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Bimagrumab_Dosage, benefits & legal status

Also known as BYM338

Published July 22, 2026 · Updated September 22, 2026

An experimental shot that strips fat while adding muscle.

Fat loss + muscleActivin receptor antibodyInvestigational
Dose10 up to 30 mg/kg per month (trial doses)
FrequencyMonthly
RouteInto a vein or under the skin
StatusInvestigational
CycledNot cycled. Infused every 12 weeks in the trials

Common vial size is what vendors typically sell, not a recommendation. Enter your own vial in the calculator.

See how this dose compares across the library →

01

What is Bimagrumab?

Plain language first. The technical label stays, but it never stands alone.

Overview

By releasing that brake it builds muscle while the body sheds fat, an unusual combination being studied with GLP-1 drugs. It is still experimental.

The technical version

Bimagrumab is a monoclonal antibody that blocks the activin type II receptor, a signal that normally limits muscle.

What it's used for

An unusual experimental shot that strips fat while adding muscle, by blocking a signal that limits muscle. It is being studied alongside GLP-1 drugs.

02

How does Bimagrumab work?

What it does in the body, and where.

Bimagrumab is not a weight-loss drug in the usual sense. It changes what you lose rather than how much.

  1. 01
    It blocks the activin type II receptor
    That receptor carries the signal that normally limits how much muscle you build. Blocking it releases the brake.
  2. 02
    Muscle grows while fat is lost
    An unusual combination. Most weight loss, including from GLP-1 drugs, takes muscle along with fat.
  3. 03
    It is being tested alongside GLP-1 drugs, not instead of them
    The interest is in pairing it with semaglutide so the weight lost is fat rather than lean tissue.
  4. 04
    Dosed by body weight, into a vein
    10 to 30 mg per kilogram by infusion, which is a very different proposition from a weekly self-injection.
  5. 05
    Phase 2 only.
Anatomical model of a standing human figure showing muscle and tendon tissue
WHERE THIS COMPOUND IS THOUGHT TO ACT:
MuscleFat

03

What else is it used for?

Each use below carries its own evidence level. Approved means regulators have cleared it for that purpose. Investigational means it is in trials. Early research means it is being studied and is not established.

  • Losing fat while gaining muscle, an unusual combination being studied alongside the GLP-1 drugsInvestigational
  • Muscle-wasting conditions, where an earlier trial failed to show functional benefitInvestigational

The published record

Research index

97

Papers and trials about Bimagrumab

Searched: Bimagrumab, BYM338.

73 papers tagged human · 32 not reviews or lab · 17 clinical trial publications

17 registered trials · 10 with posted results

Furthest stage reached: Phase 3, results posted

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Prohibited at all times, in and out of competition. S4.3 Anti-activin receptor IIB antibodies (e.g. bimagrumab). Non-Specified.Regulators
In animals22
In the lab0
Reviews34
Senior author shareSpread across many groups

Evidence summary

Counted from Europe PMC indexing, not read by a person; a human tag can land on reviews, commentary or lab papers; clinical trial publications is the narrower count.

Bimagrumab vial rendering
Compound field notes

At a glance

Four things to know about Bimagrumab

01

Evidence

Investigational

02

Category

Muscle building

03

Common vial

Varies

04

Half-life

5 to 19 days, depending on concentration

04

How much, and do you cycle it?

The range, and whether you take breaks.

10 up to 30 mg/kg per month (trial doses), monthly. Not cycled. Infused every 12 weeks in the trials Trial dose

The dosing interval is long because the antibody lasts a long time, not because anyone is cycling it. The phase 2b trial ran 48 weeks blinded with a further 24 weeks open label.

Compare this against the whole library →

05

How long does it stay in the body?

The half-life, and where the figure comes from.

5 to 19 days, depending on concentrationTrial protocol

The half-life is not fixed. It runs about 19 days when blood levels are high and falls to about 5 days when clearance is at its fastest, because the antibody is consumed by the target it binds.

Source: Petricoul O, et al. Clin Pharmacokinet 2023;62:141-155, DOI 10.1007/s40262-022-01189-0

You can compare this against the whole library to see where it sits.

06

How is it given?

Dosing context and source notes.
No draw available

Dosed by body weight, into a vein, not as a flat amount. Phase 2 used 10 or 30 mg per kg. Dosed by body weight and given into a vein, so no vial draw can be shown. Phase 2 used 10 or 30 mg per kg.

07

How do you store it?

Before mixing, and after.

Dry powder in the freezer or fridge. Once mixed, fridge, and use within about a month.

Unmixed lyophilized Bimagrumab keeps for a long time cold. Once you add water the clock starts: most reconstituted vials hold up for roughly 28 to 30 days at fridge temperature. Keep it out of light, and do not freeze it after mixing.

08

What are the side effects and cautions?

Known cautions and warnings for this compound.
Handling note

This compound is in clinical trials and is not sold in a standard vial, so there is no common vial size to show. Trial doses are given as prepared by the study, and the reconstitution calculator does not apply. Dosed by body weight and given by infusion in trials, so no vial size applies.

Who should avoid it

Check these before anything else.
  • No formal contraindications established
  • Pregnancy

Stop and get help

These are emergencies. Seek care.
  • Severe upper stomach pain, which can signal pancreas inflammation
  • Signs of an allergic reaction such as face or throat swelling, hives, or trouble breathing

Common effects

Expected, and usually mild.
  • Muscle spasms, in roughly half to two thirds of people at higher doses
  • Diarrhea in about four in ten
  • Acne or skin eruptions
  • Falls, in older trial participants

Where this page says nothing is established, that means nobody has studied it, not that a compound is safe.

09

Is Bimagrumab approved?

And where the numbers on this page come from.

No. Bimagrumab is not approved anywhere and is currently in company-run clinical trials. There is no legal route to obtain it outside a trial.

  • Approval status
    Investigational
  • Route
    Into a vein or under the skin
  • Checked
    22 September 2026
  • Dose
    From published clinical trials. Not approved by a regulator for this dose.
  • Vial size
    From what vendors typically list; not a recommendation.
  • Sources
    None traced yet.

What has happened recently

We have not yet written a full regulatory note for this compound. The status above is current as of the date shown.

What regulators say

From official documents

Guides for this compound

Sources

No primary source has been traced for this compound yet. Treat everything on this page as unverified until one is. How we grade evidence

Beyond these, 97 records are indexed. Browse the records