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Eli Lilly to offer early access to next-gen obesity drug to some patients

By Thomson Reuters Aug 3, 2026 | 5:33 PM

By Sneha S K and Deena Beasley

Aug 3 (Reuters) – Eli Lilly said on Monday it would allow a limited number of patients to have early ​access to its experimental obesity drug, retatrutide, before ‌its U.S. FDA approval.

“For a limited number of patients who meet specific medical criteria and cannot enroll in a clinical trial, we believe it is medically appropriate to make authentic retatrutide available ‌before ​FDA approval, consistent with FDA’s ⁠guidance,” a company spokesperson ⁠said.

The spokesperson added that Lilly has built an expanded access program “that does that and are actively reviewing requests from health care providers.”

Eligible patients must be aged 18 ​or older, have refractory obesity despite tolerating the highest approved dose of obesity therapy, and have at ⁠least two serious or life-threatening ⁠obesity-related complications for which they are receiving ​care.

Patients should also be unable to participate in an ongoing ​clinical trial of retatrutide or a comparable investigational ‌treatment.

STAT News was the first to report on the expanded access program. It had previously also reported that the company granted a single 79-year-old patient special access ⁠to retatrutide.

Retatrutide is designed to target three different metabolic hormones: GLP-1, GIP and glucagon. The company’s current injectable obesity drug, Zepbound, ⁠targets GLP-1 ‌and GIP.

Lilly said in July that an ⁠80-week trial of adults with severe obesity ​and ‌established heart disease showed average weight loss ​of 22.6% ⁠for the highest weekly dose of retatrutide.

The company plans to file for approval for retatrutide with the FDA in the first quarter of next year.

(Reporting by Sneha S K in Bengaluru and Deena Beasley in Los Angeles; Editing ​by Shreya Biswas)