Obesity

Efficacy and safety of tirzepatide, GLP ‐1 receptor agonists, and other weight loss drugs in overweight and obesity: a network meta‐analysis

Obesity (Silver Spring)Published Systematic review and network meta-analysis of randomised controlled trials

Pooled result · ≥15% weight lossResult — go to the resultRelative risk 10.24 95% CI 6.42–16.34

Authors' conclusion

The superiority of tirzepatide and GLP-1 RA in inducing weight loss and their ability to target multiple metabolic parameters render them promising candidates in the treatment of patients with overweight and obesity.

Study context

Population
Patients with overweight and obesity in RCTs31 RCTs · >35,000 patients
Comparison
Tirzepatide vs GLP-1 RA and other FDA-approved weight loss drugs
Outcome
Weight loss ≥5%, ≥10%, ≥15% and absolute weight loss
Methodological detailsdirect and indirect comparisons, SUCRA ranking, MEDLINE, Embase and Cochrane CENTRAL searched
  • Direct and indirect comparisons
  • SUCRA ranking
  • MEDLINE, Embase and Cochrane CENTRAL searched

Pooled result

≥15% weight loss

Relative risk

10.24

95% CI 6.42–16.34

Tirzepatide 15 mgvs Placebo
RR 10.24 (95% CI 6.42–16.34)

As reported in the abstract

Further pooled results

HbA1c, lipids (total cholesterol, HDL-C, LDL-C, TG) and blood pressure

Tirzepatide 15 mg ranked in the top three for HbA1c, lipid parameters and blood pressure

Safety

Gastrointestinal adverse effects

Tirzepatide and GLP-1 RA across all doses had significant increases in GI adverse effects vs placebo

Original publication

Efficacy and safety of tirzepatide, GLP ‐1 receptor agonists, and other weight loss drugs in overweight and obesity: a network meta‐analysis. Obesity (Silver Spring). Published 27 February 2024. doi:10.1002/oby.24002

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