# Tirzepatide research guide

Tirzepatide (research code LY3298176) is a lab-made 39-amino-acid peptide developed by Eli Lilly, studied in large Phase 3 trials for acting on two receptor systems at once - GIP and GLP-1. It's the same molecule as the approved prescription medicines Mounjaro and Zepbound. Form Labs supplies it as laboratory reference material of the molecule - not the medicine, and not for human use.

Form Labs materials are research reference materials, not the approved medicines; no Form Labs product is approved for human or veterinary use.

- Discovery: described in lab, cell and animal work (Coskun et al., Molecular Metabolism, 2018).
- Head-to-head trial: SURPASS-2 compared the medicine with semaglutide in type 2 diabetes (New England Journal of Medicine, 2021).
- Trial settings: SURMOUNT-1 studied adults with obesity (New England Journal of Medicine, 2022) and SURPASS-2 studied type 2 diabetes (New England Journal of Medicine, 2021).
- Form Labs supplies it as laboratory reference material, with a catalog lot record, for research use only. Matching current certification is unverified.

72 weeks: Follow-up in adults with obesity in SURMOUNT-1 (Jastreboff et al., New England Journal of Medicine, 2022). (SURMOUNT-1 - New England Journal of Medicine, 2022: https://doi.org/10.1056/NEJMoa2206038)

72 weeks: Follow-up in adults with obesity in SURMOUNT-1 (Jastreboff et al., New England Journal of Medicine, 2022). (SURMOUNT-1 - New England Journal of Medicine, 2022: https://doi.org/10.1056/NEJMoa2206038)

40 weeks: Follow-up in adults with type 2 diabetes in SURPASS-2 (New England Journal of Medicine, 2021). (SURPASS-2 - New England Journal of Medicine, 2021: https://doi.org/10.1056/NEJMoa2107519)

2: Receptors with activity reported in LY3298176 laboratory assays: GIP and GLP-1 (Coskun et al., Molecular Metabolism, 2018). (Dual GIP + GLP-1 agonist - Coskun et al., Molecular Metabolism, 2018: https://doi.org/10.1016/j.molmet.2018.09.009)

39: Amino acids in the tirzepatide peptide (research code LY3298176, developed by Eli Lilly) - an identity fact, not a product claim. (Published tirzepatide research - Coskun et al., Molecular Metabolism, 2018: https://doi.org/10.1016/j.molmet.2018.09.009)

## Why is Tirzepatide studied?

Coskun et al. (Molecular Metabolism, 2018) described Tirzepatide, research code LY3298176, in laboratory receptor assays and animal studies. Later trials measured body weight and HbA1c in adults with obesity or type 2 diabetes (SURMOUNT-1, New England Journal of Medicine, 2022; SURPASS-2, New England Journal of Medicine, 2021). Those trial populations and experimental records remain separate from Form Labs reference material.

One molecule, two pathways.

Coskun et al. (Molecular Metabolism, 2018) reported activity at GIP and GLP-1 receptors in laboratory assays of LY3298176, alongside animal observations. These are preclinical records about the molecule.

SURPASS-2 (New England Journal of Medicine, 2021) and SURMOUNT-1 (New England Journal of Medicine, 2022) measured HbA1c or body weight in adults with type 2 diabetes or obesity. Those medicine trials are separate from Form Labs reference material.

## What laboratory observations have Tirzepatide studies reported?

Coskun et al. (Molecular Metabolism, 2018) reported Tirzepatide activity at GIP and GLP-1 receptors in laboratory assays of LY3298176. The paper also described animal observations. These are measurements of the experimental molecule in defined models, separate from the later medicine trials and from the identity or certification of Form Labs reference material.

Tirzepatide receptor assays

### Laboratory receptor assays

Coskun et al. (Molecular Metabolism, 2018) reported LY3298176 activity at GIP and GLP-1 receptors in laboratory assays.

### Animal observations

Coskun et al. (Molecular Metabolism, 2018) reported body-weight and blood-sugar observations in animals; these are preclinical findings.

