Brenipatide (LY-3537031): What It Is, Uses, Trials & FDA Status
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Brenipatide
Investigational · Not FDA-approved

The once-monthly shot built for more than weight loss.

Brenipatide (LY-3537031) is an investigational dual GLP-1/GIP peptide from Eli Lilly, engineered for once-monthly dosing. Its lead trial targets alcohol use disorder, not obesity. It is not FDA-approved and not available to buy, compound, or prescribe today.

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FDA status: investigational, in clinical trials

Brenipatide is not FDA-approved for any use. Eli Lilly is studying it in clinical trials — most prominently a Phase 3 program in moderate-to-severe alcohol use disorder. It isn't sold through pharmacies, compounders, or peptide suppliers.

This summary is based on public company disclosures, the ClinicalTrials.gov registry, and published research — it isn't an official FDA determination, and no efficacy results have been published yet.

The only legitimate way to receive brenipatide is by enrolling in one of Lilly's clinical trials. Material sold online "for research use only" isn't manufactured or quality-controlled for human use, and buying it carries real safety and legal risk.
What it is

A next-generation incretin peptide.

Brenipatide is an investigational medicine from Eli Lilly, developed under the code name LY-3537031. It's a dual agonist of the GLP-1 and GIP receptors — the same two targets as tirzepatide — but engineered to be given once a month instead of once a week. It's still in clinical trials and has not been approved by the FDA.

This page explains what brenipatide is, what it's being studied for, how it's thought to work, and exactly where it stands with regulators. It's written to help people understand the drug — not to sell it, and not as medical advice.

Spec sheet
Developer
Eli Lilly
Type
Dual GLP-1R / GIPR agonist, synthetic peptide
Code name
LY-3537031
CAS number
2408921-49-1
Molecular weight
~4,892 Da (C₂₂₈H₃₅₄N₄₆O₇₂)
Uses under study

What it's being studied for.

The list below is what brenipatide is being studied for in clinical trials — not uses the FDA has approved. No efficacy results have been published yet, so this describes the research program, not a proven effect.

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None of these uses is FDA-approved. Conditions like alcohol use disorder, depression, and IBS-D need care from a licensed professional — not a self-directed peptide.

Mechanism

How it's thought to work.

Mechanism

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Administration in trials

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What the trials measure
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Its own trial safety data has not been published, so no safety profile specific to brenipatide can be given here. As a GLP-1/GIP agonist it belongs to a class whose common effects are gastrointestinal — nausea, vomiting, diarrhea, reduced appetite — but whether and how much brenipatide shares them isn't yet reported. This is not a statement that brenipatide is safe.
Trial tracker

Where brenipatide stands.

Earliest possible FDA decision: not before ~2028, assuming Phase 3 succeeds.

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Active named trials
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Lilly has also reported a bipolar disorder program in its pipeline; no public registry identifier was available at time of writing.

Compounding & legality

Could brenipatide ever be compounded?

"Compounded" drugs aren't approved by the FDA — a pharmacy or outsourcing facility prepares them instead of the manufacturer, under one of two legal pathways.

503A — pharmacy compounding
State-licensed pharmacies or physicians prepare a drug for one named patient, on a prescription. Only allowed to copy an approved drug while it's on FDA's shortage list, or to use a substance on the 503A bulk-drug list.
503B — outsourcing facilities
FDA-registered facilities manufacture in larger batches, without a patient-specific prescription, under cGMP rules — but only using substances on the 503B bulks list.
Why it can't be compounded right now

Both pathways require either an FDA-approved reference drug to copy, or a spot on FDA's 503A/503B bulk-substance lists. Brenipatide has neither: it isn't FDA-approved, and it isn't on either bulks list — it's still Eli Lilly's investigational, patent-protected molecule. Today, there is no legal pathway to a compounded brenipatide.

The tirzepatide precedent

After tirzepatide (Lilly's Mounjaro/Zepbound) was approved, a supply shortage — added to FDA's shortage list in December 2022 — opened the door for 503A pharmacies to legally compound copies, and a wave of 503B facilities and telehealth clinics followed. At its peak in 2024, compounded GLP-1s reportedly made up around 30% of the U.S. supply.7

That window closed once supply caught up: FDA declared the tirzepatide shortage resolved in October 2024, ended 503B enforcement discretion for it in March 2025, and in April 2026 proposed formally excluding it from the 503B bulks list altogether.4

What would have to change
01FDA approval — brenipatide would need to clear Phase 3 and be approved for at least one indication. Earliest realistic timing is ~2028.
02A supply gap or bulks-list nomination — only a declared shortage or a successful 503A/503B bulk-substance nomination would make compounding legal, and current FDA policy is moving to close that door for this drug class, not open it.
03Lilly's posture — Lilly has actively contested compounding of its other GLP-1 medicines; nothing suggests it would treat brenipatide differently once approved.

Anything sold online today as "brenipatide" for research or personal use is unauthorized, unregulated, and not verified to be the same molecule studied in Lilly's trials.

In the press

Press & industry coverage.

FAQ

Frequently asked questions.

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Sources

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