Liraglutide

Liraglutide (Saxenda / Victoza)

In simple words

Liraglutide was the first satiety-hormone copy approved for treating obesity. It is weaker than newer analogs and is given every day, but it has been studied for more than ten years.

What this molecule is

26 amino acids, a GLP-1 analog with a Lys34→Arg substitution and a C16 fatty acid. 97% homology. ~3751 Da.

Why it is studied

The first GLP-1 agonist approved by the FDA for obesity (Saxenda, 2014). SCALE-Obesity (n=3731): −8% over 56 weeks. Differs from semaglutide: daily administration, smaller effect, but 11 years of safety data.

How it works

Identical to semaglutide: GLP-1R agonist → ↓appetite via the hypothalamus (ARC), ↑insulin, ↓glucagon, ↓gastric emptying rate. Shorter T₁/₂ (13 h vs 7 days) — daily administration.

Doses used in studies

Studies used the LIRAPLUS titration schedule: week 1 — 0.6 mg/day; week 2 — 1.2 mg/day; week 3 — 1.8 mg/day; week 4 — 2.4 mg/day; weeks 5+ — 3.0 mg/day (target). Administration once daily SC.

Combined with in studies

  • Orlistat — combination at BMI ≥30
  • Metformin
  • Ipamorelin — GH axis at night + GLP-1 during the day

Level of evidence

Level A Human clinical trials. There are randomized controlled trials (RCTs), or the compound has been approved by a regulatory agency. The most reliable level. FDA-approved (Saxenda 2014). 11 years of data. Well studied.

Important to know

Honest caveat: Smaller effect vs tirzepatide and semaglutide. Nausea 40%, vomiting 15%. The daily regimen reduces treatment adherence. Risk of gallstone disease with rapid weight loss.

Studies in PubMed

  1. Liraglutide treatment in overweight and obese patients with type 1 diabetes: A 26-week randomized controlled trial; mechanisms of weight loss. (Diabetes Obes Metab, 2020)
  2. Liraglutide 3.0 mg and Intensive Behavioral Therapy (IBT) for Obesity in Primary Care: The SCALE IBT Randomized Controlled Trial. (Obesity (Silver Spring), 2020)
  3. Effects of liraglutide on gastrointestinal functions and weight in obesity: A randomized clinical and pharmacogenomic trial. (Obesity (Silver Spring), 2022)
  4. Liraglutide 3.0 mg in the treatment of adults with obesity and prediabetes using real-world UK data: A clinical evaluation of a multi-ethnic population. (Clin Obes, 2024)
  5. Liraglutide and Weight Loss Among Suboptimal Responders to Metabolic Bariatric Surgery: A Randomized Clinical Trial. (JAMA Netw Open, 2025)

Research peptides are laboratory reagents (Research Use Only). They are not medicines and are not intended for use in humans or animals.