Mazdutide (IBI362)
Metabolic Health · GLP-1/glucagon agonist (dual)
Tier B
Bottom line
Read Off Label grades Mazdutide (IBI362) as B (6.8/10) based on strong evidence, high benefit magnitude, and a med-risk safety profile.
Innovent Biologics; Chinese-approved for obesity and T2D in 2025.
Studied, labeled, or reported-use context: 4-9 mg SC weekly — Approved in China (June 2025) for chronic weight management; FDA filing TBD; not individualized guidance.
What the evidence says
Innovent Biologics; Chinese-approved for obesity and T2D in 2025. GLORY-1 Phase 3 (China, n>600) showed -16.8% body weight at 32 weeks at 9 mg dose. Meaningful for biohacker readers because it reaches similar magnitude to tirzepatide and is already prescribed in China while Western markets wait. Particular interest for MASLD/NAFLD due to hepatic glucagon effects. A Jul 2026 BMJ network meta-analysis (262 RCTs, n=99,791) of anti-obesity drugs placed mazdutide among the emerging agents (with ecnoglutide and retatrutide) projected to match or exceed tirzepatide's weight loss (13.1-14.6% at one year vs lifestyle alone), though rated very low to low certainty given its indirect, largely China-only trial base.
Mechanism
Dual GLP-1 and glucagon receptor agonist; glucagon arm increases hepatic fat oxidation and energy expenditure (similar mechanism to survodutide); developed by Innovent (China) under license from Lilly's OXM3
Studied, labeled, or reported dose & route
4-9 mg SC weekly
This records doses and routes described in studies, approved labeling, clinical practice, or documented use. It is not individualized guidance and does not establish safety; context changes with indication, formulation, health history, monitoring, and other medicines.
Citations
- DOI · 10.1016/j.metop.2026.100463
- PubMed · PMID 40421736
- thelancet.com
- ClinicalTrials.gov · NCT04904913
- PubMed · PMID 39696983
- ClinicalTrials.gov · NCT04440345
- PubMed · PMID 40479843
- PubMed · PMID 41743493
- DOI · 10.3390/biomedicines14040909
- DOI · 10.1136/bmj-2026-372161
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Common questions
- What does the evidence show about Mazdutide (IBI362)'s effects?
- Read Off Label rates the evidence for Mazdutide (IBI362) as Strong and the benefit magnitude as high, producing an overall grade of B (6.8/10). Innovent Biologics; Chinese-approved for obesity and T2D in 2025.
- What safety findings are reported for Mazdutide (IBI362)?
- Mazdutide (IBI362) has a med risk profile in the database. Med (similar GI profile to GLP-1 class) Legal status: Approved in China (June 2025) for chronic weight management; FDA filing TBD.
- What doses or routes are reported for Mazdutide (IBI362)?
- 4-9 mg SC weekly This is context from studies, approved labeling, clinical practice, or documented use; it is not individualized guidance and does not establish safety.
- How does Mazdutide (IBI362) work?
- Dual GLP-1 and glucagon receptor agonist; glucagon arm increases hepatic fat oxidation and energy expenditure (similar mechanism to survodutide); developed by Innovent (China) under license from Lilly's OXM3
This is an independent synthesis of published research by a non-clinician. Scores are opinions supported by citations, not prescriptions. See the full disclaimer and methodology for how this score was produced and what it does and doesn't mean.