GIP/GLP-1 & amylin agonists × glycemic control

TrialDiabetes, obesity & metabolism2025

Long-term efficacy and safety of tirzepatide in participants with type 2 diabetes with inadequate glycaemic control on metformin and/or sulfonylurea: Post-hoc analysis of SURPASS-4.

Haixia Guan et al.PubMed ↗Full text ↗Publisher ↗

  • Tirzepatide 5 mglooks good hereLower long-term blood sugar, no range given, lower body weight, no range given.No ranges given.
  • Tirzepatide 10 mglooks good hereLower long-term blood sugar, no range given, lower body weight, no range given.No ranges given.
  • Tirzepatide 15 mglooks good hereLower long-term blood sugar, no range given, lower body weight, no range given.No ranges given.

What the trial testedas reported · 1,500 people · 2025

No range given

Reported lower long-term blood sugar, no range given

−2.30percentage points

tirzepatide 5 mg vs insulin glargine

As reported

difference −2.3 %, no interval · the paper's word: mean reduction in HbA1c

No range given

Reported lower long-term blood sugar, no range given

−2.50percentage points

tirzepatide 10 mg vs insulin glargine

As reported

difference −2.5 %, no interval · the paper's word: mean reduction in HbA1c

No range given

Reported lower long-term blood sugar, no range given

−2.60percentage points

tirzepatide 15 mg vs insulin glargine

As reported

difference −2.6 %, no interval · the paper's word: mean reduction in HbA1c

No range given

Reported lower body weight, no range given

−7.60kg

tirzepatide 5 mg vs insulin glargine

As reported

difference −7.6 kg, no interval · the paper's word: reduction in body weight

+2 more in the walkthrough ↓

Who was studied, and how

2,002people in the Efficacy and Safety of LY3298176 Once Weekly Versus Insulin Glargine in Patients With Type 2 Diabetes and Increased Cardiovascular Risk trial, from 2018
1,500of them with obesity, in this paper

The trial randomly assignedassigned by chance

tirzepatide 5 mg
insulin glargine

Reported lower long-term blood sugar, no range given−2.30

Reported lower body weight, no range given−7.60

randomised

The trial randomly assignedassigned by chance

tirzepatide 10 mg
insulin glargine

Reported lower long-term blood sugar, no range given−2.50

Reported lower body weight, no range given−10.0

randomised

the abstract, start to end

greater mean reduction in HbA1c (5 mg: -2.3%, 10 mg: -2.5%, 15 mg: -2.6%) compared with the insulin

greater reduction in body weight (5 mg: -7.6 kg, 10 mg: -10.0 kg, 15 mg: -11.4 kg) compared with the insulin

← favours treatmentfavours comparator →
could be chance
No interval given · direction only, strength unknown
Mean reduction in HbA1ctirzepatide 5 mg vs insulin glargine
−2.3
Mean reduction in HbA1ctirzepatide 10 mg vs insulin glargine
−2.5
Mean reduction in HbA1ctirzepatide 15 mg vs insulin glargine
−2.6
Reduction in body weighttirzepatide 5 mg vs insulin glargine
−7.6
Reduction in body weighttirzepatide 10 mg vs insulin glargine
−10.0
Reduction in body weighttirzepatide 15 mg vs insulin glargine
−11.4
GIP/GLP-1 & amylin agonistsGlycemic controlBody weight & composition
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2 papers cite it

2025
2026
this papertrialcites it

The trial

Full record →Abstract, authors, funding and every citing paper · PMID 40926359