rethinkPeptides Search
Menu
Study breakdown

Tirzepatide vs Semaglutide for Obesity: The SURMOUNT-5 Head-to-Head Trial

RCTStrong evidence
The takeaway

Head-to-head comparison of tirzepatide vs semaglutide for obesity treatment finds tirzepatide produces greater weight loss, establishing dual agonism superiority.

Key finding

Head-to-head comparison of tirzepatide vs semaglutide for obesity treatment finds tirzepatide produc

What the researchers found

Head-to-head comparison of tirzepatide vs semaglutide for obesity treatment finds tirzepatide produces greater weight loss, establishing dual agonism superiority.

Why it matters

Relevant to peptide therapeutics.

The numbers in context

1:1 randomization. Tirzepatide max tolerated: 10 or 15 mg. Semaglutide max tolerated: 1.7 or 2.4 mg. Both subcutaneous weekly.

How the study worked

In publication.

Who was studied

Adults with obesity without type 2 diabetes

What this study cannot tell us

In publication.

How to read the evidence

Based on design.

When this study was published

Published in 2025.

The bigger picture

Advances peptide evidence.

Questions still open

  • Long-term implications?
  • Evidence comparison?
  • Next steps?

Common questions

What does this mean?
Head-to-head comparison of tirzepatide vs semaglutide for obesity treatment finds tirzepatide produces greater weight loss, establishing dual agonism superiority.
How reliable?
Consult publication.

Read the original research

Tirzepatide as Compared with Semaglutide for the Treatment of Obesity.

The New England journal of medicine, 393(1), 26-36

Citation

Aronne, Louis J; Horn, Deborah Bade; le Roux, Carel W; Ho, Wayne; Falcon, Beverly L; Gomez Valderas, Elisa; Das, Sagar; Lee, Clare J; Glass, Leonard C; Senyucel, Cagri; Dunn, Julia P. (2025). Tirzepatide as Compared with Semaglutide for the Treatment of Obesity.. The New England journal of medicine, 393(1), 26-36. https://doi.org/10.1056/NEJMoa2416394