Clinical Research

Retatrutide Once Weekly in Adults with Knee Osteoarthritis Pain and Obesity

Schnitzer TJ, Hunter DJ, Conaghan PG, et al. (2026). New England Journal of Medicine.

Summary

Two phase 3 randomised, placebo-controlled trials of weekly retatrutide in adults with painful knee osteoarthritis and obesity: TRIUMPH-4 (445 adults, 68 weeks) and TRIUMPH-1-OA (574 adults, 80 weeks). Retatrutide reduced WOMAC knee pain scores and body weight more than placebo. In TRIUMPH-4, mean body weight fell by 20.0% and 23.7% on the two retatrutide doses, against 4.6% with placebo; in TRIUMPH-1-OA it fell by 17.5% to 24.8%, against 4.3%. In a pooled analysis, 63.2% to 69.6% of participants on retatrutide at least halved their pain score at week 68, compared with 37.8% on placebo. Gastrointestinal events were the most common adverse events. The trials were not designed to assess joint structure. Published online on 8 November 2026 and presented at ACR Convergence 2026. Both trials were funded by Eli Lilly, which develops retatrutide. Retatrutide is investigational and not an approved medicine.