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PEPTIDE DOSSIER · PRACTICAL TOOLS

Compare evidence for one question

Read study populations, designs, follow-up and endpoints side by side.

These studies differ in participants, run-in treatment, behavioral support and endpoints. Side-by-side presentation is indirect evidence, not a pooled efficacy ranking.

Weight change: study design and applicability
StudyCompoundPopulationDesign / follow-upEndpointLimits
STEP 1SemaglutideAdults with overweight/obesity without diabetesRandomized, double-blind, placebo-controlled; 68 weeksPercent change in body weight and achieving at least 5% lossLifestyle intervention accompanied both groups; this is not a head-to-head drug comparison.
STEP 2SemaglutideAdults with overweight/obesity and type 2 diabetesRandomized, double-blind, double-dummy, placebo-controlled; 68 weeksPercent change in body weight and achieving at least 5% lossDiabetes population; results should not be substituted for STEP 1 or compared as if randomized across trials.
STEP 3SemaglutideAdults with overweight/obesity without diabetesRandomized, double-blind, placebo-controlled, with intensive behavioral therapy; 68 weeksPercent change in body weight and achieving at least 5% lossInitial low-calorie diet and intensive behavioral support limit comparisons with less intensive programs.
SURMOUNT-1TirzepatideAdults with overweight/obesity without diabetesRandomized, double-blind, placebo-controlled; 72 weeksPercent change in body weight and achieving at least 5% lossSeparate treatment groups and lifestyle support; do not compare raw percentages with another trial as a randomized contrast.
SURMOUNT-2TirzepatideAdults with overweight/obesity and type 2 diabetesRandomized, double-blind, placebo-controlled; 72 weeksPercent change in body weight and achieving at least 5% lossDiabetes population and specified study regimens; not interchangeable with SURMOUNT-1.
SURMOUNT-3TirzepatideAdults without diabetes who lost at least 5% during intensive lifestyle interventionRandomized, double-blind, placebo-controlled after lifestyle lead-in; 12-week lead-in; 72-week randomized treatmentWeight change after randomization and achieving at least 5% further lossSelected lifestyle responders; total change from lead-in and change after randomization are different quantities.

For the direct comparison, read the primary paper and its adverse-event and analysis sections together. No treatment choice is inferred from this matrix.