Three research updates this week: a Retatrutide Phase 3 timeline, new data on BPC-157 oral delivery, and what a pharmacokinetics review says about TB-500 dosing frequency.
Eli Lilly's Phase 3 TRIUMPH program for retatrutide (LY3437943) — a triple GIP/GLP-1/glucagon receptor agonist — has completed enrollment across its major obesity cohorts. Phase 2 data published in the NEJM demonstrated a mean body weight reduction of up to 24.2% at 48 weeks, outperforming semaglutide and tirzepatide comparators in head-to-head analyses.
What it means for dosing: The Phase 2 titration protocol (0.5 mg → 1 mg → 2 mg → 4 mg → 8 mg → 12 mg over 24 weeks) remains the basis for ASCEND's preset. Phase 3 completion suggests potential regulatory submission in late 2027 if primary endpoints are met.
BPC-157 Oral Bioavailability: New Preclinical Data Shows Systemic Uptake
A 2025 preclinical study published in Peptides examined the systemic bioavailability of orally administered BPC-157 in rodent models. The researchers found measurable serum concentrations following oral gavage, with some evidence of mucosal absorption in the stomach — consistent with BPC-157's known gastric origin as a fragment of gastric juice protein.
What it means for dosing: Oral BPC-157 is gaining traction in the research community, but subcutaneous injection remains the route with the most established pharmacokinetic data. ASCEND's calculator is calibrated for subcutaneous/intramuscular administration. Oral dosing protocols are still being characterized and are not yet reflected in our presets.
A pharmacokinetics review of Thymosin Beta-4 fragments, including TB-500 (the synthetic Ac-SDKP fragment), confirms a plasma half-life of approximately 1.2–1.5 hours following subcutaneous injection in preclinical models. However, the authors note that tissue concentrations — particularly in muscle, connective tissue, and bone — appear to remain elevated for significantly longer, supporting a once-weekly injection frequency during loading phases.
What it means for dosing: ASCEND's TB-500 preset uses the standard 2.5 mg twice-weekly loading protocol for the first 4–6 weeks, followed by a 2.5 mg monthly maintenance dose. The PK data supports this approach — tissue residence time likely explains the efficacy of less frequent maintenance dosing despite the short plasma half-life.