### Clinical measurements

SURPASS-2 (New England Journal of Medicine, 2021) measured HbA1c and body weight in adults with type 2 diabetes; these are findings about the medicine.

|  |  |
| --- | --- |
| Research code | LY3298176 |
| Class | Dual agonist - one molecule designed to switch on two receptor systems at once: GIP and GLP-1. |
| Molecule | A 39-amino-acid lab-made peptide (a short amino-acid chain) - the same molecule as the approved prescription medicines Mounjaro and Zepbound. |
| Reported half-life | This guide records no specific half-life figure for Tirzepatide. |
| Originator | Developed by Eli Lilly |
| Approval status | The molecule is approved as a prescription medicine - Mounjaro (the US FDA and Australia's TGA) and Zepbound (the FDA only; Zepbound is not TGA-approved). The material Form Labs supplies is NOT that medicine: it is research-use-only reference material of the tirzepatide molecule, for laboratory research, not for human or animal use. |

## What has Tirzepatide been studied for?

Tirzepatide has been studied in four areas in the published literature: body weight in adults with obesity (SURMOUNT-1), blood-sugar control in type 2 diabetes against semaglutide (SURPASS-2), dual GIP and GLP-1 receptor agonism, and regulatory context listed in this guide. The trials are of the medicine Mounjaro, not of anything Form Labs sells, and the reference material is not that medicine.

### Body weight / obesity

Body-weight change in adults with obesity - the SURMOUNT-1 trial behind the -20.9% figure (a trial of the medicine, not a Form Labs result).

SURMOUNT-1 - New England Journal of Medicine, 2022

### Type 2 diabetes

Blood-sugar control (HbA1c) and body weight, compared head-to-head with semaglutide - the SURPASS-2 trial behind the -2.30-point figure.

SURPASS-2 - New England Journal of Medicine, 2021

### Dual GIP + GLP-1 receptor agonism

How one peptide can switch on both the GIP and GLP-1 receptor systems - the mechanism the molecule was designed around.

Coskun et al., Molecular Metabolism, 2018

### Approved-medicine context

The same molecule is the approved medicine Mounjaro (TGA and FDA) and Zepbound (FDA only). Those are doctor-prescribed medicines; this page covers reference material of the molecule, not those medicines.

Regulatory approvals (FDA; TGA)

## Published studies

## What did the Tirzepatide studies find?

The Tirzepatide record includes a discovery paper with laboratory and animal findings (Coskun et al., Molecular Metabolism, 2018) and separate trials in adults with type 2 diabetes and obesity (SURPASS-2, New England Journal of Medicine, 2021; SURMOUNT-1, New England Journal of Medicine, 2022). These trials measured HbA1c or body weight in defined populations; they did not test Form Labs reference material.

### The discovery: one peptide, two receptor systems

Coskun T and colleagues - Molecular Metabolism - 2018

Preclinical (lab, cell, and animal work before human trials)

This was the first detailed characterisation of LY3298176, showing one peptide could switch on both the GIP and GLP-1 receptor systems - the basis for the 'dual agonist' idea.

|  |  |
| --- | --- |
| Studied in | Lab cell tests and animals. |
| Design | A preclinical characterisation study - an early check of how the molecule behaved. |
| Measured | How strongly the molecule bound each receptor, plus body weight and blood sugar in animals. |

The team described LY3298176 as one peptide active at both the GIP and GLP-1 receptors, and in animals it affected body weight and blood sugar (Coskun T and colleagues - Molecular Metabolism - 2018). A preclinical result about the molecule, not a Form Labs product result (Coskun T and colleagues - Molecular Metabolism - 2018).

https://doi.org/10.1016/j.molmet.2018.09.009

### The SURPASS-2 trial - tirzepatide versus semaglutide

SURPASS-2 trial - New England Journal of Medicine - 2021

Phase 3 (large human trial) - of the medicine, not the Form Labs material

SURPASS-2 (New England Journal of Medicine, 2021) measured HbA1c and body weight over 40 weeks in adults with type 2 diabetes, with semaglutide as the active comparator.

|  |  |
| --- | --- |
| Studied in | Adults with type 2 diabetes. |
| Design | A 40-week randomised trial with semaglutide as an active comparator (SURPASS-2, New England Journal of Medicine, 2021). |
| Measured | HbA1c (a three-month blood-sugar marker) and body-weight change. |

