Human research findings
- The pivotal STEP 1 trial reported average weight loss of 14.9% at 68 weeks at the 2.4mg weekly dose, versus 2.4% for placebo.
- The SELECT cardiovascular outcomes trial reported a 20% reduction in major cardiovascular events in adults with overweight or obesity and existing heart disease, without diabetes.
- The SUSTAIN trial program reported substantial HbA1c and fasting-glucose reductions in type 2 diabetes.
- Newer compounds report larger effects: Tirzepatide outperformed Semaglutide (20.2% vs 13.7%) in the SURMOUNT-5 head-to-head trial, and combined with Cagrilintide (CagriSema) it reached 22.7% versus 16.1% for Semaglutide alone in REDEFINE-1.
- GI side effects (nausea, constipation, diarrhea) were most common during dose escalation and usually eased over time.
