Comparison

AOD-9604 vs Mazdutide

Comprehensive side-by-side comparison of mechanisms, dosing, side effects, and research

AOD-9604

Also: Anti-Obesity Drug 9604, Tyr-hGH Fragment 177-191

Clinical Trials

AOD-9604 is a synthetic fragment of human growth hormone, copying just the last 15 amino acids of the hormone (residues 176 to 191) plus a tyrosine cap. The idea was to keep the fat-burning end of growth hormone while leaving out the part that raises IGF-1 or messes with blood sugar. It was developed by Metabolic Pharmaceuticals in Australia and tested as an anti-obesity drug, but it is not approved by the FDA or any major regulator, and development stopped after it missed its weight-loss targets.

Weight LossHuman Trials
Mazdutide

Also: IBI362, LY3305677

Clinical Trials

Mazdutide is a GLP-1 and glucagon dual agonist, which puts it between semaglutide (GLP-1 only) and retatrutide (GLP-1, GIP and glucagon). It is built on oxyntomodulin, a natural gut hormone that hits both receptors, rather than on a GLP-1 backbone. It is furthest along in China, where it is approved for both weight management and type 2 diabetes. Western approval has not happened.

Weight LossHuman Trials

Key Comparison Insights

  • Both peptides belong to the Weight Loss category, suggesting similar primary applications.

Detailed Comparison

AttributeAOD-9604Mazdutide
CategoryWeight LossWeight Loss
FDA StatusNot FDA ApprovedNot FDA Approved
Clinical Status
Pre
I
II
III
IV
FDA
Pre
I
II
III
IV
FDA
Mechanism of ActionIn lab and animal studies, AOD-9604 appears to nudge fat cells toward breaking down stored fat (lipolysis) and away from making new fat (lipogenesis), echoing the lipolytic tail-end of the full growth hormone molecule. Unlike real growth hormone, it does this without meaningfully raising IGF-1, the downstream growth signal that drives growth hormone's anabolic and blood-sugar effects. The exact receptor it works through is not pinned down, and a clean, growth-hormone-receptor-independent pathway remains a working hypothesis rather than settled science. In short, the proposed selling point is fat-burning signaling without the classic growth hormone baggage, but the molecular details are still fuzzy.Two receptors, two jobs. The GLP-1 arm does the familiar work: it suppresses appetite, slows gastric emptying and improves glucose-dependent insulin release. The glucagon arm is the interesting half, because glucagon is normally thought of as the hormone that raises blood sugar. At these doses the intent is to exploit glucagon's other effects, increasing energy expenditure and pushing the liver to burn fat, while the GLP-1 arm keeps blood glucose in check and cancels out glucagon's hyperglycemic tendency. That balance is the whole design: glucagon supplies extra fat burning that GLP-1 alone cannot, and GLP-1 supplies the safety margin that makes adding glucagon viable. Reported reductions in liver fat are consistent with the glucagon component doing what it is meant to.
Common Dosing
300 mcg daily
Once daily, usually morning fasted
4-6 mg weekly
Once weekly
AdministrationSubcutaneous injection or oral (studied both)Subcutaneous injection, once weekly
Typical Duration12-24 weeks in studiesOngoing weekly use in trials, typically assessed at 24 to 48 weeks
Best Time to TakeMorning (fasted)Same day each week, morning preferred
Possible Side Effects
May vary by individual
  • Generally very well-tolerated
  • Injection site reactions
  • Mild headache
  • Dizziness
  • Does NOT produce typical HGH side effects
  • +2 more
  • Nausea, worst during dose escalation
  • Vomiting
  • Diarrhea
  • Decreased appetite (the intended effect, but can be excessive)
  • Injection site reactions
  • +2 more
Research SummaryThe animal and cell data look encouraging, but the human story is where it falls apart. Across roughly six randomized, double-blind, placebo-controlled trials involving about 900 people, a safety review published in the Journal of Endocrinology and Metabolism (Moré et al.) found AOD-9604 was well tolerated, did not raise IGF-1, did not harm glucose metabolism, and triggered no detectable antibodies. The catch: it did not deliver clinically meaningful weight loss. The largest Phase IIb obesity trial failed to beat placebo on its main endpoint, and Metabolic Pharmaceuticals halted clinical development around 2007. So the honest summary is a peptide with a clean safety record in humans and essentially no proven efficacy for fat loss in humans.The pivotal trial is GLORY-1, published in the New England Journal of Medicine in 2025: 610 Chinese adults with overweight or obesity over 48 weeks. Mean weight reduction was 11.0 percent at 4 mg and 14.0 percent at 6 mg, alongside improvements in liver fat, blood pressure and lipids. A 9 mg dose has since been studied in phase 2 (about 12.8 percent at 24 weeks) and is in phase 3. Tolerability followed the pattern of the whole class, dominated by dose-dependent nausea, vomiting and diarrhea during titration. One caveat matters when reading these numbers: GLORY-1 enrolled a population with a mean BMI of 31.1, against roughly 38 in the Western trials of semaglutide and tirzepatide, so the percentages are not directly comparable to SURMOUNT-1 or STEP-1 results. There is no completed Western phase 3 program, so neither the FDA nor the EMA has assessed it, and meaningful head-to-head data against tirzepatide or retatrutide does not exist.

Frequently Asked Questions: AOD-9604 vs Mazdutide

What is the difference between AOD-9604 and Mazdutide?

AOD-9604 is a weight loss peptide that aod-9604 is a synthetic fragment of human growth hormone, copying just the last 15 amino acids of the hormone (residues 176 to 191) plus a tyrosine cap. the idea was to keep the fat-burning end of growth hormone while leaving out the part that raises igf-1 or messes with blood sugar. it was developed by metabolic pharmaceuticals in australia and tested as an anti-obesity drug, but it is not approved by the fda or any major regulator, and development stopped after it missed its weight-loss targets. Mazdutide is a weight loss peptide that mazdutide is a glp-1 and glucagon dual agonist, which puts it between semaglutide (glp-1 only) and retatrutide (glp-1, gip and glucagon). it is built on oxyntomodulin, a natural gut hormone that hits both receptors, rather than on a glp-1 backbone. it is furthest along in china, where it is approved for both weight management and type 2 diabetes. western approval has not happened. The main differences lie in their mechanisms of action and clinical applications.

Which is better, AOD-9604 or Mazdutide?

Neither is universally "better" - the choice depends on your specific goals. AOD-9604 is typically used for weight loss purposes, while Mazdutide is used for weight loss. Always consult with a healthcare provider to determine which may be appropriate for your situation.

Can AOD-9604 and Mazdutide be used together?

Some peptide protocols combine multiple compounds for synergistic effects. However, using AOD-9604 and Mazdutide together should only be considered under medical supervision, as both compounds have their own side effect profiles and potential interactions. Research on their combined use may be limited.

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