GLP-1s & incretins · Metabolic & endocrine
AT-7687
An investigational peptide GIP receptor antagonist — it blocks the GIP receptor rather than activating it — in a Phase 2a study combined with semaglutide.
- How settled this rating is:
- very-low confidence in the current evidence rating
- Routes studied:
- Subcutaneous injection
- Also known as:
- AT7687, GIP receptor antagonist
- Last reviewed:
- 2026-09-20
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Evidence passport
AT-7687
A one-screen evidence identity for this compound. These fields describe research maturity, confidence and legal status. They are not a safety guarantee, efficacy percentage or recommendation.
- Evidence level
- L2Animal / lab studies
- Confidence
- Very low confidence in rating
- Regulatory status
- In clinical trials
- Development status
- In clinical development
Evidence strength
Higher = more and better-quality human evidence. It does not mean the effect is bigger or that the compound works for you.
Higher = more mature, better-documented human safety data. It does not mean the compound is safer than one with a lower number.
The 0-100 values rate the strength and maturity of evidence, not how effective or safe the compound is.
- Evidence base
- Includes human studies
- Furthest established stage
- Phase II
- Human research maturity
- Phase 2a in combination with semaglutide; first patient dosed 28 July 2026 (sponsor-reported). No results
- Source curation
- Sources fully curated
Routes recorded
Overview
Higher = more and better-quality human evidence. It does not mean the effect is bigger or that the compound works for you.
Higher = more animal, tissue or cell research. Preclinical results are a starting point, not proof of a human benefit.
Higher = more mature, better-documented human safety data. It does not mean the compound is safer than one with a lower number.
How to read these scores
Every number here rates the evidence, not the compound. They are editorial 0-100 strength ratings, not percentages, and not a rating out of five stars.
- Human efficacy evidence strength — Higher = more and better-quality human evidence. It does not mean the effect is bigger or that the compound works for you.
- Preclinical evidence strength — Higher = more animal, tissue or cell research. Preclinical results are a starting point, not proof of a human benefit.
- Human safety evidence strength — Higher = more mature, better-documented human safety data. It does not mean the compound is safer than one with a lower number. A score of 80 does not mean “80% safe”.
- Evidence level (L0-L5) — the strongest type of study behind the compound, from anecdote (L0) to large replicated human trials (L5). It is a description of the study evidence, not a quality, safety or recommendation rating.
- Confidence — how likely we think it is that this rating changes as new research lands. Low confidence means the picture is unsettled, not that the compound is bad.
None of these ratings is medical advice, a safety guarantee, or a recommendation to use anything. How we grade evidence.
How far human research has progressed: Phase 2a in combination with semaglutide; first patient dosed 28 July 2026 (sponsor-reported). No results
Routes & formulations
Studied / approved routes
Route availability is not evidence of efficacy, and evidence from one route does not transfer to another. The Registry never provides dosing or sourcing information.
Peptide lifecycle
Discovery
Preclinical
Phase I
Phase II
Furthest established stage
Phase III
Approved
Active early clinical development. Reaching Phase 2a implies Phase 1 work exists; our record does not establish published Phase 1 outcomes for this molecule.
Last documented development: July 2026 — first patient dosed in the Phase 2a combination study
What it is
A peptide that blocks the GIP receptor. This is the opposite pharmacological direction to GIP agonists such as tirzepatide, and the two must not be read as interchangeable even though both involve the same receptor.
What people claim
- Blocking GIP is better than activating it
- Boosts semaglutide weight loss
What the evidence actually says
What people claim: that GIP blockade adds weight loss on top of a GLP-1 medicine. What the evidence actually says: a Phase 2a study combining AT-7687 with semaglutide dosed its first patient on 28 July 2026 and has not reported results. Both GIP agonism and GIP antagonism are being tested clinically, which is itself a sign the biology is unsettled.
Related evidence
Useful next reads based on this compound — not recommendations.
- Related compound
Tirzepatide evidence profile
A dual GIP and GLP-1 receptor agonist with strong Phase 3 weight and glycaemic data.
- Compare
Compare AT-7687 vs Tirzepatide evidence
Same questions, same fields, side by side — including how much human evidence exists.
- Checked claim
Claim review: “Tirzepatide improves obstructive sleep apnoea in people with obesity.”
A closely related claim we have graded, from GLP-1s.
- Context
GLP-1 Centre
How the incretin medicines compare on trial evidence and where they are actually licensed.
Human evidence
- Phase 2a study in combination with semaglutide; first patient dosed 28 July 2026, sponsor-reported. No efficacy or tolerability results reported.
- No published Phase 1 results for this molecule are established in our curated record.
Preclinical evidence
- GIP receptor antagonism has preclinical support as a weight-management approach, including in combination with GLP-1 receptor agonism; molecule-specific detail is not established in our record.
Animal and cell findings are Level 1–2 evidence.
Mechanism and pathways
Receptor targets: GIP receptor (antagonist)
Mechanism class counts the receptors the pharmacology engages and says whether one molecule or several drugs do it. More targets is not the same as more effective, and none of these labels is a receptor name — there is no GLP-3, GLP-4 or GLP-5 receptor.
- Antagonism blocks signalling at the GIP receptor; agonism activates it. Approved tirzepatide is a GIP agonist, so its evidence says nothing about this molecule.
- The rationale for combining GIP blockade with a GLP-1 agonist is additional weight loss; the rationale is not a result.
Safety and unknowns
- No human safety profile is established in our curated record.
- Combination studies carry the tolerability profile of the GLP-1 component as well as any effect of the antagonist.
Cancer relevance
This section covers questions raised by how the compound works in the body, plus anything regulators and trial teams keep an eye on. It is not a statement that this compound causes cancer — for most compounds here, no human data exist in either direction.
No established human signal
Regulatory status
Regulatory decisions apply to specific jurisdictions, products, formulations and indications. An approval elsewhere is not automatically an approval in your country.
Check the regulatory note and linked primary sources for jurisdiction-specific details.
Not approved anywhere. A Phase 2a study is an early exploratory efficacy and safety study; it does not establish benefit.
Evidence grade
Documented compound-specific animal or laboratory outcome findings, without qualifying human evidence for the assessed benefit.
What would change our rating?
- Reported Phase 2a results, particularly placebo-controlled comparisons.
- Published Phase 1 safety and pharmacokinetic data.
References and sources
Source transparency
A provenance snapshot of this profile. Counts show what kinds of sources are cited, not how much scientific weight each source deserves.
- Last editorial review
- 2026-09-20
- Recently reviewed · 26 days ago
- Linked curated sources
- 1
- Sources still pending
- 0
- External specialist reviews
- 0
- None recorded for this profile
Review provenance
Registry editorial review: Colin Jackson-White, creator and editor, who is not a doctor or clinician. External specialist review is credited only when a named reviewer has completed a review of this exact profile.
Current linked evidence is sponsor-only. Treat findings as provisional until independent or peer-reviewed documentation is available.
Literature-discovery and AI tools may help locate or challenge candidate evidence, but they are not counted as evidence sources here. Registry judgements are tied to the underlying papers, trial records, regulator documents and official study records.
- Sponsor / officialAntag Therapeutics — dosing of first patient in Phase 2a trial of GIPR antagonist AT7687 (28 July 2026)
Source hierarchy: regulatory documents and trial registries first, peer-reviewed work next, sponsor material flagged as non-independent. We never use supplier or clinic marketing as evidence, and where a verified source has not yet been curated we say so rather than inventing one.
Evidence change history
These entries record changes to our assessment of the published evidence — not changes to the compound itself.
No recorded changes yet. Baseline position set on 2026-09-20.