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TERN-601 safety · GLP Finds editorial

TERN-601: why early weight loss was not enough

A liver safety finding ended development of an experimental pill.

The takeaway

An experimental oral GLP medicine produced weight loss, but liver safety findings stopped its clinical development. A promising early result is only part of the story.

What researchers tested

The report describes a 28-day study with 37 participants and a 12-week trial with 167 adults with obesity or overweight. Both compared TERN-601 with placebo.

Two studies of TERN-601
Development stopped after liver safety findings

Original visual based on the study.

Two studies of TERN-601
Group or measureResult
28-day study37 participants
12-week trial167 adults randomized
Liver findingsThree possible cases; two consistent on expert review

What happened?

In the longer trial, estimated average weight loss ranged from 2.1% to 4.9% across treatment groups, versus 0.3% with placebo. The analysis used available measurements without replacing missing data; about one-quarter taking TERN-601 stopped treatment early.

Three participants developed liver-test abnormalities consistent with possible drug-induced liver injury. Independent review found two cases consistent with that diagnosis; the third had another possible explanation. One case was reported as a serious drug-related event. The abnormalities resolved without treatment.

Why it matters

The liver findings emerged after the shorter study’s timeframe. Neither early weight loss nor a small trial can establish long-term safety. This finding concerns TERN-601, not proof that every GLP medicine has the same risk.

Who funded it?

Terns Pharmaceuticals funded and participated in the research and publication.

Sources

Garvey and colleagues, Obesity, 2026