SURPASS-2 (New England Journal of Medicine, 2021) reported HbA1c and body-weight differences between Tirzepatide and semaglutide in adults with type 2 diabetes. These are trial observations about the medicines, separate from Form Labs reference material.

https://doi.org/10.1056/NEJMoa2107519

### The SURMOUNT-1 trial - the headline body-weight result

Jastreboff AM and colleagues - New England Journal of Medicine - 2022

Phase 3 (large human trial) - of the medicine, not the Form Labs material

SURMOUNT-1 (New England Journal of Medicine, 2022) measured body-weight change against placebo over 72 weeks in adults with obesity.

|  |  |
| --- | --- |
| Studied in | Adults with obesity. |
| Design | A 72-week randomised, double-blind, placebo-controlled trial. |
| Measured | Percent body-weight change. |

Jastreboff et al. (New England Journal of Medicine, 2022) reported body-weight differences among the SURMOUNT-1 trial groups in adults with obesity. These are group-level findings from a medicine trial rather than a study of Form Labs reference material.

https://doi.org/10.1056/NEJMoa2206038

## How does Tirzepatide compare with similar compounds?

Tirzepatide acts on two receptor systems, GLP-1 and GIP, compared with one for semaglutide and three for Retatrutide, which adds glucagon. The table below also lists each compound's approval status as recorded in this guide. It describes literature and receptor systems only and is not product-use guidance.

|  | Semaglutide (Ozempic / Wegovy) | Tirzepatide (Mounjaro / Zepbound) | Retatrutide (LY3437943) |
| --- | --- | --- | --- |
| GLP-1 receptor | Yes | Yes | Yes |
| GIP (meal & insulin-response pathway) | - | Yes | Yes |
| Glucagon (energy & liver pathway) | - | - | Yes |
| Receptor systems acted on | 1 | 2 | 3 |
| Approval status | Approved medicine | Approved medicine | Investigational - in Phase 3 trials |

## What risks have Tirzepatide studies recorded?

The Tirzepatide trials reported nausea, vomiting, diarrhoea and constipation, mostly mild to moderate (SURPASS-2, New England Journal of Medicine, 2021; SURMOUNT-1, New England Journal of Medicine, 2022). These observations concern the medicine in adults with type 2 diabetes or obesity. They do not establish the safety or certification of a Form Labs reference vial.

### Gastrointestinal events

Most common in the trials

SURPASS-2 (New England Journal of Medicine, 2021) and SURMOUNT-1 (New England Journal of Medicine, 2022) reported nausea, vomiting, diarrhoea and constipation, mostly mild to moderate, in the medicine trials.

### Cautions on the medicine's label

Class- and label-level

Approved GLP-1 and dual-agonist medicines carry label warnings about pancreas inflammation, gallbladder problems, thyroid tumours seen in rodent studies, and low blood sugar when combined with insulin or sulfonylureas (a diabetes drug group). Those apply to the prescribed medicine, not to research-use-only reference material.

### Serious & long-term risks

Per the medicine's label

Long-term outcomes for the medicine are tracked in its trial programme and regulatory label. None of that describes the Form Labs vial, which is not the medicine and is not for human use.

## What has Tirzepatide research not established?

Tirzepatide research does not describe the Form Labs vial, which is research-use-only reference material and not the medicine, so every number on this page comes from the medicine's published trials. The guide does not extrapolate beyond the published trial figures or add unsourced numbers.

- The Form Labs vial, specifically: it isn't the medicine and isn't for use, so it has no 'results'. Every number on this page is from the medicine's published trials.
- Pregnancy and breastfeeding: the medicine's label carries caveats. The research-use-only material is not for human use under any circumstances.
- Anything beyond the published trials: this guide sticks to the locked trial figures and doesn't extrapolate or add unsourced numbers.

## Is Tirzepatide approved, and where does the research stand?

Tirzepatide is described in this guide as the same molecule as the prescription medicines Mounjaro and Zepbound, and this guide's timeline lists their regulatory entries from 2022 to 2024; check the regulator for current status. The timeline starts with the discovery paper (Coskun et al., Molecular Metabolism, 2018), then SURPASS-2 (New England Journal of Medicine, 2021) and SURMOUNT-1 (New England Journal of Medicine, 2022). Form Labs supplies research-use-only reference material, not the medicine.

