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Lilly's Zepbound (tirzepatide 10 mg and 15 mg) was associated with more weight loss than Wegovy HD (semaglutide injection 7.2 mg) in a new indirect treatment comparison

$LLYPress releaseSep 29, 2026, 7:00 AM ETRead the release

Lilly announced new indirect treatment comparison data showing Zepbound 10 mg and 15 mg were associated with greater weight loss than Novo's high-dose Wegovy HD (semaglutide 7.2 mg) in adults with obesity. Zepbound 15 mg showed 4.5% greater weight loss and more than three times the odds of achieving at least 20% body-weight reduction versus Wegovy HD under the treatment-regimen estimand, though efficacy-estimand differences were not statistically significant.

Key figures

Drug Name
Zepbound (tirzepatide)
Phase Of Trial
indirect comparison of Phase 3 trials (SURMOUNT-1 vs STEP UP)
Surmount5 relative weight loss
47% greater
Surmount5 wegovy weight reduction
13.7%
Surmount5 zepbound weight reduction
20.2%
Additional weight loss zepbound 10mg
3.2%
Additional weight loss zepbound 15mg
4.5%
Odds ratio 20pct weight loss 15mg efficacy
4.15
Odds ratio 20pct weight loss 15mg treatment regimen
3.54

AI analysis

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