← GIP/GLP-1 & amylin agonists × lipids

SynthesisJournal of the American College of Cardiology2025

Effects of Tirzepatide in Type 2 Diabetes: Individual Variation and Relationship to Cardiometabolic Outcomes.

Arya Aminorroaya et al.PubMed ↗Full text ↗Publisher ↗

  • Tirzepatidecuts both waysLower HDL cholesterol, lower body mass index, lower MetS.Randomised, large.

What the trial testedrandomised · 7,805 people · 2025

Randomised vs placebo or standard antihyperglycemic agents

Lowered HDL cholesterol

−34%−48% to −16%

tirzepatide vs placebo or standard antihyperglycemic agents

Bigger than 7 in 10 on the map

As reported

OR 0.66, 95% CI 0.52–0.84 · the paper's word: decreased high-density lipoprotein cholesterol

Randomised vs placebo or standard antihyperglycemic agents

Lowered body mass index

−96%−98% to −92%

tirzepatide vs placebo or standard antihyperglycemic agents

Bigger than almost all on the map

As reported

OR 0.04, 95% CI 0.02–0.08 · the paper's word: elevated body mass index

Randomised vs placebo or standard antihyperglycemic agents

Lowered MetS

−72%−76% to −67%

tirzepatide vs placebo or standard antihyperglycemic agents

Bigger than 9 in 10 on the map

As reported

OR 0.28, 95% CI 0.24–0.33

Who was studied, and how

7,805people with type 2 diabetes, in this paper

The trial randomly assignedassigned by chance

tirzepatide
placebo or standard antihyperglycemic agents

Lowered HDL cholesterol−34%

Lowered body mass index−96%

Lowered MetS−72%

randomised

the abstract, start to end

… lipoprotein cholesterol (OR: 0.66 [95% CI: 0.52-0.84]) to 96% reduction in the odds of elevated body mass index (OR: 0.04 [95% CI:0.02-0.08]), and 72% reduction for the odds of MetS (OR: 0.28 [95% CI: 0.24-0.33]).

← favours treatmentfavours comparator →
could be chance
Decreased high-density lipoprotein cholesteroltirzepatide vs placebo or standard antihyperglycemic agents
OR 0.660.52–0.84
Elevated body mass indextirzepatide vs placebo or standard antihyperglycemic agents
OR 0.040.02–0.08
MetS (≥3 cardiometabolic abnormalities)tirzepatide vs placebo or standard antihyperglycemic agents
OR 0.280.24–0.33
GIP/GLP-1 & amylin agonistsBody weight & compositionLipids

GIP/GLP-1 & amylin agonists × lipidshelps?settled

unlikelylikely
0.86not counted

GIP/GLP-1 & amylin agonists × body weight & compositionhelps?replicated

unlikelylikely
1.00not counted
← favours comparatorfavours treatment →
more certainless certain
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8 papers cite it

2025
2026
this papertrialcites it
Full record →Abstract, authors, funding and every citing paper · PMID 40368575