at moderate certainty. Holds a marketing authorisation for at least one indication in at least one jurisdiction.

Distribution of certainty ratingsShare of assessed outcomes at each certainty level.2assessed outcomes
HighModerateLowVery low
Figure 1. Distribution of certainty ratings across the 2 outcomes the Institute assesses for Mazdutide. A rating attaches to a specific population, comparator and outcome and does not transfer between them.

Table 1. Assessed outcomes for Mazdutide, ordered by certainty. Each row links to the per-indication evidence extract.

IndicationEffect as recordedCertaintyTrials
Obesity and overweight in adults−14.4 % body weight at 48 weeks with 6 mg in a Chinese phase 3 trial versus −0.3 % with placeboModerate3
Type 2 diabetes mellitus−1.8 % HbA1c at 24 weeks with 6 mgModerate2
Effects are reproduced as the contributing trials reported them. Where a confidence interval is held it appears on the per-indication extract rather than in this summary table.

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use. ICH Q6B Specifications: Test Procedures and Acceptance Criteria for Biotechnological/Biological Products. ICH Harmonised Tripartite Guideline 1999;Step 4 version. identifier not held by the Institute

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

Nothing published by the Institute is medical advice, a diagnosis, a prescription, a treatment recommendation or a purchasing recommendation. Compounds supplied for research use are not approved for human or veterinary use in any jurisdiction, and a favourable analytical assessment of a supplier is not a statement that any product is safe or effective. The Institute publishes certainty ratings and never recommendations. No telephone number, messaging handle or ordering channel appears anywhere on this site.