Obesity

Survodutide Once Weekly for the Treatment of Adults with Obesity

N Engl J MedPublished Randomised controlled trial

Authors' conclusion

Survodutide led to significantly greater reductions in body weight than placebo in adults with obesity without diabetes.

Study context

Population
Adults with body-mass index (BMI) ≥30, or ≥27 with ≥1 obesity-related complication (excluding diabetes); mean age 47.1 years, 40.6% men, mean BMI 37.9, mean body weight 108.8 kgrandomized 1:1:1
Participants
725 adults
Comparison
Once-weekly SC survodutide 3.6 mg or 6.0 mg vs placebo, plus lifestyle counseling
  • Survodutide 3.6 mgn = 241
  • Survodutide 6.0 mgn = 242
  • Placebon = 242reference
Primary endpoint
Two primary end points: percent change in body weight and body-weight reduction ≥5% from baseline
Follow-up
Week 76
Methodological detailsphase 3, double-blind, placebo-controlled
  • Phase 3
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Mean % change in body weight from baseline

Mean % change in body weight from baseline · week 76 Survodutide 3.6 mg mean −12.2 (CI −13.6–-10.8) % · Survodutide 6.0 mg mean −13.0 (CI −14.4–-11.6) % · Placebo mean −5.4 (CI −6.9–-4.0) %

Weight reduction ≥5%

  • Survodutide 3.6 mg vs Placebo: P < 0.001 for all comparisons with placebo
  • Survodutide 6.0 mg vs Placebo: P < 0.001 for all comparisons with placebo

Further findings

No deaths were reported

Safety

Gastrointestinal adverse events (most common; typically mild to moderate)

Original publication

Survodutide Once Weekly for the Treatment of Adults with Obesity. N Engl J Med. Published 7 June 2026. doi:10.1056/nejmoa2600751

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