Type 2 & other diabetes

Tirzepatide, cardiovascular outcomes and mortality in obesity and diabetes: a systematic review and meta-analysis

Diabetes Res Clin PractPublished Systematic review and meta-analysis of randomised trials

Pooled result · MACEResult — go to the resultOdds ratio 0.87 95% CI 0.79–0.94

Authors' conclusion

Tirzepatide is associated with a significant reduction in MACE in subjects with T2DM or overweight/obesity.

Study context

Population
Adults with T2DM or overweight/obesity in RCTs with follow-up ≥24 weeks
Participants
29,023 adults22 trials
Comparison
Tirzepatide vs control
Outcome
MACE
Methodological detailsfixed-effects model, trial sequential analysis, Overall risk of bias was low
  • Fixed-effects model
  • Trial sequential analysis
  • Overall risk of bias was low

Pooled result

As reported in the abstract

Odds ratio

0.87

95% CI 0.79–0.94

Tirzepatidevs Control
OR 0.87 (95% CI 0.79–0.94)

Further pooled results

OutcomeOR (95% CI)
All-cause mortality0.84 (0.75–0.93)

MACE dose-response

Lower odds of MACE per 1 mg increase in tirzepatide dose
2.8%

Individual MACE components and HF hospitalisations

No association for individual components of MACE or HF hospitalisations

Original publication

Tirzepatide, cardiovascular outcomes and mortality in obesity and diabetes: a systematic review and meta-analysis. Diabetes Res Clin Pract. Published 13 July 2026. doi:10.1016/j.diabres.2026.113431

Composed by AI from the published abstract and checked against it. How Briefs are made →

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