- 2018: Coskun and colleagues report the discovery and characterisation of LY3298176, a dual GIP and GLP-1 agonist (Molecular Metabolism).
- 2021: SURPASS-2 reports Phase 3 type-2-diabetes results against semaglutide (New England Journal of Medicine).
- 2022: SURMOUNT-1 reports Phase 3 body-weight results - the -20.9% figure (NEJM). The FDA approves Mounjaro for type 2 diabetes; the TGA follows in December 2022.
- 2023: The FDA approves Zepbound for weight management. (Zepbound is not TGA-approved for sale in Australia.)
- 2024: The TGA adds a weight-management indication to Mounjaro in Australia.

## What does the Tirzepatide research mean, and what does it not?

The Tirzepatide trials measured HbA1c or body weight in adults with type 2 diabetes or obesity (SURPASS-2, New England Journal of Medicine, 2021; SURMOUNT-1, New England Journal of Medicine, 2022). The trials also recorded gastrointestinal events, mostly mild to moderate. These published observations concern the medicine in those populations, separate from Form Labs reference material.

### The results come from the medicine's trials

The body-weight and blood-sugar figures on this page are published results from the medicine's Phase 3 trials - not Form Labs product results, and not a promise about anything Form Labs sells.

### This is reference material, not the medicine

The molecule is the approved medicine Mounjaro (and Zepbound in some markets). What Form Labs supplies is research-use-only reference material of the same molecule - not those medicines, not a pharmacy or prescription product, and not for human or animal use.

### Trial safety observations

SURPASS-2 (New England Journal of Medicine, 2021) and SURMOUNT-1 (New England Journal of Medicine, 2022) recorded gastrointestinal events in adults; these observations concern the medicine.

### The maker ran the trials

The Phase 3 programme was run by Eli Lilly, the company that developed the drug. That's normal at this stage and is worth noting alongside the results.

### Where Form Labs fits

This guide is a plain-English summary of published research that Form Labs did not run. It's not medical advice, not a product claim, and not use guidance. Form Labs supplies tirzepatide strictly as reference material of the molecule, with a catalog lot record, for laboratory research. Matching current certification is unverified.

## How is Tirzepatide handled as reference material?

Tirzepatide is laboratory reference material, not for human consumption or veterinary use. Storage and lot checks follow the product label and any verified matching certificate of analysis (COA). This guide's catalogue record notes storage at 2-8 C and protection from light. Historical sample reports do not verify current lot identity, purity or release status.

### Research-use boundary

Tirzepatide is supplied strictly for laboratory research. It is not for human consumption, veterinary, medical, or cosmetic use.

### Storage

Supplied freeze-dried. Keep it at 2-8 C (fridge-cold) and out of light, following the vial label, any verified matching lab report for the batch, and the receiving lab's own written procedures.

### Lab report (COA)

Available reports cover historical samples. Matching current certification is unverified; an account record does not establish current identity, purity or release status.

### Perth dispatch

Available to Perth researchers as RUO reference material, dispatched from Perth via Australia Post or CouriersPlease. Matching current certification is unverified. For laboratory research use only.

## Plain-English definitions.

### Agonist

A molecule that switches a receptor on.

### Dual agonist

One molecule that switches on two different receptor systems at once.

### GLP-1

A gut-hormone pathway tied to feeling full and to the stomach emptying more slowly.

### GIP

A pathway involved in the insulin response and in handling nutrients after a meal.

### Incretin

The gut-hormone family (including GLP-1 and GIP) studied for insulin and appetite signals.

### Twincretin

An informal research term for a dual GIP and GLP-1 agonist, because it acts on the two incretin receptors.

### HbA1c

A blood marker of average blood sugar over about three months, used to track diabetes.

### Peptide

A short chain of amino acids.

### Phase 3

The large, late-stage human trial stage used to support regulatory approval of a medicine.

### Placebo

An inactive look-alike used as a comparison in a trial.

### RCT

Randomised controlled trial - people are assigned by chance and compared with another group, often a placebo.

### Research use only

A lab-only boundary - not for human consumption, veterinary use, medical use, or cosmetic use.

