Medical weight management is supported by a growing body of clinical research. Studies have evaluated medications such as semaglutide, tirzepatide, and liraglutide across different populations, treatment durations, and health conditions. The studies below are provided as educational resources and represent published clinical research. Individual study results do not guarantee the same outcomes for every person.
Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1)
Published by: New England Journal of Medicine, 2021
A 68-week randomized trial of 1,961 adults evaluating once-weekly semaglutide 2.4 mg alongside lifestyle intervention. The study found substantially greater weight loss with semaglutide compared with placebo.
Read StudyTirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1)
Published by: New England Journal of Medicine, 2022
A 72-week phase 3 trial involving 2,539 adults with obesity or overweight and a weight-related condition. Tirzepatide produced substantial weight reduction across the studied doses compared with placebo.
Read StudyTwo-Year Effects of Semaglutide in Adults with Overweight or Obesity (STEP 5)
Published by: Nature Medicine, 2022
A two-year randomized trial evaluating semaglutide 2.4 mg alongside lifestyle intervention. The study found sustained weight reduction through 104 weeks, providing longer-term evidence on semaglutide treatment.
Read StudyContinued Treatment With Tirzepatide for Maintenance of Weight Reduction (SURMOUNT-4)
Published by: JAMA, 2024
An 88-week randomized trial examining continued tirzepatide treatment after an initial treatment period. Continued treatment maintained and increased weight reduction, while participants switched to placebo experienced substantial weight regain.
Read StudyEffect of Weekly Subcutaneous Semaglutide vs Daily Liraglutide on Body Weight (STEP 8)
Published by: JAMA, 2022
A 68-week randomized clinical trial comparing weekly semaglutide with daily liraglutide in adults with overweight or obesity without diabetes. Semaglutide resulted in greater average weight reduction than liraglutide.
Read StudyA Randomized, Controlled Trial of 3.0 mg of Liraglutide in Weight Management (SCALE)
Published by: New England Journal of Medicine, 2015
A 56-week randomized trial involving 3,731 adults evaluating liraglutide 3.0 mg alongside lifestyle intervention. The study found greater weight loss with liraglutide compared with placebo.
Read StudySemaglutide and Cardiovascular Outcomes in Obesity Without Diabetes (SELECT)
Published by: New England Journal of Medicine, 2023
A large cardiovascular outcomes trial involving 17,604 adults with established cardiovascular disease and overweight or obesity without diabetes. The study evaluated whether semaglutide reduced the risk of major cardiovascular events.
Read StudyOnce-Weekly Semaglutide in Adolescents with Obesity (STEP TEENS)
Published by: New England Journal of Medicine, 2022
A 68-week randomized trial involving 201 adolescents with obesity. Semaglutide combined with lifestyle intervention produced greater reductions in BMI and body weight compared with placebo.
Read StudyEffect of Subcutaneous Semaglutide as an Adjunct to Intensive Behavioral Therapy (STEP 3)
Published by: JAMA, 2021
A 68-week randomized trial of 611 adults with overweight or obesity evaluating semaglutide 2.4 mg alongside intensive behavioral therapy and an initial low-calorie diet. Participants receiving semaglutide had greater average weight loss than those receiving placebo.
Read StudyTirzepatide Once Weekly for the Treatment of Obesity in People with Type 2 Diabetes (SURMOUNT-2)
Published by: The Lancet, 2023
A 72-week phase 3 trial evaluating tirzepatide in adults with obesity or overweight and type 2 diabetes. Tirzepatide produced substantial reductions in body weight compared with placebo, with the greatest reduction observed at the 15 mg dose.
Read StudyTirzepatide After Intensive Lifestyle Intervention (SURMOUNT-3)
Published by: Nature Medicine, 2023
A 72-week trial evaluating tirzepatide after participants had first completed a 12-week intensive lifestyle intervention. Tirzepatide produced additional substantial weight loss and helped participants maintain more of the weight they had already lost through lifestyle intervention.
Read StudyTirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity (SURMOUNT-OSA)
Published by: New England Journal of Medicine, 2024
A clinical trial evaluating tirzepatide in adults with obesity and moderate-to-severe obstructive sleep apnea. The study found improvements in sleep-apnea severity and body weight compared with placebo, adding evidence on the potential health effects of weight reduction beyond body weight alone.
Read StudyOnce-Weekly Semaglutide in Persons with Obesity and Knee Osteoarthritis (STEP 9)
Published by: New England Journal of Medicine, 2024
A 68-week randomized trial evaluating semaglutide in adults with obesity and knee osteoarthritis. The study examined changes in body weight and knee-related symptoms and physical function, providing evidence on weight management in people living with obesity and knee osteoarthritis.
Read StudySemaglutide in Patients with Heart Failure with Preserved Ejection Fraction and Obesity (STEP-HFpEF)
Published by: New England Journal of Medicine, 2023
A 52-week randomized trial involving 529 adults with obesity and heart failure with preserved ejection fraction. Semaglutide was associated with greater weight loss, improvements in heart-failure-related symptoms and physical limitations, and improved exercise capacity compared with placebo.
Read StudySemaglutide in Patients with Obesity-Related Heart Failure and Type 2 Diabetes (STEP-HFpEF DM)
Published by: New England Journal of Medicine, 2024
A 52-week randomized trial evaluating semaglutide 2.4 mg in adults with obesity, heart failure with preserved ejection fraction, and type 2 diabetes. The study found greater improvements in heart-failure-related symptoms, physical limitations, and body weight compared with placebo.
Read StudySemaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes (SUSTAIN-6)
Published by: New England Journal of Medicine, 2016
A 104-week cardiovascular outcomes trial involving 3,297 adults with type 2 diabetes at elevated cardiovascular risk. The study found that the rate of cardiovascular death, nonfatal heart attack, or nonfatal stroke was lower with semaglutide than with placebo.
Read StudyTirzepatide as Compared with Semaglutide for the Treatment of Obesity (SURMOUNT-5)
Published by: New England Journal of Medicine, 2025
A 72-week phase 3b trial directly comparing tirzepatide with semaglutide in adults with obesity without type 2 diabetes. The study evaluated differences in body-weight reduction and cardiometabolic outcomes between the two medications.
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