Clinical research
SURMOUNT-3: Tirzepatide after intensive lifestyle intervention
Phase 3 randomised placebo-controlled trial following an intensive lifestyle intervention lead-in. 806 randomised, over 72 weeks. Sponsor: Eli Lilly and Company.
SURMOUNT-3 (NCT04657016) tested at Maximum tolerated, 10 or 15 mg against placebo in adults with overweight or obesity who completed a 12-week intensive lifestyle intervention.−18.4% additional reduction versus +2.5% with placebo, on top of lead-in weight loss Unverified — no source on file: the source is a citable record we could not authoritatively link, which we have not independently re-extracted from the full paper in this session.
Study design
| Design | Phase 3 randomised placebo-controlled trial following an intensive lifestyle intervention lead-in |
|---|---|
| Population | Adults with overweight or obesity who completed a 12-week intensive lifestyle intervention |
| Sample size | 806 randomised |
| Intervention | Not stated (Maximum tolerated, 10 or 15 mg) |
| Comparator | Placebo |
| Duration | 72 weeks |
| Primary endpoint | Percentage change in body weight after a 12-week intensive lifestyle lead-in |
| Sponsor | Eli Lilly and Company |
Results
−18.4% additional reduction versus +2.5% with placebo, on top of lead-in weight loss
| Arm | Reported change |
|---|---|
| Tirzepatide, additional | 18.4% |
Adverse events & discontinuations
Not extracted from the source in this session.
Limitations
Industry-funded. The lifestyle lead-in selects for people who already responded to lifestyle intervention, which limits generalisability.
Practical interpretation
This is one trial, reported by Eli Lilly and Company, read directly against the registry and publication linked below — GLP Ranked has not re-run the statistics or obtained the patient-level data. Results describe group averages under trial conditions and may not describe any individual's outcome, including with a compounded, non-FDA-approved version of a similar active ingredient. Always check the primary source before citing a specific number.
Sources
- Wadden TA et al., Nature Medicine 2023. NCT04657016 (source URL not published — treat as unverified) — Peer-reviewed publication
- SURMOUNT-3 — ClinicalTrials.gov record NCT04657016 — Trial registry record
Cite this page
GLP Ranked. "SURMOUNT-3: Tirzepatide after intensive lifestyle intervention." Updated 2026-07-24. https://glpranked.com/research/surmount-3/
GLP Ranked. "SURMOUNT-3: Tirzepatide after intensive lifestyle intervention." Updated 2026-07-24. https://glpranked.com/research/surmount-3/