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PEPTIDE READER

Weight-loss trials

8 trials · 15,462 people

Everyone asks the same question: how much weight do you lose? The trials answer it, and the answer is not the one in the advertising. People in the placebo group lose weight too — so the drug's real effect is the difference between the two bars, not the height of one.

  1. Retatrutide

    PHASE 2 · 2023 · NEJM

    Still being tested in people
    Treatment-8.7% to -24.2%
    placebo-2.1%
    n
    338
    Weeks
    48
  2. Tirzepatide

    SURMOUNT-1 · 2022 · NEJM

    Approved medicine
    Treatment-15% to -20.9%
    placebo-3.1%
    n
    2,539
    Weeks
    72

    The range is three separate dose arms, not an uncertainty interval.

    [source] SURMOUNT-1, NEJM 2022
  3. Cagrilintide

    REDEFINE 1 · 2025 · NEJM

    Still being tested in people
    Treatment-20.4%
    placebo-3%
    n
    3,417
    Weeks
    68

    This result is cagrilintide COMBINED with semaglutide. The monotherapy arm (302 participants) has no reported result.

    [source] REDEFINE 1, NEJM 2025
  4. Tirzepatide

    SURMOUNT-5 · 2025 · NEJM

    Approved medicine
    Treatment-20.2%
    semaglutide-13.7%
    n
    751
    Weeks
    72

    The comparator is semaglutide, not placebo — hence the small gap.

    [source] SURMOUNT-5, NEJM 2025
  5. Semaglutide

    STEP 1 · 2021 · NEJM

    Approved medicine
    Treatment-14.9%
    placebo-2.4%
    n
    1,961
    Weeks
    68

    In the trial's journal paper, 50.5% reached at least 15% weight loss, against 4.9% on placebo.

    [source] STEP 1, NEJM 2021
  6. Survodutide

    PHASE 2 · 2024 · LANCET D&E

    Still being tested in people
    Treatment-6.2% to -14.9%
    placebo-2.8%
    n
    386
    Weeks
    46

    Only 233 of 386 participants (60.4%) completed the treatment period.

    [source] Phase 2, Lancet D&E 2024
  7. Liraglutide

    SCALE · 2015 · NEJM

    Approved medicine
    Treatment
    -8.4 kg
    placebo
    -2.8 kg
    n
    3,731
    Weeks
    56

    Reported in kilograms rather than as a share of body weight, so it cannot be set directly against the percentage figures.

    [source] SCALE, NEJM 2015
  8. Retatrutide

    TRIUMPH-1 · 2026 · ELI LILLY

    Still being tested in people
    Treatment-19% to -28.3%
    placebo-2.2%
    n
    2,339
    Weeks
    80

    Topline figures from a press release. Not published in a peer-reviewed journal, and therefore not the same kind of evidence as the published trials here.

    [source] TRIUMPH-1, Eli Lilly 2026

Both groups are drawn, because the drug's real effect is the gap between them — not the height of the whole bar. These are group averages from the cited trials and say nothing about what any one person would lose.