Mechanism of Action
Bispecific GIPR Antagonism + GLP-1R Agonism
MariTide pairs a monoclonal antibody that antagonizes (blocks) the GIP receptor with two GLP-1 receptor agonist peptides conjugated to that same antibody. This is mechanistically the opposite of tirzepatide's GIP receptor agonism, but Amgen's data suggests chronic GIP receptor antagonism combined with GLP-1 agonism also produces substantial weight loss, through a pathway still being characterized. The antibody component gives the molecule a long half-life (~21 days), enabling once-monthly dosing.
Research Summary
Phase 2 (NCT05669599)
Phase 2 CompleteTwo cohorts: 465 adults with obesity/overweight without type 2 diabetes, and 127 adults with obesity/overweight and type 2 diabetes, 52 weeks (Part 1), once-monthly subcutaneous. Fixed-dose arms of 140 mg, 280 mg, and 420 mg, plus 4-week and 12-week escalation arms to a 420 mg target, and a 420 mg every-8-week arm. Non-diabetic cohort: up to ~20% mean weight loss. Diabetic cohort: up to ~17% mean weight loss. No weight-loss plateau observed at 52 weeks. Published in The New England Journal of Medicine (2025).
Phase 3 (MARITIME program)
Active ResearchAmgen's Phase 3 MARITIME program is enrolling multiple trials in obesity, type 2 diabetes, and related conditions including elevated liver fat, heart disease, and sleep apnea.
Research Protocols
| Goal | Dose | Frequency | Route |
|---|---|---|---|
| Phase 2 fixed-dose reference | 140 mg, 280 mg, or 420 mg once monthly | Monthly | Subcutaneous |
| Phase 2 escalation reference | 4-week or 12-week escalation to a 420 mg target | Monthly | Subcutaneous |
Not yet approved, and not a calculator candidate: MariTide is manufactured as a monoclonal antibody-peptide conjugate, not a lyophilized peptide powder sold in a vial. There is no realistic "reconstitute with BAC water" product format for a biologic like this, unlike every other entry on this site, it is included here for research reference only.
Interactions
Safety Profile
The most common side effects reported were gastrointestinal: nausea, vomiting, and constipation, reduced with dose escalation. No long-term human safety data exists yet; MariTide remains in Phase 3 trials.
References
- [1]Once-Monthly Maridebart Cafraglutide for the Treatment of Obesity, A Phase 2 Trial. N Engl J Med. 2025.