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TrialsJune 6, 20262 min read

A GLP-1 you take once a month, not once a week: Pfizer's shot holds up

Pfizer's experimental injection kept working when patients switched from weekly to monthly dosing, with up to 12.3% weight loss at 28 weeks. A once-a-month GLP-1 may genuinely be on the way.

What happened

At the American Diabetes Association meeting, Pfizer shared detailed results from a trial of its ultra-long-acting injectable GLP-1, currently called PF'3944, in adults with obesity or overweight.

The interesting part was not just the weight loss, up to 12.3% at 28 weeks versus placebo, but the dosing. Partway through, the trial switched people from a weekly injection to a monthly one, and the weight loss kept going, with no plateau. In plain terms: the drug stayed in the body long enough to work on a quarter of the injections.

Why it matters

The injection itself is one of the real reasons people stop these drugs. A weekly shot is a weekly decision, and life gets in the way. A medicine that works once a month removes most of those decisions, and the easiest treatment to stay on is usually the one that works.

The usual honesty applies: this is mid-stage data on an unapproved drug, and a string of larger Phase 3 trials comes next. It is a glimpse of where the field is going, not something you can ask for yet.

What it means for you

Nothing today, but a good sign. Whether your GLP-1 comes weekly, monthly, or one day as a pill, the part that decides how the year actually goes is the same: protecting your muscle, hitting your protein, and staying consistent.

If the weekly injection is your sticking point right now, our guide to rotating injection sites covers the small things that make it far easier to live with.

People also ask
Is a monthly GLP-1 injection coming?
Possibly. At the American Diabetes Association meeting, Pfizer shared results from a trial of its ultra long acting injectable GLP-1, currently called PF'3944, in adults with obesity or overweight. Partway through, the trial switched people from a weekly injection to a monthly one, and the weight loss kept going with no plateau. The drug stayed in the body long enough to work on a quarter of the injections.
How much weight did Pfizer's long acting shot produce?
Up to 12.3% at 28 weeks against placebo.
Can I get a monthly GLP-1 shot?
No. This is mid stage data on an unapproved drug, and a string of larger Phase 3 trials comes next. It is a glimpse of where the field is going rather than something you can ask for.
Why would monthly dosing matter if weekly already works?
Because the injection itself is one of the real reasons people stop. A weekly shot is a weekly decision, and life gets in the way. A medicine that works once a month removes most of those decisions, and the easiest treatment to stay on is usually the one that works.
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