---
title: "ACCG-2671 | PepTracker Pro"
url: https://peptrackerpro.com/peptides/accg-2671
description: "An oral, once-daily small-molecule amylin receptor agonist in first-in-human Phase 1 testing for obesity — an early entrant in the race to make amylin biology available as a pill rather than an injection."
lang: en
---

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# ACCG-2671

Low Evidence

An oral, once-daily small-molecule amylin receptor agonist in first-in-human Phase 1 testing for obesity — an early entrant in the race to make amylin biology available as a pill rather than an injection.

Aliases ACCG2671 +3 more

Evidence Low Evidence

Last Updated 2026-06-14

Reading Time 3 min

## What It Is

ACCG-2671 is an investigational oral, once-daily small molecule that activates the amylin receptor, being developed by Structure Therapeutics for the treatment of obesity. Amylin is a hormone co-secreted with insulin that promotes satiety and slows gastric emptying; amylin-based drugs (such as the injectable cagrilintide, eloralintide, and petrelintide) have emerged as one of the most promising non-incretin approaches to weight loss, valued for strong appetite control and the potential to preserve lean mass better than some GLP-1 regimens. Most amylin agonists are injectable peptides. ACCG-2671 is notable because it is a small molecule designed to be taken as a daily pill, created with Structure Therapeutics' structure-based drug-discovery platform to reproduce amylin biology orally. The company selected ACCG-2671 as its lead oral amylin candidate in December 2024 and announced the start of a first-in-human Phase 1 study in December 2025. That study evaluates safety, tolerability, pharmacokinetics, and pharmacodynamic activity in both healthy volunteers and people with obesity, using single-ascending-dose and multiple-ascending-dose cohorts. In preclinical work the company reported potent target engagement, robust weight loss as a standalone treatment and additional weight loss when combined with a GLP-1 receptor agonist, a favorable safety profile, and pharmacokinetics suitable for once-daily dosing. ACCG-2671 has no published human efficacy data yet, is not approved by any regulator, is not a marketed or compounded product, and is not on the FDA's July 2026 PCAC compounding review list. As a brand-new clinical-stage drug candidate, it should be distinguished sharply from the 'research chemical' compounds sold online.

Also known as: ACCG2671, ACCG 2671, oral amylin small molecule, Structure Therapeutics amylin agonist

## Why Researchers Study It

ACCG-2671 targets one of obesity medicine's most sought-after goals: delivering amylin biology — strong satiety and potential lean-mass advantages — in a convenient once-daily oral small molecule rather than an injectable peptide. Researchers are interested in whether an oral amylin agonist can match the weight loss of injectable amylin peptides, work as a standalone therapy or as an oral combination partner with GLP-1 drugs, and achieve acceptable gastrointestinal tolerability. It represents the next frontier after oral GLP-1 (orforglipron, oral semaglutide): an oral, mechanistically distinct partner that could broaden combination obesity therapy.

## Proposed Mechanisms

- Activates the amylin receptor (calcitonin receptor paired with RAMP co-receptors) as a small-molecule agonist
- Promotes satiety and reduces food intake through central amylin signaling
- Slows gastric emptying to prolong post-meal fullness
- Designed for oral, once-daily dosing rather than injection
- Intended to act as a standalone agent or as an oral combination partner with GLP-1 receptor agonists

## Evidence Snapshot

Low Evidence

Low

Medium

High

| Study Type | Model | Outcome | Link |
| --- | --- | --- | --- |
| Human (Phase 1, ongoing) | First-in-human single- and multiple-ascending-dose study in healthy volunteers and adults with obesity (initiated Dec 2025) | Evaluating safety, tolerability, pharmacokinetics, and pharmacodynamic activity; no results published yet | Source: https://www.globenewswire.com/news-release/2025/12/17/3206968/0/en/Structure-Therapeutics-Announces-Initiation-of-Phase-1-Clinical-Study-of-Oral-Small-Molecule-Amylin-Receptor-Agonist-ACCG-2671-for-the-Treatment-of-Obesity.html |
| Preclinical (developer-reported) | Animal models of obesity, monotherapy and combination with a GLP-1 receptor agonist | Reported potent target engagement, robust weight loss alone and added weight loss in combination with a GLP-1 RA, favorable safety, and once-daily oral pharmacokinetics | Source: https://www.globenewswire.com/news-release/2024/12/17/2998609/0/en/Structure-Therapeutics-Announces-Selection-of-Lead-Oral-Small-Molecule-Amylin-Receptor-Agonist-ACCG-2671-for-the-Treatment-of-Obesity.html |

## Commonly Discussed Benefits

Fat Loss: https://peptrackerpro.com/benefits/fat-loss
Appetite Regulation: https://peptrackerpro.com/benefits/appetite-regulation
Metabolism: https://peptrackerpro.com/benefits/metabolism

Researching ACCG-2671? Track it, set reminders, and keep notes in the free app.

Track in App (https://app.peptrackerpro.com/?add=accg-2671)

## Safety & Cautions

- No human efficacy or safety data have been published — a first-in-human Phase 1 study only began in December 2025
- Not approved by the FDA or any regulator; not a marketed, prescribed, or compounded product
- Not on the FDA's July 2026 PCAC compounding review list and not legitimately available to consumers
- All weight-loss and safety claims so far come from preclinical (animal) data reported by the developer
- It is a small molecule, not a peptide, despite targeting the same amylin receptor as injectable amylin peptides
- Most experimental amylin agonists cause gastrointestinal side effects (nausea, vomiting); the oral tolerability of ACCG-2671 in humans is not yet known

## Comparisons

See how ACCG-2671 compares to related peptides:

ACCG-2671 vs Amycretin: https://peptrackerpro.com/compare/accg-2671-vs-amycretin

ACCG-2671 vs Cagrilintide: https://peptrackerpro.com/compare/accg-2671-vs-cagrilintide

