Trial result explorer
Filter the pivotal semaglutide, tirzepatide, retatrutide, orforglipron and CagriSema trials by drug, indication, primary endpoint and duration, then see each arm's percent weight change as a bar with its confidence interval and the PubMed id underneath. Every number is read from the primary publication's abstract; nothing is modelled.
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24 of 24 trials match.
SURMOUNT-1
- Indication
- Weight management
- Randomised
- 2,539
- Duration
- 72 weeks
- Primary endpoint
- Coprimary: percent change in body weight from baseline, and weight reduction of 5 percent or more, at week 72.
- Result
- Mean percent weight change at week 72: -15.0% (95% CI -15.9 to -14.2) with 5 mg, -19.5% (-20.4 to -18.5) with 10 mg, -20.9% (-21.8 to -19.9) with 15 mg, versus -3.1% (-4.3 to -1.9) with placebo; P<0.001 for all comparisons.
- Estimand
- treatment-regimen
| Arm | n | Weight change | Minus placebo |
|---|---|---|---|
| Tirzepatide 5 mg | n/s | -15.0%95% CI -15.9 to -14.2 | -11.9 pts |
| Tirzepatide 10 mg | n/s | -19.5%95% CI -20.4 to -18.5 | -16.4 pts |
| Tirzepatide 15 mg | n/s | -20.9%95% CI -21.8 to -19.9 | -17.8 pts |
| Placebo | n/s | -3.1%95% CI -4.3 to -1.9 | n/a |
n/s = not stated in the abstract. Minus placebo is arithmetic on the arm means, not the paper's modelled treatment difference.
Source. N Engl J Med 2022;387(3):205-216. Published 2022-07-21 (online 2022-06-04). Funding: Eli Lilly. PubMed 35658024. Full digest: SURMOUNT-1.
Formulashown in full, nothing hidden
bar length = arm mean percent change in body weight at the endpoint week (read from the abstract)
placebo-subtracted = arm mean minus placebo mean, rounded to 0.1 point
(arithmetic on the two published means; the paper's estimated treatment
difference comes from a model and may differ in the first decimal)
duration band = under 52 weeks | 52 to 72 weeks | over 72 weeks, using the primary-endpoint week
(event-driven trials use the reported mean or median follow-up)The explorer does no modelling. It filters a hand-built list of 24 trials and draws the numbers as stated in each abstract. Where an abstract does not give an arm-level weight change (SELECT, FLOW, SUSTAIN-6, PIONEER 6, SURPASS-2, SURMOUNT-OSA, and the monotherapy arms of REDEFINE 1 and STEP 2) the arm is listed with no bar rather than filled from a secondary source.
Assumptions, checked September 4, 2026
- Every number was read from the PubMed abstract of the primary publication (NCBI E-utilities efetch, rettype=abstract), or, where the digest says so, from the PMC full text of the same paper.
- Percent changes are means or least-squares means for the whole randomised arm, under the estimand named in the trial record. Different estimands (treatment-policy, treatment-regimen, efficacy) are not interchangeable; see the methods guide.
- Withdrawal trials (STEP 4, SURMOUNT-4) and the lead-in trial SURMOUNT-3 measure change from randomisation, not from a drug-naive baseline. Their placebo bars point to the right because participants regained weight.
- Bars from different trials sit on the same axis for reading convenience only. Populations, background lifestyle programmes, durations and estimands differ, so a longer bar in one trial is not evidence of superiority over another trial. Only head-to-head trials (SURMOUNT-5, STEP 8, SURPASS-2) compare drugs directly.
- Compounded semaglutide and tirzepatide were not studied in any of these trials and are not FDA approved.
This calculator is an arithmetic aid for medication a licensed prescriber has already prescribed. It does not recommend a dose. Confirm any result with your prescriber or pharmacist before use.
Sources
- SURMOUNT-1. N Engl J Med 2022;387(3):205-216. PubMed 35658024
- SURMOUNT-2. Lancet 2023;402(10402):613-626. PubMed 37385275
- SURMOUNT-3. Nat Med 2023;29(11):2909-2918. PubMed 37840095
- SURMOUNT-4. JAMA 2024;331(1):38-48. PubMed 38078870
- SURMOUNT-5. N Engl J Med 2025;393(1):26-36. PubMed 40353578
- SURMOUNT-OSA. N Engl J Med 2024;391(13):1193-1205. PubMed 38912654
- SURPASS-2. N Engl J Med 2021;385(6):503-515. PubMed 34170647
- STEP 1. N Engl J Med 2021;384(11):989-1002. PubMed 33567185
- STEP 2. Lancet 2021;397(10278):971-984. PubMed 33667417
- STEP 3. JAMA 2021;325(14):1403-1413. PubMed 33625476
- STEP 4. JAMA 2021;325(14):1414-1425. PubMed 33755728
- STEP 5. Nat Med 2022;28(10):2083-2091. PubMed 36216945
- STEP 8. JAMA 2022;327(2):138-150. PubMed 35015037
- STEP-HFpEF. N Engl J Med 2023;389(12):1069-1084. PubMed 37622681
- SELECT. N Engl J Med 2023;389(24):2221-2232. PubMed 37952131
- FLOW. N Engl J Med 2024;391(2):109-121. PubMed 38785209
- SUSTAIN-6. N Engl J Med 2016;375(19):1834-1844. PubMed 27633186
- PIONEER 6. N Engl J Med 2019;381(9):841-851. PubMed 31185157
- Retatrutide phase 2 (obesity). N Engl J Med 2023;389(6):514-526. PubMed 37366315
- TRANSCEND-T2D-1 (retatrutide). Lancet 2026;407(10546):2402-2413. PubMed 42250575
- ATTAIN-1 (orforglipron). N Engl J Med 2025;393(18):1796-1806. PubMed 40960239
- ATTAIN-2 (orforglipron). Lancet 2025;406(10522):2927-2944. PubMed 41275875
- REDEFINE 1 (CagriSema). N Engl J Med 2025;393(7):635-647. PubMed 40544433
- REDEFINE 2 (CagriSema). N Engl J Med 2025;393(7):648-659. PubMed 40544432
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