📚 Wiki › Weight Loss & Metabolic› MariTide

MariTide

◉ Phase 3 (MARITIME program)
MariTide (Maridebart Cafraglutide)
Also known as: Maridebart Cafraglutide, AMG 133
Page last reviewed

Quick Summary

MariTide (maridebart cafraglutide) is an investigational, once-monthly injectable bispecific molecule from Amgen that combines a GIP receptor antagonist antibody with two GLP-1 receptor agonist peptides. A Phase 2 trial reported up to 20% weight loss at 52 weeks. It is not currently FDA approved.

Metabolic / Bispecific Antibody-Peptide Conjugate Phase 3 Clinical Trials
MariTide (maridebart cafraglutide, also called AMG 133) is an investigational, once-monthly injectable bispecific antibody-peptide conjugate developed by Amgen for obesity and type 2 diabetes. Unlike the other peptides on this site, it is manufactured as a monoclonal antibody with two GLP-1 peptide analogs attached, not a standalone synthesized peptide, this is why it does not have a reconstitution calculator here (see note below). It is not currently FDA approved; the figures below describe published Phase 2 clinical trial results, not a consumer or research protocol.
Peptide calculator
Storage Stability
Lyophilized
~1 year
Reconstituted
~30 days (2-8°C)
Room temp
Avoid

Mechanism of Action

Bispecific GIPR Antagonism + GLP-1R Agonism

MariTide pairs a monoclonal antibody that antagonizes (blocks) the GIP receptor with two GLP-1 receptor agonist peptides conjugated to that same antibody. This is mechanistically the opposite of tirzepatide's GIP receptor agonism, but Amgen's data suggests chronic GIP receptor antagonism combined with GLP-1 agonism also produces substantial weight loss, through a pathway still being characterized. The antibody component gives the molecule a long half-life (~21 days), enabling once-monthly dosing.


Research Summary

Phase 2 (NCT05669599)

Phase 2 Complete

Two cohorts: 465 adults with obesity/overweight without type 2 diabetes, and 127 adults with obesity/overweight and type 2 diabetes, 52 weeks (Part 1), once-monthly subcutaneous. Fixed-dose arms of 140 mg, 280 mg, and 420 mg, plus 4-week and 12-week escalation arms to a 420 mg target, and a 420 mg every-8-week arm. Non-diabetic cohort: up to ~20% mean weight loss. Diabetic cohort: up to ~17% mean weight loss. No weight-loss plateau observed at 52 weeks. Published in The New England Journal of Medicine (2025).

Phase 3 (MARITIME program)

Active Research

Amgen's Phase 3 MARITIME program is enrolling multiple trials in obesity, type 2 diabetes, and related conditions including elevated liver fat, heart disease, and sleep apnea.


Research Protocols

GoalDoseFrequencyRoute
Phase 2 fixed-dose reference140 mg, 280 mg, or 420 mg once monthlyMonthlySubcutaneous
Phase 2 escalation reference4-week or 12-week escalation to a 420 mg targetMonthlySubcutaneous

Not yet approved, and not a calculator candidate: MariTide is manufactured as a monoclonal antibody-peptide conjugate, not a lyophilized peptide powder sold in a vial. There is no realistic "reconstitute with BAC water" product format for a biologic like this, unlike every other entry on this site, it is included here for research reference only.


Interactions


Safety Profile

The most common side effects reported were gastrointestinal: nausea, vomiting, and constipation, reduced with dose escalation. No long-term human safety data exists yet; MariTide remains in Phase 3 trials.


References

  • [1]Once-Monthly Maridebart Cafraglutide for the Treatment of Obesity, A Phase 2 Trial. N Engl J Med. 2025.
Ready to dose MariTide?
Get the exact syringe draw
You have read the research. Now run the math. Pick your vial size and BAC water volume, get IU draw in seconds.
Open the Calculator →
Verified Scientific Data Last audited:
Data Sources & External References
Source: peer-reviewed literature  ·  Domain: ascendpeptide.org

Suggest a Change

MariTide · wiki page