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X @The Economist
The Economist· 2025-08-20 14:20
Several arguments are made in favour of standing desks. Proponents claim they improve cardiovascular health, enhance attention and reduce fatigue. But the research isn’t clear-cut https://t.co/h1jPlBQiYj ...
Eli Lilly Obesity Drug Mounjaro Beats Legacy Trulicity On Cardio-Renal Health
Benzinga· 2025-07-31 13:30
Core Insights - Eli Lilly and Co. released topline results from the SURPASS-CVOT trial, showing that Mounjaro (tirzepatide) demonstrated a non-inferior rate of major adverse cardiovascular events (MACE-3) compared to Trulicity (dulaglutide) [1][3] Group 1: Trial Results - Mounjaro achieved the primary objective of non-inferiority in MACE-3, which includes cardiovascular death, heart attack, or stroke, with an 8% lower risk compared to Trulicity [3] - The trial enrolled over 13,000 participants and lasted more than four and a half years, making it the largest and longest study of tirzepatide to date [3] - Mounjaro showed a 16% lower all-cause mortality rate compared to Trulicity [4] Group 2: Additional Findings - Mounjaro demonstrated improvements in key measures such as A1C, weight, renal function, and all-cause mortality, although these results were not controlled for multiplicity-adjusted type-1 error [2][6] - An indirect comparison analysis indicated that Mounjaro reduced the risk of MACE-3 by 28% and all-cause mortality by 39% compared to a hypothetical placebo [4] Group 3: Safety and Tolerability - The safety and tolerability profiles of Mounjaro and Trulicity were generally consistent with established data, with 13.3% of Mounjaro participants discontinuing treatment due to adverse events, compared to 10.2% for Trulicity [6] - Mounjaro improved cardiovascular biomarkers, including lipids and systolic blood pressure, compared to Trulicity [6] Group 4: Regulatory Plans - Eli Lilly plans to submit the trial data to global regulatory authorities by the end of the year [6]
Eli Lilly's Mounjaro shows heart health benefits in head-to-head trial with older diabetes drug Trulicity
CNBC· 2025-07-31 10:45
Core Insights - Eli Lilly's diabetes drug Mounjaro demonstrated heart health benefits in a late-stage trial compared to Trulicity, meeting the study's primary goal of non-inferiority in treating Type 2 diabetes with cardiovascular disease [2][4] - Despite the positive results, Eli Lilly's shares fell 4% in premarket trading as the outcomes did not exceed some analysts' expectations for superiority over Trulicity [2][3] - The trial showed Mounjaro reduced the risk of cardiovascular death, heart attack, or stroke by 8% compared to Trulicity, with additional benefits including a 16% lower rate of all-cause mortality [4][5] Company Positioning - Eli Lilly believes the new data strengthens Mounjaro's position as the preferred choice for Type 2 diabetes patients, especially as Trulicity faces patent expiration in 2027 [3][10] - The company plans to submit heart health data to global regulators by the end of the year, potentially leading to approvals for Mounjaro's use in cardiovascular health by 2026 [11] Market Dynamics - Mounjaro's current approval already covers many patients with Type 2 diabetes who also have cardiovascular disease, as approximately 30% of these patients are affected [13] - Analysts suggest that even if Mounjaro shows similar heart health benefits as Trulicity, it may not significantly change prescribing behaviors among doctors [14][15] Clinical Insights - The trial was the longest and largest to date on tirzepatide, enrolling over 13,000 participants, and showed Mounjaro's advantages in cardiovascular measures and weight loss [4][16] - Some clinicians noted that the difference in all-cause mortality rates between Mounjaro and Trulicity is clinically significant, aiding in treatment decision-making [6][7] Competitive Landscape - Eli Lilly is solidifying its lead over Novo Nordisk in the growing market for diabetes and weight loss drugs, with both companies demonstrating additional health benefits of their products [10]