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‹ Mon · 10 Aug 2026
Promising but preliminary

Predicted 10-Year Cardiovascular Disease Risk Reduction with Tirzepatide Use Over Three Years for Primary Prevention of Cardiovascular Disease in Obesity.

Tirzepatide showed sustained promise in reducing predicted cardiovascular disease risk over three years in people with obesity and prediabetes.

This post hoc analysis of the SURMOUNT-1 phase 3 RCT (176 weeks, 962 participants with obesity/overweight and prediabetes) showed that tirzepatide 15 mg was associated with a durable predicted reduction in 10-year cardiovascular disease risk compared with placebo. The Framingham risk equation used for prediction was validated against the REWIND trial, supporting the plausibility of future CVD outcome benefits pending confirmation in SURMOUNT-MMO.

What the study was

Study design
post hoc analysis of phase 3 RCT (SURMOUNT-1)
Category
Prevention
Maturity
Validated
Journal
European Journal of Preventive Cardiology

Why it surfaced

Post hoc of a major phase 3 RCT demonstrating tirzepatide's sustained cardiometabolic risk reduction over 3 years; directly relevant to the GLP-1/cardiometabolic watchlist and primary CVD prevention in obesity.

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