Survodutide vs NA-931
Comprehensive side-by-side comparison of mechanisms, dosing, side effects, and research
Also: BI 456906
Survodutide is an injectable dual agonist that hits both the GLP-1 and glucagon receptors, developed by Boehringer Ingelheim and Zealand Pharma. It is being tested for obesity and for fatty liver disease (MASH), and it carries an FDA Breakthrough Therapy designation for MASH. It is still investigational and not approved for any use as of mid-2026.
Also: Bioglutide, cyclic glycine-proline
NA-931 (Bioglutide) is cyclic glycine-proline, a two-amino-acid ring that occurs naturally as a breakdown product of IGF-1. Its developer, Biomed Industries, describes it as an oral once-daily agonist at four receptors at once - IGF-1, GLP-1, GIP and glucagon - and has reported 13 to 15 percent weight loss in a 126-person Phase 2 trial. Those numbers have only ever appeared in conference abstracts, never in a peer-reviewed paper, and no trial results have been filed to ClinicalTrials.gov. The same molecule is already sold as a consumer brain-health supplement and as a Sigma-Aldrich catalogue chemical, which makes it unusually cheap to source and unusually hard to verify.
Key Comparison Insights
- Both peptides belong to the Weight Loss category, suggesting similar primary applications.
Detailed Comparison
| Attribute | Survodutide | NA-931 |
|---|---|---|
| Category | Weight Loss | Weight Loss |
| FDA Status | Not FDA Approved | Not FDA Approved |
| Clinical Status | Pre I II III IV FDA | Pre I II III IV FDA |
| Mechanism of Action | The drug works on two fronts at once. The GLP-1 receptor arm dampens appetite, slows how fast the stomach empties, and improves blood sugar handling, the same lever that semaglutide pulls. The glucagon receptor arm is the twist: glucagon signaling raises energy expenditure and pushes the liver to burn fat rather than store it. The idea, still being proven out in trials, is that adding controlled glucagon activity to GLP-1 action burns more energy and clears liver fat faster than a GLP-1 drug alone, which is why survodutide is aimed squarely at fatty liver disease. | Cyclic glycine-proline is a diketopiperazine: glycine and proline joined into a small ring, 154 daltons, roughly a thirtieth the size of tirzepatide or retatrutide. The independent literature, mostly from Jian Guan's group in Auckland, describes a single mechanism: cGP competes with IGF-1 for binding to IGFBP-3, which frees up IGF-1 that was otherwise bound and inactive. That is a bioavailability effect, studied for stroke recovery, Parkinson's and blood pressure rather than for weight. Biomed's own patent filing (WO2025160184A1) goes much further, claiming the same molecule is a 'quadruple receptor agonist' at IGF-1, GLP-1, GIP and glucagon receptors. That claim is worth understanding properly, because it is the entire basis of the weight-loss story. GLP-1, GIP and glucagon receptors are class B GPCRs, the kind that normally need a thirty-plus residue peptide wrapping into the receptor's binding groove to switch on. A 154-dalton ring activating all three would be a genuinely significant pharmacological finding. No independent group has reported it. Searching PubMed for cyclic glycine-proline alongside GLP-1 returns nothing at all. |
| Common Dosing | Limited community data available See research protocols | 120 mg daily, oral Once daily |
| Administration | Subcutaneous injection weekly | Oral capsule or tablet, once daily |
| Typical Duration | Long-term use expected | 28 days in Phase 1, 13 weeks in Phase 2 |
| Best Time to Take | Before bed or morning (fasted) | Consistent daily timing |
Possible Side Effects May vary by individual |
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| Research Summary | This is one of the more advanced incretin dual agonists, and the human data are real, not hypothetical. In a Phase 2 MASH trial published in the New England Journal of Medicine in 2024 (Sanyal et al.), 293 biopsy-confirmed patients got weekly survodutide or placebo for 48 weeks, and MASH improved without worsening fibrosis in 47% of the 2.4 mg group and 62% of the 4.8 mg group, versus 14% on placebo. A separate Phase 2 obesity study showed weight loss up to roughly 18.7% at 46 weeks in completers. In April 2026, Boehringer Ingelheim and Zealand Pharma reported that the Phase 3 SYNCHRONIZE-1 obesity trial hit its mark with about 16.6% average weight loss. Large Phase 3 MASH trials (LIVERAGE and LIVERAGE-Cirrhosis) are ongoing. The catch worth knowing: nausea, vomiting, and other GI side effects are common, as with the whole incretin class, and final approval is not expected before 2027. | There are no peer-reviewed publications on NA-931. Not one. Everything in circulation is a conference abstract, and the abstracts carrying the efficacy numbers list Biomed's CEO as sole author with conflicts declared as 'None'. Two trials have completed, both run entirely in Australia: a 74-person Phase 1 (NCT06615700, completed September 2024) and a 126-person Phase 2 (NCT06564753, completed April 2025). Neither has results posted. A third trial (NCT06732245) would run in the US, Australia and New Zealand, but has not started recruiting. The reported weight loss is where this gets difficult. The same 126-person Phase 2 has been presented three times with three different numbers: 14.8 percent at ADA in June 2025, 13.8 percent at ENDO in July, and 13.8 percent with a different placebo-adjusted figure in a September press release. Enrolment is given as 125 in the abstracts against 126 on the registry. A result that moves between presentations is not yet a result. The company's website states NA-931 is in Phase 3. No Phase 3 trial for NA-931 is registered on ClinicalTrials.gov. The announcement traces to a single paid newswire release in January 2026, syndicated into around twenty local newspaper press-release sections, which reads like broad coverage but is one purchased placement. |
Frequently Asked Questions: Survodutide vs NA-931
What is the difference between Survodutide and NA-931?
Survodutide is a weight loss peptide that survodutide is an injectable dual agonist that hits both the glp-1 and glucagon receptors, developed by boehringer ingelheim and zealand pharma. it is being tested for obesity and for fatty liver disease (mash), and it carries an fda breakthrough therapy designation for mash. it is still investigational and not approved for any use as of mid-2026. NA-931 is a weight loss peptide that na-931 (bioglutide) is cyclic glycine-proline, a two-amino-acid ring that occurs naturally as a breakdown product of igf-1. its developer, biomed industries, describes it as an oral once-daily agonist at four receptors at once - igf-1, glp-1, gip and glucagon - and has reported 13 to 15 percent weight loss in a 126-person phase 2 trial. those numbers have only ever appeared in conference abstracts, never in a peer-reviewed paper, and no trial results have been filed to clinicaltrials.gov. the same molecule is already sold as a consumer brain-health supplement and as a sigma-aldrich catalogue chemical, which makes it unusually cheap to source and unusually hard to verify. The main differences lie in their mechanisms of action and clinical applications.
Which is better, Survodutide or NA-931?
Neither is universally "better" - the choice depends on your specific goals. Survodutide is typically used for weight loss purposes, while NA-931 is used for weight loss. Always consult with a healthcare provider to determine which may be appropriate for your situation.
Can Survodutide and NA-931 be used together?
Some peptide protocols combine multiple compounds for synergistic effects. However, using Survodutide and NA-931 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.