## What are the most common questions about Tirzepatide?

The most common questions about Tirzepatide concern its research code LY3298176, what dual agonist and twincretin mean, what Tirzepatide is studied for, how it differs from semaglutide and Retatrutide, and how it relates to Mounjaro. Tirzepatide is a lab-made dual GIP and GLP-1 agonist developed by Eli Lilly (Coskun et al., Molecular Metabolism, 2018). Form Labs supplies research-use-only reference material, not the medicine.

### What is Tirzepatide's research code?

Tirzepatide's research code is LY3298176, a lab-made 39-amino-acid peptide developed by Eli Lilly. Published studies describe it acting on two receptor systems at once - GIP and GLP-1 - which is why researchers call it a dual agonist. Form Labs supplies it as reference material of the molecule for laboratory research only.

### What does 'twincretin' or 'dual agonist' mean?

Coskun et al. (Molecular Metabolism, 2018) reported LY3298176 activity at GIP and GLP-1 receptors in laboratory assays. Dual agonist and twincretin are the research terms associated with that receptor record, rather than a prediction of clinical outcomes.

### What is Tirzepatide studied for in research?

SURPASS-2 (New England Journal of Medicine, 2021) measured HbA1c and body weight in adults with type 2 diabetes, with semaglutide as the comparator. SURMOUNT-1 (New England Journal of Medicine, 2022) measured body-weight change in adults with obesity. These were trials of the medicine rather than Form Labs material.

### How is Tirzepatide different from semaglutide and Retatrutide?

Tirzepatide sits in the middle of a one-two-three ladder. Semaglutide (Ozempic/Wegovy) acts on one receptor system, GLP-1; tirzepatide acts on two, GLP-1 and GIP; retatrutide adds a third, glucagon. All three are described here only as research molecules - the first two are approved medicines, while retatrutide is still investigational.

### Is Tirzepatide approved, and is it the same as Mounjaro?

Tirzepatide is the same molecule as the approved prescription medicines Mounjaro and Zepbound. Mounjaro is approved by the US FDA and Australia's TGA; Zepbound is FDA-approved but not TGA-approved for Australia. Those are doctor-prescribed medicines. What Form Labs supplies is research-use-only reference material of the tirzepatide molecule - not those medicines, not a pharmacy or prescription product, and not for human use.

### Do the cited trials describe Form Labs reference material?

SURPASS-2 (New England Journal of Medicine, 2021) and SURMOUNT-1 (New England Journal of Medicine, 2022) studied the medicine in defined adult populations. Form Labs supplies laboratory reference material, not that medicine, and not for people or animals.

### Is buying this the same as buying Mounjaro?

Tirzepatide supplied by Form Labs is not Mounjaro and is not a way to buy Mounjaro. It is research-use-only reference material of the same molecule - not the approved medicine, not a prescription product, and not for human use. Mounjaro is a Schedule 4 prescription medicine in Australia, available only through a doctor.

### What does 'for research use only' mean for Tirzepatide?

Tirzepatide is supplied here strictly as reference material for laboratory research - not a medicine, supplement, or food, and not for people or animals to take. The research described on this page concerns the tirzepatide molecule in published studies, not a Form Labs product. Form Labs did not run those studies.

## References

- Discovery and characterisation of LY3298176 as a dual GIP and GLP-1 receptor agonist (preclinical). Coskun T, et al. Molecular Metabolism, 2018. DOI: 10.1016/j.molmet.2018.09.009
- SURPASS-2: tirzepatide versus semaglutide in adults with type 2 diabetes, 40 weeks. New England Journal of Medicine, 2021. DOI: 10.1056/NEJMoa2107519
- SURMOUNT-1: tirzepatide for obesity, 72 weeks (the -20.9% body-weight result). Jastreboff AM, et al. New England Journal of Medicine, 2022. DOI: 10.1056/NEJMoa2206038

![One box labelled One peptide joined by two lines to two boxes labelled GIP receptor and GLP-1 receptor.](/assets/content/ra-one-peptide-two-receptors.png)

Coskun et al. (Molecular Metabolism, 2018) described LY3298176 as one peptide active at both the GIP and GLP-1 receptors.


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