Clinical and regulatory evidence comparison

MariTide
vs Zenagamtide.

Compare MariTide with amycretin, now zenagamtide, by monthly, oral, and weekly routes, receptor mechanism, trial evidence, stage, and approval status.

Direct answer

What is the difference?

MariTide and amycretin, now called zenagamtide, are separate investigational obesity programs designed around different mechanisms and treatment schedules. MariTide is a peptide-antibody conjugate that activates GLP-1 receptors and antagonizes GIP receptors, with monthly dosing at the center of its efficacy program. Zenagamtide activates GLP-1 and amylin receptors and is being developed as a daily tablet and weekly injection. No head-to-head trial has compared them, and neither is FDA approved.

Decision cockpit

See the useful differences first.

Start with identity, current US status, trial coverage, and the evidence relationship. Then carry the exact pair into a country-aware workspace without losing either record.

Program ACurrent evidence status

MariTide

Investigational - not FDA approved

Route
Subcutaneous injection
Registry
27 matched NCT records
Sponsor
Amgen
Open the full MariTide record
Program BCurrent evidence status

Zenagamtide

Investigational - not FDA approved

Route
Once-daily oral or once-weekly subcutaneous
Registry
24 matched NCT records
Sponsor
Novo Nordisk
Open the full Zenagamtide record
Evidence relationship map

MariTide vs Zenagamtide: how direct is the evidence?

Separate trial programs

No participant in the cited sources was randomized between MariTide and Zenagamtide. Identity, mechanism, route, trial design, and regulatory status can be compared. Subtracting percentages from separate studies would create a treatment effect the evidence did not test.

Program A

MariTide

GLP-1 receptor agonist + GIP receptor antagonist

Route
Subcutaneous injection
Stage
Phase 3 program active
Status
Investigational - not FDA approved
Open MariTide evidence
Program B

Zenagamtide

GLP-1 + amylin receptor agonist

Route
Once-daily oral or once-weekly subcutaneous
Stage
Phase 3 development underway
Status
Investigational - not FDA approved
Open Zenagamtide evidence
Current registry snapshotIdentity-linked trial coverage

The current exact-intervention dataset contains 268 unique NCT records across 13 tracked investigational programs. Counts describe registry coverage, not comparative evidence strength.

QuestionEvidence statusHow to use it
Identity and mechanismSupported

Compare the named molecules, active components, sponsors, and receptor strategies.

Route, schedule, and stageSupported

Compare the studied route, frequency, development phase, and exact program record.

Regulatory statusCountry-specific

Compare exact approvals, applications, and investigational status in the jurisdiction being checked.

Trial-result differenceNot directly comparable

Treat percentages as separate source records. Do not subtract them, divide them into weekly rates, or use the larger value to name a winner.

Comparative safetyNo comparative conclusion

Use only adverse-event evidence reported for the cited protocol. Separate studies cannot establish which program is safer.

Better for an individualNot established

No group result, receptor count, route, approval milestone, or chart position predicts the best choice for one person.

Country status checks

Check both programs in the same market.

Approval, trial activity, product registration, pharmacy rules, and seller authority are country specific. Open both records before treating a status from one market as valid in another.

Program AAmgen

MariTide

GLP-1 receptor agonist + GIP receptor antagonist

Route
Subcutaneous injection
Stage
Phase 3 program active
Status
Investigational - not FDA approved
Featured trial anchors
NCT05669599 · NCT06858878 · NCT07037433
Open the full MariTide evidence profile
Program BNovo Nordisk

Zenagamtide

GLP-1 + amylin receptor agonist

Route
Once-daily oral or once-weekly subcutaneous
Stage
Phase 3 development underway
Status
Investigational - not FDA approved
Featured trial anchors
NCT06049329 · NCT07503210 · NCT07668414
Open the full Zenagamtide evidence profile
Side-by-side record

Compare the field, then read the limit.

The pair represents two convenience strategies attracting early interest: less-frequent injections and an oral formulation. Convenience cannot be decided from route labels alone. Trial duration, escalation, tolerability, adherence, manufacturing, approval, and the final commercial presentation all remain relevant, while a monthly or oral schedule under study is not yet an approved consumer option.

MariTide and Zenagamtide clinical program comparison
FieldMariTideZenagamtideHow to interpret it
MechanismGLP-1 receptor agonist plus GIP receptor antagonistGLP-1 and amylin receptor agonistBoth use GLP-1 biology, but their second pathway and molecular format are different.
Route studiedMonthly subcutaneous lead scheduleOnce-daily oral and once-weekly subcutaneous formulationsThe programs test different ways to reduce treatment burden, none of which is an approved label yet.
Evidence anchorUp to 19.9% at 52 weeks in Phase 2 participants without diabetesUp to 14.5% at 36 weeks in a Phase 2 subcutaneous group with type 2 diabetesDifferent populations, routes, durations, and study designs rule out a percentage ranking.
Name to followMariTide, formerly AMG 133Zenagamtide, formerly amycretinFormer names remain useful search aliases, while current names connect to newer records.
Evidence boundary

Why the headline numbers do not name a winner.

MariTide's clearest efficacy record comes from a 52-week Phase 2 obesity cohort without diabetes. Zenagamtide's later 36-week Phase 2 results cited here came from people with type 2 diabetes and included separate oral and subcutaneous groups. The earlier 13.1% oral signal came from a small Phase 1 cohort. These records can explain development momentum but not comparative superiority.

Three reading rules

Keep the comparison honest.

  1. 01

    Compare convenience as a research question, not as a settled claim about an approved monthly injection or daily pill.

  2. 02

    Keep zenagamtide's oral and subcutaneous evidence separate, especially when quoting the early 12-week signal.

  3. 03

    Do not rank the programs by headline weight-loss percentages taken from different populations and durations.

Important boundaryNo comparison creates worldwide approval or verified supply.

A country-specific approval, clinical trial, or matching name does not authenticate an online product or establish access elsewhere. This page contains no treatment recommendation, buying route, personal-use protocol, or affiliate link.

Open the safety and status guide →
Primary referencesResults from the Phase 2 obesity study of monthly MariTide52-week efficacy estimates, mechanism, route, tolerability, and Phase 3 programAmgen · June 23, 2025Amgen fourth-quarter and full-year 2025 resultsSecond-year lower monthly and quarterly maintenance updateAmgen · February 2026Phase 2 dose-ranging study - NCT05669599Study design, endpoints, route, and second-year re-randomizationClinicalTrials.gov · Record checked July 17, 2026MARITIME-2 Phase 3 study - NCT06858878Phase 3 status, sponsor, population, and study stageClinicalTrials.gov · Record checked July 17, 2026Research and early development presentationOral Phase 1 cohort size and 13.1% 12-week resultNovo Nordisk · March 2024Phase 2 amycretin results in type 2 diabetesOral and subcutaneous schedules, Phase 2 weight results, and safety summaryNovo Nordisk · November 25, 2025Zenagamtide Phase 2 results presented at ADA 2026Current name, unimolecular peptide identity, 262-participant design, observed 14.6% result, modeled 14.5% estimate, placebo result, and Phase 3 planNovo Nordisk · June 6, 2026AMAZE 7 zenagamtide versus semaglutide Phase 3 study - NCT07668414Not-yet-recruiting status, randomized comparator, estimated enrollment, schedule, week-84 outcome, and completion timingClinicalTrials.gov · Record posted June 25, 2026Innovation and therapeutic focus - Annual Report 2025Zenagamtide rename, mechanism, formulations, and Phase 3 statusNovo Nordisk · February 2026