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RQS Scoring Log

Survodutide

Metabolic· Human RCT· Scored July 2026· View compound profile →
67 /100
Moderate Evidence
7 dimensions · 100 points total · Methodology by PeptideClear
Scoping Note
RQS reflects survodutide's clinical evidence base as of August 2026, updated on the peer-reviewed publication of its first pivotal Phase 3 results. The Phase 3 SYNCHRONIZE-1 obesity trial (published in The New England Journal of Medicine) and the SYNCHRONIZE-MASLD trial (published in Nature Medicine) moved the compound from a Phase 2 base into published Phase 3 territory, lifting the score from 56 (Limited) to 67 (Moderate). Larger Phase 3 trials, including SYNCHRONIZE-2, the LIVERAGE MASH program, and the SYNCHRONIZE-CVOT cardiovascular outcomes trial, remain ongoing, and the score will be revisited as they report. Moderate reflects genuine, top-tier-published Phase 3 evidence that is still early in its program and entirely industry funded, not a verdict on safety or efficacy.
Dimension Breakdown
DimensionScoring NotesScore
Study Design
Pivotal Phase 3 RCTs have now published: SYNCHRONIZE-1 (obesity, 76 weeks) in The New England Journal of Medicine and SYNCHRONIZE-MASLD in Nature Medicine, alongside the earlier Phase 2 program. This lifts the compound off the Phase 2 ceiling toward the multiple-RCT tier. Held at 22 rather than the maximum because the broader Phase 3 program (SYNCHRONIZE-2, LIVERAGE, SYNCHRONIZE-CVOT) is still ongoing and no regulatory submission has been filed.
22 / 25
Sample Size
SYNCHRONIZE-1 randomized 725 adults across 118 sites in 14 countries over 76 weeks, adding a well-powered Phase 3 cohort on top of the Phase 2 obesity and MASH trials. Cumulative reported human evidence now exceeds 1,000 participants, though it remains well below the multi-thousand pivotal programs of cagrilintide and retatrutide.
10 / 20
Replication
Survodutide now shows consistent effects across multiple Boehringer Ingelheim Phase 3 trials in distinct populations (obesity in SYNCHRONIZE-1, steatotic liver disease in SYNCHRONIZE-MASLD), a meaningful step up from the single-trial Phase 2 base. Held below the top of the band because all trials share a single sponsor and no independent academic replication yet exists.
8 / 20
Journal Impact Factor
Primary Phase 3 results are now published in The New England Journal of Medicine (SYNCHRONIZE-1) and Nature Medicine (SYNCHRONIZE-MASLD), both top-tier journals (IF 8+), up from the earlier eClinicalMedicine placement of the Phase 2 data.
15 / 15
Funding Independence
All trials, Phase 2 and Phase 3, are funded by Boehringer Ingelheim in collaboration with Zealand Pharma. Rigorously conducted and pre-registered, but entirely industry funded with no independent replication.
3 / 10
Population Diversity
SYNCHRONIZE-1 enrolled across 14 countries spanning North America, Europe, and East Asia (roughly 47% North American, 21% European, 20% East Asian), with about 59% female participants, a more geographically and sex-diverse cohort than the Western-weighted Phase 2.
4 / 5
Researcher h-Index
Lead investigators are senior endocrinology and hepatology researchers from Boehringer Ingelheim and academic collaborating sites, with h-Indexes above 20.
5 / 5