ACCG-2671 vs Eloralintide: https://peptrackerpro.com/compare/accg-2671-vs-eloralintide

ACCG-2671 vs Petrelintide: https://peptrackerpro.com/compare/accg-2671-vs-petrelintide

ACCG-2671 vs Semaglutide: https://peptrackerpro.com/compare/accg-2671-vs-semaglutide

ACCG-2671 vs Tirzepatide: https://peptrackerpro.com/compare/accg-2671-vs-tirzepatide

## Calculator Tools

Use our research tools to explore dosing and reconstitution data:

Reconstitution Calculator: https://peptrackerpro.com/calculators

## Citations

1. [1] Structure Therapeutics — Initiation of Phase 1 Clinical Study of Oral Small Molecule Amylin Receptor Agonist ACCG-2671 (Dec 17, 2025) PubMed (https://www.globenewswire.com/news-release/2025/12/17/3206968/0/en/Structure-Therapeutics-Announces-Initiation-of-Phase-1-Clinical-Study-of-Oral-Small-Molecule-Amylin-Receptor-Agonist-ACCG-2671-for-the-Treatment-of-Obesity.html)
2. [2] Structure Therapeutics — Selection of Lead Oral Small Molecule Amylin Receptor Agonist ACCG-2671 (Dec 17, 2024) PubMed (https://www.globenewswire.com/news-release/2024/12/17/2998609/0/en/Structure-Therapeutics-Announces-Selection-of-Lead-Oral-Small-Molecule-Amylin-Receptor-Agonist-ACCG-2671-for-the-Treatment-of-Obesity.html)
3. [3] Structure Therapeutics — ACCG-2671 Phase 1 initiation (investor relations) PubMed (https://ir.structuretx.com/news-releases/news-release-details/structure-therapeutics-announces-initiation-phase-1-clinical)

### Keep researching in the app

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## Related Peptides

### Amycretin

Medium Evidence

A unimolecular GLP-1 and amylin receptor dual agonist in Phase 3 trials, available in both subcutaneous and oral formulations, with up to 22% weight loss in Phase 1b/2a.

Weight Management (https://peptrackerpro.com/benefits/weight-management)Appetite Regulation (https://peptrackerpro.com/benefits/appetite-regulation)Metabolism (https://peptrackerpro.com/benefits/metabolism)Fat Loss (https://peptrackerpro.com/benefits/fat-loss)+1 more

View Details: https://peptrackerpro.com/peptides/amycretin

\+ Compare: https://peptrackerpro.com/compare?select=amycretin
Track in App: https://app.peptrackerpro.com/?add=amycretin

### Cagrilintide

High Evidence

A long-acting amylin analog studied for appetite regulation; NDA filed for CagriSema (cagrilintide + semaglutide) combination in December 2025, with FDA review expected in 2026.

Weight Management: https://peptrackerpro.com/benefits/weight-management
Appetite Regulation: https://peptrackerpro.com/benefits/appetite-regulation
Metabolism: https://peptrackerpro.com/benefits/metabolism

View Details: https://peptrackerpro.com/peptides/cagrilintide

\+ Compare: https://peptrackerpro.com/compare?select=cagrilintide
Track in App: https://app.peptrackerpro.com/?add=cagrilintide

### Eloralintide

Medium Evidence

A selective, long-acting amylin receptor agonist in Phase 3 trials for obesity, offering a GLP-1-independent weight loss mechanism with up to 20.1% weight loss in Phase 2.

Weight Management: https://peptrackerpro.com/benefits/weight-management
Appetite Regulation: https://peptrackerpro.com/benefits/appetite-regulation
Metabolism: https://peptrackerpro.com/benefits/metabolism
Fat Loss: https://peptrackerpro.com/benefits/fat-loss

View Details: https://peptrackerpro.com/peptides/eloralintide

\+ Compare: https://peptrackerpro.com/compare?select=eloralintide
Track in App: https://app.peptrackerpro.com/?add=eloralintide

### Petrelintide

Medium Evidence

A long-acting amylin analog in late-stage clinical development for chronic weight management, designed to deliver double-digit weight loss with a tolerability profile comparable to placebo.

Weight Management: https://peptrackerpro.com/benefits/weight-management
Metabolism: https://peptrackerpro.com/benefits/metabolism
Fat Loss: https://peptrackerpro.com/benefits/fat-loss
Appetite Regulation: https://peptrackerpro.com/benefits/appetite-regulation

View Details: https://peptrackerpro.com/peptides/petrelintide

\+ Compare: https://peptrackerpro.com/compare?select=petrelintide
Track in App: https://app.peptrackerpro.com/?add=petrelintide

### Semaglutide

High Evidence

A GLP-1 receptor agonist FDA-approved for type 2 diabetes and chronic weight management.

Weight Management (https://peptrackerpro.com/benefits/weight-management)Appetite Regulation (https://peptrackerpro.com/benefits/appetite-regulation)Metabolism (https://peptrackerpro.com/benefits/metabolism)Fat Loss (https://peptrackerpro.com/benefits/fat-loss)+3 more

View Details: https://peptrackerpro.com/peptides/semaglutide

\+ Compare: https://peptrackerpro.com/compare?select=semaglutide
Track in App: https://app.peptrackerpro.com/?add=semaglutide

### Tirzepatide

High Evidence

A dual GIP/GLP-1 receptor agonist FDA-approved for type 2 diabetes, weight management, and MASH with liver fibrosis.

View Details: https://peptrackerpro.com/peptides/tirzepatide

\+ Compare: https://peptrackerpro.com/compare?select=tirzepatide
Track in App: https://app.peptrackerpro.com/?add=tirzepatide

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