Amylin Alone At Twenty Percent
Eloralintide
Also known as LY3841136
At a glance
- What it is
- Selective amylin agonist reaching −20% as monotherapy in Phase 2.
- Evidence
- Clinical trialsHow the tiers workLancet, 6 December 2025, Phase 2, NCT06230523, 263 participants, 48 weeks, once weekly subcutaneous: −9% at 1 mg, −12% at 3 mg, −18% at 6 mg, −20% at 9 mg, −20% on a 6→9 mg escalation and −16% on a 3→9 mg escalation, against −0.4% on placebo. Why this tier
- Routes
- Subcutaneous
- Category
- Metabolic
- WADA
- We do not state a status
Putting Eloralintide on a schedule, with the vial it comes from and a log of each dose, happens in the app: Claritide for iPhone.
Why this tier
Lancet, 6 December 2025, Phase 2, NCT06230523, 263 participants, 48 weeks, once weekly subcutaneous: −9% at 1 mg, −12% at 3 mg, −18% at 6 mg, −20% at 9 mg, −20% on a 6→9 mg escalation and −16% on a 3→9 mg escalation, against −0.4% on placebo. Nausea ran 11–64% across arms and fatigue reached 46% at 9 mg. Not approved.
What it is
Eloralintide is a selective long-acting amylin receptor agonist from Eli Lilly, given once weekly by subcutaneous injection. Its Phase 2, published in the Lancet in December 2025, reported up to 20% weight loss as monotherapy. An amylin agonist reaching that on its own is a category shift rather than an incremental result. It is not approved.
How it works
Amylin is co-secreted with insulin and signals meal termination, slows gastric emptying and suppresses post-meal glucagon. Eloralintide is a selective long-acting agonist at those receptors, without the GLP-1 arm that dominates the current class. That is what makes the Phase 2 result interesting: the weight loss is coming from a different pathway rather than from a larger dose of the same one.
Commonly researched ranges
- Phase 2 dose arms1–9 mg
Four arms of 1, 3, 6 and 9 mg, plus 6→9 mg and 3→6→9 mg escalation arms, over 48 weeks. Those four figures are the whole ladder; a 5 mg or 7 mg dose has never been given. Weight loss ran 9.5% to 20.1% against 0.4% on placebo. Investigational: there is no approved regimen, and the Phase 3 doses are blinded.
| Phase | Amount | Frequency | Timing | Note |
|---|---|---|---|---|
| Phase 2 dose arms | 1–9 mg | Once weekly for 48 weeks | Not established in available literature | Four arms of 1, 3, 6 and 9 mg, plus 6→9 mg and 3→6→9 mg escalation arms, over 48 weeks. Those four figures are the whole ladder; a 5 mg or 7 mg dose has never been given. Weight loss ran 9.5% to 20.1% against 0.4% on placebo. Investigational: there is no approved regimen, and the Phase 3 doses are blinded. |
- Cycle guidance
- Not established in available literature
- Goals
- Fat loss
Where this sits with the FDA
In Phase 2 development with no approval anywhere and no compounding pathway.
Primary sourceWADA status
Not named on the 2026 Prohibited List. We could not determine a classification and do not state one.
We looked and could not resolve it. This is not the same as "not prohibited". Treat it as unresolved and check with your federation before competing.
Mixing recipes our sources document
Not established in available literature. Use the calculator with the figures printed on your own vial.
Open the calculator
Week by week
Not established in available literature.
Side effects
Common
- Nausea
- Fatigue46% in trials
Contraindications and interactions
Do not use if
Not established in available literature.
Interactions
Not established in available literature.
Absence from this list does NOT mean safety. It means lack of research.
Storage and cost
- Storage
- Our sources publish no reconstitution or storage protocol for eloralintide.
- Cost
- Not established in available literature
Eloralintide in full
Limited coverage
Eloralintide (LY3841136) is a selective long-acting amylin receptor agonist from Eli Lilly. Once weekly, subcutaneous.
The Phase 2
Published in the Lancet on 6 December 2025. NCT06230523, 263 participants, 48 weeks:
- 1 mg: −9%
- 3 mg: −12%
- 6 mg: −18%
- 9 mg: −20%
- 6→9 mg escalation: −20%
- 3→9 mg escalation: −16%
- Placebo: −0.4%
Why it matters
Every drug at the top of the weight-loss class right now has a GLP-1 arm. Amylin has mostly been discussed as something to add to a GLP-1: cagrilintide exists commercially as half of CagriSema, not on its own.
An amylin agonist reaching −20% as monotherapy in Phase 2 is a different kind of result. It says the pathway can carry the effect by itself, which changes what combinations are worth building and what a person who tolerates GLP-1s badly might eventually be offered.
Tolerability is not free: nausea ran 11 to 64% across the dose arms and fatigue reached 46% at 9 mg. Phase 2 results also routinely shrink in Phase 3. It is cheap to carry this record now and useful to have it when the next readout lands.
Sources
- 1Lancet, 6 December 2025 · eloralintide Phase 2, NCT06230523, n=263
- 2NCT06230523 · the arm labels carry the literal milligram doses: 1, 3, 6 and 9 mg weekly (dose review, 2026-08-17)
Every record in this library is free to read, and it stays free. Your own schedule, vials and log live in the app: Claritide for iPhone.