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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.

8 trials

Results published in a journal come first; a press-release figure never outranks them. Largest weight loss first within each.

  1. Retatrutide

    PHASE 2 · 2023 · NEJM

    Still being tested in people

    338 people48 weeks

    Treatment-8.7% to -24.2%
    placebo-2.1%
  2. Tirzepatide

    SURMOUNT-1 · 2022 · NEJM

    Approved medicine

    2,539 people72 weeks

    Treatment-15% to -20.9%
    placebo-3.1%

    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

    3,417 people68 weeks

    Treatment-20.4%
    placebo-3%

    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

    751 people72 weeks

    Treatment-20.2%
    semaglutide-13.7%

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

    Source — SURMOUNT-5, NEJM 2025
  5. Semaglutide

    STEP 1 · 2021 · NEJM

    Approved medicine

    1,961 people68 weeks

    Treatment-14.9%
    placebo-2.4%

    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

    386 people46 weeks

    Treatment-6.2% to -14.9%
    placebo-2.8%

    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

    3,731 people56 weeks

    Treatment-8.4 kg
    placebo-2.8 kg

    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

    2,339 people80 weeks

    Treatment-19% to -28.3%
    placebo-2.2%

    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