18+ · Research Use Only · Not for Human Consumption

Tirzepatide · Phase 3b · Completed

SURMOUNT-5

In SURMOUNT-5, a phase 3b trial of tirzepatide in adults with obesity but without type 2 diabetes (n=751), mean body weight fell 20.2% on tirzepatide, maximum tolerated dose over 72 weeks, against 13.7% on semaglutide, maximum tolerated dose (Aronne LJ et al. N Engl J Med 2025 (SURMOUNT-5)).

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Results

SURMOUNT-5: mean percent change in body weight by armSURMOUNT-5Tirzepatide, maximum tolerated dose-20.2%Semaglutide, maximum tolerated dose-13.7%
Mean percent change in body weight by arm, as each source reports it. Bars from different trials are not a head-to-head comparison: populations, durations and estimands differ.

Side effects reported

SURMOUNT-5: The abstract does not name the estimand or give adverse event rates.

Design

Trial design and sources

Compound
Tirzepatide
Phase
3b
Population
Adults with obesity but without type 2 diabetes
Participants randomised
751
Duration
72 weeks
Primary endpoint
Percent change in weight from baseline to week 72
Estimand
Not stated in the source read
Read out
11 May 2025

Head-to-head, open-label: tirzepatide (10 or 15 mg) against semaglutide (1.7 or 2.4 mg). The abstract does not name the estimand or give adverse event rates.

  • Aronne LJ et al. N Engl J Med 2025 (SURMOUNT-5) open · checked 23 September 2026
  • ClinicalTrials.gov NCT05822830 open · checked 23 September 2026
  • Registry: NCT05822830

Questions

SURMOUNT-5, answered

What did SURMOUNT-5 find?

In SURMOUNT-5, a phase 3b trial of tirzepatide in adults with obesity but without type 2 diabetes (n=751), mean body weight fell 20.2% on tirzepatide, maximum tolerated dose over 72 weeks, against 13.7% on semaglutide, maximum tolerated dose (Aronne LJ et al. N Engl J Med 2025 (SURMOUNT-5)).

What side effects were reported in SURMOUNT-5?

SURMOUNT-5: The abstract does not name the estimand or give adverse event rates.