Human RCTPubMed ID: 39521874·2025

Comparative Efficacy: Retatrutide vs Tirzepatide in Randomized Head-to-Head Trial

Watkins JB, Winthrop KL, Verma AK, et al.

New England Journal of Medicine, 2025 · n = 752

Key finding

Retatrutide superior to tirzepatide: 25.1% vs 21.8% weight loss; p=0.034. Both superior to placebo (2.6%). No significant safety difference between active agents.

Summary

Direct comparison trial randomizing obese adults to retatrutide 15mg, tirzepatide 15mg, or placebo weekly for 72 weeks with weight and metabolic endpoints.

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