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Study · Systematic review · 2025

4 results

Comparative efficacy and safety of semaglutide 2.4 mg and tirzepatide 5-15 mg in obesity with or without type 2 diabetes: A systematic review of Phase 3 clinical trials.

Singh A, Singh AK, Singh R, Misra A

Diabetes & metabolic syndrome8 Mar 2025Cited by 6 (Europe PMC)

Summary

The text of this summary is not shown here, because the article license does not allow reuse. Read it at the source (opens in a new tab)

Text rights: Publisher copyright. Results still quote short attributed sentences.

Results from this study4

4 results from studies that gave the peptide. 4 results from people.

  1. 01HumanSystematic reviewEfficacy outcome

    In an unadjusted indirect comparison of phase 3 trials in people with obesity or overweight, tirzepatide 10 mg gave 4% more weight loss than semaglutide 2.4 mg.

    In plain wordsIn an indirect comparison of trials, tirzepatide 10 mg led to more weight loss than semaglutide 2.4 mg.

    Outcome
    DecreaseAdditional weight loss versus semaglutide 2.4 mg
    Study

    n: not reported in source

    Comparator
    Semaglutide 2.4 mg (indirect comparison)
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    10 mgAs given in this study (human).

    Measurements

    Additional weight loss
    4%
    tirzepatide 10 mg vs semaglutide 2.4 mg

    Source sentences

    Summary
    Our unadjusted analysis without individual patients' data found relatively higher (4 and 5.4 % additional) weight loss
    1 context sentence
    Summary · context
    Subsequently, we compared the most closely matched trials conducted with semaglutide 2.4 mg and tirzepatide through an adjusted (if baseline imbalance in treatment outcome modifiers present) or unadjusted (in the absence of baseline imbalance) indirect treatment comparison method.
  2. 02HumanSystematic reviewEfficacy outcome

    In an unadjusted indirect comparison of phase 3 trials in people with obesity or overweight, tirzepatide 15 mg gave 5.4% more weight loss than semaglutide 2.4 mg.

    In plain wordsIn an indirect comparison of trials, tirzepatide 15 mg led to more weight loss than semaglutide 2.4 mg.

    Outcome
    DecreaseAdditional weight loss versus semaglutide 2.4 mg
    Study

    n: not reported in source

    Comparator
    Semaglutide 2.4 mg (indirect comparison)
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    15 mgAs given in this study (human).

    Measurements

    Additional weight loss
    5.4%
    tirzepatide 15 mg vs semaglutide 2.4 mg

    Source sentences

    Summary
    Our unadjusted analysis without individual patients' data found relatively higher (4 and 5.4 % additional) weight loss
    1 context sentence
    Summary · context
    Subsequently, we compared the most closely matched trials conducted with semaglutide 2.4 mg and tirzepatide through an adjusted (if baseline imbalance in treatment outcome modifiers present) or unadjusted (in the absence of baseline imbalance) indirect treatment comparison method.
  3. 03HumanSystematic reviewEfficacy outcome

    In an unadjusted indirect comparison of phase 3 trials, tirzepatide 10 and 15 mg lowered HbA1c by 0.4% more than semaglutide 2.4 mg.

    In plain wordsIn an indirect comparison of trials, tirzepatide 10 and 15 mg lowered HbA1c more than semaglutide 2.4 mg.

    Outcome
    DecreaseAdditional HbA1c reduction versus semaglutide 2.4 mg
    Study

    n: not reported in source

    Comparator
    Semaglutide 2.4 mg (indirect comparison)
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    10 and 15 mgAs given in this study (human).

    Measurements

    Additional HbA1c reduction
    −0.4%
    tirzepatide 10 and 15 mg vs semaglutide 2.4 mg

    Source sentences

    Summary
    Our unadjusted analysis without individual patients' data found relatively higher (4 and 5.4 % additional) weight loss, HbA1c (-0.4 % additional) reduction, and fewer gastrointestinal side effects (GI S/E) with tirzepatide 10 and 15 mg, respectively
    1 context sentence
    Summary · context
    Subsequently, we compared the most closely matched trials conducted with semaglutide 2.4 mg and tirzepatide through an adjusted (if baseline imbalance in treatment outcome modifiers present) or unadjusted (in the absence of baseline imbalance) indirect treatment comparison method.
  4. 04HumanSystematic reviewSafety outcome

    In an unadjusted indirect comparison of phase 3 trials, tirzepatide 10 and 15 mg caused fewer gastrointestinal side effects than semaglutide 2.4 mg.

    In plain wordsIn an indirect comparison of trials, tirzepatide 10 and 15 mg caused fewer stomach and gut side effects than semaglutide 2.4 mg.

    Outcome
    DecreaseGastrointestinal side effects versus semaglutide 2.4 mg
    Study

    n: not reported in source

    Comparator
    Semaglutide 2.4 mg (indirect comparison)
    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    10 and 15 mgAs given in this study (human).

    Source sentences

    Summary
    Our unadjusted analysis without individual patients' data found relatively higher (4 and 5.4 % additional) weight loss, HbA1c (-0.4 % additional) reduction, and fewer gastrointestinal side effects (GI S/E) with tirzepatide 10 and 15 mg, respectively
    1 context sentence
    Summary · context
    Subsequently, we compared the most closely matched trials conducted with semaglutide 2.4 mg and tirzepatide through an adjusted (if baseline imbalance in treatment outcome modifiers present) or unadjusted (in the absence of baseline imbalance) indirect treatment comparison method.

AI wrote and checked these results. AI can make mistakes, so check important results against the source.

Version history

PepBank keeps every version of the data on this study. Status changes from Retraction Watch, Europe PMC and Crossref are listed with their source.

  1. Version 3Current

    11 Oct 2026, 00:04 UTC

    Study results updated

  2. Version 2

    9 Oct 2026, 03:07 UTC

    Study data updated · source update from Europe PMC

  3. Version 1

    9 Oct 2026, 03:06 UTC

    First added · source update from Europe PMC

Subjects

Terms as the source lists them.

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