SURMOUNT-3: what tirzepatide added after a 12-week lifestyle programme
In 579 adults who had already lost weight on a 12-week lifestyle programme, tirzepatide took off a further 18.4% over 72 weeks. Placebo gained 2.5%.
A weekly GIP and GLP-1 receptor agonist, licensed for diabetes and weight management, with large randomised trials showing about 20% average weight loss.
In 579 adults who had already lost weight on a 12-week lifestyle programme, tirzepatide took off a further 18.4% over 72 weeks. Placebo gained 2.5%.
In 938 adults with obesity and type 2 diabetes, tirzepatide cut weight by 12.8% to 14.7% over 72 weeks, against 3.2% on placebo.
After 36 weeks on tirzepatide, 670 adults were randomised to continue or switch to placebo. Weight went down a further 5.5% in one group and up 14.0% in the other.
In two 52-week trials of adults with obesity and moderate-to-severe sleep apnoea, tirzepatide cut breathing interruptions far more than placebo. Eli Lilly funded both.
In 751 adults with obesity, tirzepatide cut weight by 20.2% against 13.7% on semaglutide. The trial was open-label and paid for by the maker of tirzepatide.
Peer-reviewed trials show 24% weight loss at 48 weeks and large falls in liver fat; the headline 28% phase 3 figure is still company-reported.
Alone, cagrilintide cut weight by about 11% in 26 weeks; paired with semaglutide it reached 20% at 68 weeks, but lost a head-to-head against tirzepatide.
At the top dose, people lost 20.9% of their body weight against 3.1% on placebo. Here is who was in the trial, what it cost them in side effects, and what it can’t tell you.
Around 20% average weight loss at 72 weeks, a clear head-to-head win over semaglutide, and heart-outcome data that holds up against an older GLP-1 drug.