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Zepbound beats Wegovy for weight loss in first head-to-head trial of blockbuster drugs

  • A U.S.-based clinical trial comparing the two drugs showed that participants treated with Eli Lilly's Zepbound experienced almost 50% greater weight reduction over 72 weeks than those who received Novo Nordisk's Wegovy.
  • The trial involved 751 overweight or obese adults with at least one related health problem and no diabetes, comparing tirzepatide targeting GLP-1 and GIP to semaglutide targeting GLP-1 alone.
  • Zepbound users lost about 50 pounds and 18.4 centimeters in waist circumference, while Wegovy users lost 33 pounds and 13 centimeters, with mostly mild gastrointestinal side effects reported in both groups.
  • Nearly one-third of participants taking Zepbound experienced a weight reduction of 25% or more, which was double the proportion seen in those using Wegovy, and Dr. Louis Aronne referred to tirzepatide as demonstrating superior effectiveness in a "drag race of efficacy."
  • The findings may influence prescribing decisions as both drugs remain important treatments, though CVS Health will favor Wegovy on its formulary starting July 1 due to its approval for reducing heart risks.
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WGN 9 broke the news in Chicago, United States on Sunday, May 11, 2025.
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