Intervention · INT-TIRZEPATIDE

Tirzepatide

SURMOUNT-1 found substantial mean weight reductions across randomized tirzepatide groups, with a dose-group gradient and gastrointestinal adverse events.

Prescription medicationGIP and GLP-1 receptor agonistHigh evidence

Evidence question

How large was the weight effect in a pivotal trial of adults without diabetes?

Result / effect

In SURMOUNT-1, mean weight change was −15.0%, −19.5%, and −20.9% across the three tirzepatide groups, versus −3.1% with placebo.

Evidence chain

Population

Adults with obesity, or overweight with at least one weight-related complication, without diabetes in SURMOUNT-1.

Endpoint

Percentage change in body weight and categorical weight-loss thresholds at 72 weeks.

Evidence level

High. A large phase 3 randomized trial directly measured body-weight outcomes. Applicability depends on population, treatment context, and duration.

What this record does not establish

  • SURMOUNT-1 excluded people with diabetes.
  • The intervention included dose escalation and lifestyle counseling within a trial protocol.
  • Long-term outcomes beyond the trial window require separate evidence.

Linked study records

Sources