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Home / Encyclopedia / GLP-1 & Weight / Efinopegdutide
MONOGRAPH No. 116
EVIDENCE BASEModerate
TYPE
GLP-1 / Glucagon dual agonist
MW
Peptide (undisclosed)
CAS
Not assigned
EU STATUS
Investigational · Not approved
WADA
Not listed
MIN PURITY
≥98% HPLC
⚖ GLP-1 & Weight

Efinopegdutide — EU research guide.

Efinopegdutide (MK-6024) is Merck's investigational dual GLP-1/glucagon receptor agonist, developed primarily for metabolic liver disease (MASH) rather than weight loss alone.

Last reviewed:

What is Efinopegdutide?

By co-activating glucagon receptors alongside GLP-1, efinopegdutide is designed to burn hepatic fat directly, not just reduce appetite — a mechanism shared with survodutide and pemvidutide.

What does the research show?

In a Phase 2a NAFLD trial, once-weekly efinopegdutide cut liver fat by 72.7% over 24 weeks, versus 42.3% for semaglutide — a notably larger effect. Merck holds FDA Fast Track designation for NASH/MASH, with the Phase 2b trial in precirrhotic MASH listed by Merck as completed (December 2025) and a trial in compensated cirrhosis active but no longer recruiting; no results have been published yet.

EU legal status

Not approved anywhere. Efinopegdutide is an investigational pharmaceutical developed by Merck under licence from Hanmi Pharmaceutical; it has no legitimate research-peptide supply route.

⚠ Investigational drug; Phase 2b results not yet published. Not EMA/FDA-approved. No human use outside authorised trials.
✓ For the approved dual glucagon/GLP-1 mechanism, PeptideCompare tracks survodutide from EU research vendors with COA documentation.
EVIDENCE SUMMARY
MODERATE
Liver fat reduction in NAFLD (phase 2a, versus semaglutide) — In a 24-week randomised trial in 145 adults with fatty liver disease (72 efinopegdutide, 73 semaglutide), liver fat fell by 72.7% (relative) versus 42.3% with semaglutide, and about two-thirds of the efinopegdutide group normalised liver fat (below 5%). Weight loss was similar (about 8.5% versus 7.1%, p = 0.085). Adverse events were more frequent with efinopegdutide (88.9% versus 72.6%), mainly gastrointestinal.
LIMITED
Phase 2b in MASH and cirrhosis: no results yet — The placebo-controlled phase 2b trial in precirrhotic MASH (NCT05877547; primary aim: resolution of MASH without worsening of scarring) is listed by Merck as completed in December 2025, and a trial in compensated cirrhosis (NCT06465186, about 80 participants) is active, not recruiting. No results from either trial were found, so effects on liver histology are unproven. Merck's pipeline to April 2026 still lists MASH at phase 2.

Molecular information

Molecular weight
Peptide (undisclosed)
CAS number
Not assigned

Pharmacokinetics

No established human pharmacokinetic data. Published human PK parameters for this compound are not available; reported data are limited to animal models or absent. No curve is shown, to avoid implying data that does not exist.

Potency retained over time

Each line is one storage condition: it starts at 100% and falls as potency is lost. Above the dashed 80% line the material is considered reliable — hover for exact values.

Freezer −20 °C
36+ mo
Stable · >95% potency
Fridge 4 °C
4-6 mo
In use · after recon
Room 20 °C
2-3 wks
Limited · moderate loss
Warm 37 °C+
<1 day
Critical · rapid degradation

⚠ Modelled per compound from molecular structure — chain length, cyclisation, oxidation- and deamidation-prone residues and light sensitivity. Indicative only, not lab-measured per batch.

Dual-agonist compounds across EU suppliers

COA-verified EU vendors · Updated monthly

References

  1. Peer-reviewed phase 2a trial (145 adults, 24 weeks, active comparator). It shows a large fall in liver fat, which is a surrogate measure, and higher gastrointestinal adverse events. It does not show effects on liver inflammation, scarring or clinical outcomes. Romero-Gómez M, Lawitz E, Shankar RR, Chaudhri E, Liu J, Lam RLH, Kaufman KD, Engel SS; MK-6024 P001 Study Group. A phase IIa active-comparator-controlled study to evaluate the efficacy and safety of efinopegdutide in patients with non-alcoholic fatty liver disease. J Hepatol. 2023;79(4):888-897. DOIPubMed 37355043
  2. Sponsor press release announcing the phase 2a presentation, FDA Fast Track designation for NASH and the plan to start phase 2b. It also names Hanmi Pharmaceutical as licensor. A company statement, not evidence of efficacy. Merck. Merck to present data for efinopegdutide (MK-6024), an investigational GLP-1/glucagon receptor co-agonist, in patients with nonalcoholic fatty liver disease (NAFLD) at EASL 2023. Press release; 12 June 2023. Source
  3. Sponsor registry entry for the precirrhotic MASH phase 2b trial: status completed (start June 2023, end December 2025), with the primary objective. It lists no results. Merck Sharp & Dohme. A Clinical Study of Efinopegdutide in Participants With Precirrhotic Nonalcoholic Steatohepatitis (NASH) (MK-6024-013; NCT05877547). Merck Clinical Trials registry entry, accessed September 2026. Source
  4. Ethics summary for the same phase 2b trial: randomised, double-blind, placebo-controlled, about 300 planned participants, up to 52 weeks of treatment, with a semaglutide reference arm. It describes the design only. Health Research Authority (UK). Phase 2b Study of Efinopegdutide (MK-6024) in Adults with Precirrhotic Nonalcoholic Steatohepatitis. Research summary; REC reference 23/LO/0391. Source
  5. Sponsor registry entry for the compensated cirrhosis trial (about 80 participants, 28 weeks of treatment): status active, not recruiting. No results are listed. Merck Sharp & Dohme. A Clinical Study of Efinopegdutide in People With Compensated Cirrhosis Due to Steatohepatitis (NCT06465186). Merck Clinical Trials registry entry, accessed September 2026. Source
  6. Merck's public pipeline document listing efinopegdutide for MASH at phase 2 (to 30 April 2026). It confirms the programme is still investigational; it gives no efficacy data. Research vials sold online are not a licensed medicine. Merck. Public pipeline 2Q2026, reflecting the pipeline to 30 April 2026. Source

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