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Ecnoglutide_Dosage, benefits & legal status

Also known as XW003, Xianweiying

Published August 24, 2026 · Updated October 4, 2026

A GLP-1 approved in China and licensed to Pfizer, and not approved in the US.

Weight lossGLP-1 agonistInvestigational
Common vial size10 mg
Dose1.2 to 2.4 mg
FrequencyOnce weekly
RouteUnder the skin (subcutaneous)
StatusApproved abroad, not FDA approved
CycledContinuous weekly dosing

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 Ecnoglutide?

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

Overview

A weekly weight loss injection approved in China, licensed to Pfizer there, and not approved in the US. Its Phase 3 trial reported 15.1% weight loss over 48 weeks.

The technical version

A cAMP-biased GLP-1 receptor agonist with an Ala8Val substitution and a C18 diacid fatty acid conjugated at Lys30. cAMP EC50 reported at 0.018 nM with receptor internalisation EC50 above 10 uM. Approved by the NMPA for weight management and type 2 diabetes; not FDA-approved.

What it's used for

Approved in China for weight management and for type 2 diabetes. Not approved in the United States, Europe or the UK.

02

How does Ecnoglutide work?

What it does in the body, and where.

Two GLP-1 drugs can hit the same receptor and produce different downstream traffic.

  1. 01
    It favors cAMP over receptor internalisation
    Laboratory work reports potent cAMP induction with very little receptor internalisation. The proposal is that a receptor which stays on the cell surface keeps responding.
  2. 02
    The design is also about manufacturing
    It is built from natural amino acids only, with a single substitution and a fatty acid chain, which the developers describe as simplifying production compared with other analogs.
  3. 03
    The half-life supports weekly dosing
    Steady-state half-life is reported at 124 to 138 hours, comparable to the other weekly GLP-1 drugs.
03

What else is it used for?

Each group 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.

Weight loss

Clinical use
  • In the SLIMMER Phase 3 trial, 664 Chinese adults with overweight or obesity received once-weekly ecnoglutide at 1.2, 1.8 or 2.4 mg or placebo for 48 weeks. At the highest dose, participants lost up to 13.8 kg against roughly 200 g on placebo, with 92.8% losing at least 5% of body weight against 14% on placebo. Reported weight loss was 15.1% at 48 weeks with no plateau evident.
  • Participants largely maintained the loss after stopping, regaining around 1% of body weight over seven weeks, which is a notably different pattern from the semaglutide withdrawal data.

Blood sugar

Clinical use
  • In the EECOH-1 Phase 3 trial, 211 participants with type 2 diabetes across 32 centers received 0.6 or 1.2 mg weekly or placebo for 24 weeks, with HbA1c at week 24 as the primary endpoint.
Often left out

Sold by research vendors as a next-generation GLP-1 without noting that it is approved in China and nowhere else. Approval by China's regulator does not predict FDA approval and does not place a drug on the US market. A vial bought from a website is also not the approved product.

The published record

Research index

33

Papers and trials about Ecnoglutide

29 papers tagged human · 7 not reviews or lab · 6 clinical trial publications

17 registered trials · none with posted results

Furthest stage reached: Approved outside the US, China

Compare this against the whole library →

In animals3
In the lab0
Reviews6

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.

Ecnoglutide vial rendering
Compound field notes

At a glance

Four things to know about Ecnoglutide

01

Evidence

Investigational

02

Category

Weight loss and metabolic

03

Common vial

10 mg

04

Half-life

124 to 138 hours at steady state

04

How much, and do you cycle it?

The range, and whether you take breaks.

1.2 to 2.4 mg, once weekly. Continuous weekly dosing Trial dose

Trials dosed weekly and continuously across 24 to 48 weeks. As with the rest of the class, the effect depends on continued treatment.

Compare this against the whole library →

05

How long does it stay in the body?

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

124 to 138 hours at steady statepeer-reviewed

Supports once-weekly dosing. Measured in healthy participants.

Source: Phase 1 pharmacokinetic study, NCT04389775

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

06

How do I dose and price it?

Enter your vial and your dose. Pick a mix. We show the draw and the cost.

The vial holds a fixed amount of drug. Adding more water does not make more drug, it just spreads it thinner, so you draw a bigger number on the syringe for the same dose.

Your vial size (mg)
Printed on the vial.
What you paid per vial
$
Used for cost per dose only.
Your dose (mg)
Commonly referenced range: 0.6 up to 2.4 mgCommunity practice

Choose your mix

your own mL
units · —
Enter your own volume

Measuring the water1 mL = one full 100-unit syringe.

YOUR DRAW12 / 100 units
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 Ecnoglutide 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.

Solubility, computed: 35% charged residues, 35% hydrophobic. Water usually sufficient.

A first-pass rule from peptide manufacturers' guidance. It does not account for disulfide bridges, salt form or how the powder was dried, and it predicts what should be easy rather than what will happen in your vial.

Who should avoid it

Check these before anything else.
  • A personal or family history of medullary thyroid carcinoma or MEN2, per the class
  • Pregnancy or breastfeeding
  • A history of pancreatitis

Stop and get help

These are emergencies. Seek care.
  • Severe or persistent abdominal pain, which can indicate pancreatitis
  • A lump or swelling in the neck, hoarseness or trouble swallowing
  • Any allergic reaction

Common effects

Expected, and usually mild.
  • Nausea, reduced appetite and headache were the reported adverse events in early trials.
  • Described as generally safe and well tolerated across Phase 1 to Phase 3.

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

09

Is Ecnoglutide approved?

And where the numbers on this page come from.

Not in the United States. Ecnoglutide has no FDA approval and is in company-run clinical trials, with no legal route to obtain it there outside a trial. It is approved in China.

  • Approval status
    Investigational
  • Route
    Under the skin (subcutaneous)
  • Checked
    24 August 2026
  • Approved outside the US
    China.This does not change the United States position above.
  • Dose
    From community reports. No regulator or trial established 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.

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, 33 records are indexed. Browse the records