Evidence map›Paper›PMID 42745421›Full record

ArticleRapid communications in mass spectrometry : RCM2026

Detection and Excretion Profile of Retatrutide in Human Plasma and Urine by LC-HRMS: Implications for Antidoping Analysis.

Gabriel Reis Alves Carneiro, Isabelle Karine da Costa Nunes, Gustavo Ramalho Dos Santos Cardoso, Paola Façanha Dos Santos, Monica Costa Padilha, Fábio César Sousa Nogueira, Henrique Marcelo Gualberto Pereira

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Article in Rapid communications in mass spectrometry : RCM, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Gabriel Reis Alves CarneiroLBCD, LADETEC, Instituto de Química, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0003-1299-4121
Isabelle Karine da Costa NunesLBCD, LADETEC, Instituto de Química, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, Brazil.
Gustavo Ramalho Dos Santos CardosoLBCD, LADETEC, Instituto de Química, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-0943-7255
Paola Façanha Dos SantosLBCD, LADETEC, Instituto de Química, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, Brazil.
Monica Costa PadilhaLBCD, LADETEC, Instituto de Química, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0003-3760-8231
Fábio César Sousa NogueiraLABPROT, LADETEC, Instituto de Química, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0001-5507-7142
Henrique Marcelo Gualberto PereiraLBCD, LADETEC, Instituto de Química, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0001-8597-416X

Funding

Conselho Nacional de Desenvolvimento Científico e TecnológicoFinanciadora de Estudos e Projetos 01.25.0191.00
6 · The paper itself

Abstract

rationaleRetatrutide (LY3437943) is a novel long-acting triple incretin receptor agonist that targets the glucagon-like peptide-1 receptor (GLP-1R), glucose-dependent insulinotropic polypeptide receptor (GIPR), and glucagon receptor (GCGR). Its pronounced effects on body composition and metabolic health, combined with increasing off-label use among physically active populations, raise concerns about potential misuse in sport. Despite growing clinical interest and anecdotal reports about use among amateur athletes, information on the detection and elimination profile of retatrutide in humans remains unexplored.

methodsA method based on liquid chromatography-high-resolution mass spectrometry (LC-HRMS) dedicated to monitor retatrutide was developed and validated in human plasma and urine in accordance with World Anti-Doping Agency (WADA) criteria. Detection was based on the [M + 3H]

resultsThe method was proved fit-for-purpose regarding selectivity, reliability, robustness, and stability. Limits of detection (LOD) were evaluated using both empirical ≥ 95% detection rate criteria and sigmoidal logistic regression modeling, yielding 6.14 ng/mL in plasma and 2.44 ng/mL in urine. Neither intact retatrutide nor metabolite-derived signals were detected in urine samples throughout the entire collection period, despite systematic application of multiple extraction strategies. Plasma concentration-time profiles exhibited nonmonotonic behavior, consistent with prolonged subcutaneous absorption and depot-like release kinetics following repeated dosing.

conclusionThese findings suggest that plasma represents the appropriate matrix for intact retatrutide detection compared with urine. The extended plasma detection window, approximately 56 days after the first dose, supports plasma-based testing as a suitable analytical strategy for this and related long-acting therapeutic peptides in antidoping testing context.

Indexed as

Doping in SportsLiquid Chromatography-Mass SpectrometryAdultChromatography, LiquidFatty AcidsHumansLimit of DetectionMalePeptidesReproducibility of ResultsFatty AcidsPeptidesretatrutideantidoping analysisGLP‐1 receptor agonistincretinLC‐HRMSLY3437943peptide elimination studyplasmaretatrutide

Identifiers

PMID42745421
PMCPMC13578828

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.