Randomised controlled trial

Continued Treatment With Tirzepatide for Maintenance of Weight Reduction in Adults With Obesity: The SURMOUNT-4 Randomized Clinical Trial

Aronne LJ, Sattar N, Horn DB, et al. JAMA 2024;331:38-48.

What it found

After a mean 20.9% loss in the lead-in, those who continued tirzepatide lost a further 5.5% while those switched to placebo regained 14.0%. 89.5% on tirzepatide vs 16.6% on placebo kept at least 80% of their earlier weight loss.

Limitations

Only people who tolerated the drug and completed the lead-in were randomised. Adults without diabetes.

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