Eloralintide Research Overview (also known as Obesity & Weight Management)

At a glance

Eloralintide is an investigational amylin-receptor agonist developed by Eli Lilly under the code LY3841136. Its design favors the AMY1 receptor subtype compared with certain related receptors. The page discusses clinical weight-management research, appetite control and metabolic outcomes, including studies of eloralintide alone and in combination with tirzepatide.

What Is Eloralintide?

Eloralintide (LY3841136) is a novel once-weekly, selective AMY1R amylin receptor agonist developed by Eli Lilly for the treatment of obesity. Unlike cagrilintide, which non-selectively activates amylin and calcitonin receptors, eloralintide demonstrates 11- to 12-fold selectivity for the human AMY1R receptor over CTR and AMY3R, a design choice believed to drive its markedly improved gastrointestinal tolerability while preserving robust weight-loss efficacy. In a 48-week Phase 2 trial (NCT06230523) in 263 adults with obesity, monotherapy produced dose-dependent mean body weight reductions of 9.5% to 20.1% versus 0.4% with placebo, with weight loss curves not yet plateauing at week 48. Eli Lilly announced plans to initiate Phase 3 monotherapy trials by year-end 2025, and is concurrently evaluating eloralintide in combination with tirzepatide in the ATTAIN Phase 2 program.

Mechanism of Action

Subcutaneous injection allows the lipidated, albumin-binding peptide to achieve sustained plasma exposure. Eloralintide selectively activates AMY1R in the brainstem area postrema and hypothalamus, driving satiety and reduced food intake while sparing CTR-mediated GI side effects.

Key Benefits

Once-weekly subcutaneous dosing supported by 13–15 day half-life. Up to 20.1% mean body weight loss at 48 weeks in Phase 2 with markedly improved GI tolerability versus non-selective amylin agonists. Potential combination partner for tirzepatide.

Quick Reference

Member reference tables summarize the compound's research parameters.

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Research Indications

Weight Loss
Supported Research

Phase 2 Monotherapy Efficacy

Dose-dependent mean body weight reductions of 9.5% (1 mg) to 20.1% (9 mg) at 48 weeks (NCT06230523, N=263).

Curve Not Yet Plateauing

Weight loss continued to progress through week 48, suggesting longer Phase 3 trials may show further reduction.

Body Composition Quality

Preclinical data show 85% of weight loss is attributable to fat mass with significantly less lean mass loss than cagrilintide.

Appetite Control
Supported Research

AMY1R-Selective Satiety

Selective activation of the AMY1R hindbrain pathway reduces food intake without engaging CTR-mediated nausea pathways as strongly as non-selective agonists.

Lower Conditioned Taste Avoidance

Preclinical models show eloralintide induces significantly less conditioned taste aversion than cagrilintide (p<0.05).

Slower Gastric Emptying

Class-typical delay in gastric emptying contributes to increased satiety and reduced caloric intake.

Cardiovascular
Preliminary Data

Improved Lipid Profile

Phase 2 trial reported improvements in lipid profile across treatment arms.

Reduced Inflammatory Burden

hsCRP concentrations decreased over 48 weeks, signaling improved cardiometabolic risk.

Blood Pressure Reduction

Treatment was associated with reductions in blood pressure consistent with weight loss magnitude.

Metabolic
Preliminary Data

Glycemic Improvement

Improvements in glycemic markers reported in Phase 2; ATTAIN trial (NCT06603571) is testing efficacy in adults with T2D.

Waist Circumference Reduction

Waist circumference improved across treatment arms.

Cardiometabolic Risk Reduction

Composite improvements in lipids, BP, glucose, and inflammation suggest broad cardiometabolic benefit.

Research Protocols

As reported in cited literature and research-community logs (see Research Citations below), not a personal dosing recommendation.

This member section describes parameters reported in the research literature.

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Peptide Interactions

This member section summarizes reported compound interactions and evidence limitations.

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Reported Research Time Points

This member section summarizes reported research time points.

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Safety Notes

Included for harm-reduction awareness only, in the event this compound is encountered outside its labeled research use. Inclusion here does not imply RUO Codes endorses, recommends, or instructs human use.

This member section discusses research safety considerations and uncertainties.

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Quality Indicators

Verified Marker

AMY1R-selective design

11–12× selectivity for human AMY1R over CTR and AMY3R underlies improved GI tolerability versus non-selective amylin agonists.

Verified Marker

Methylene thioacetal stabilization

Replacement of the native amylin disulfide with a methylene thioacetal bridge improves chemical stability and fibril resistance.

Verified Marker

Once-weekly pharmacokinetics

Terminal half-life of 310–366 hours (≈13–15 days) provides smooth weekly exposure.

Verified Marker

Favorable Phase 2 safety profile

Mild-to-moderate GI events; lower-dose arms had AE rates similar to placebo.

Acceptable Range

Investigational — not commercially available

Phase 3 initiation planned by year-end 2025. Not approved by any regulatory agency.

Acceptable Range

Long-term durability unknown

No data beyond 48 weeks; weight-regain trajectory after discontinuation has not been characterized.

Quality Concern

Gray-market 'research-grade' material

Lilly has not licensed any research-use formulation. Unregulated 'eloralintide' from peptide vendors has no verified identity, purity, or sequence.

Research Citations

Research Focus

weightLoss, appetiteControl, cardiovascular, metabolic

Verified Vendors Carrying Eloralintide

Related Compounds

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