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Tirzepatide plus eloralintide produces larger weight loss in mid-stage diabetes trial

Eli Lilly reported at a European diabetes meeting that tirzepatide combined with the amylin drug eloralintide led to greater weight loss than tirzepatide alone in people with type 2 diabetes. Higher dropout and side effects raise tolerability questions.

2 outlets · 0L · 2C · 0R First reported Account updated
Image: New Scientist
Image: STAT

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The story, neutrally told

Results presented on 30 September at the European Association for the Study of Diabetes meeting showed that tirzepatide combined with eloralintide produced more weight loss than tirzepatide alone. Eloralintide is an Eli Lilly candidate that targets the hormone amylin, and tirzepatide is sold as Mounjaro and Zepbound. New Scientist reports the trial enrolled 367 people from the US and Argentina who were overweight or had obesity, all with type 2 diabetes.

Participants on the highest combination dose lost 23.3% of body weight on average, against 14.8% on tirzepatide alone. New Scientist says the placebo group lost about 3% and that blood sugar fell 2.9% on the high-dose combination versus 2.4% on tirzepatide. Side effects such as diarrhoea, nausea and vomiting were more common with the combination, and up to 27% of those groups dropped out, versus 3% on tirzepatide alone, according to Oxford's David Preiss.

STAT said the high rates of people stopping treatment may raise questions about tolerability. Independent researchers called the weight loss striking but noted that added burden may not suit everyone, and that benefits in people without diabetes remain untested. Lilly plans a larger trial of a single weekly injection by the end of the year, and New Scientist quotes Lora Heisler as saying approval could follow within a few years.

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Centre2 outlets

Framing
Both centre outlets report the result as a significant efficacy gain, with tolerability caveats. New Scientist leads on the scale of weight loss with independent expert comment; STAT frames it as a Lilly pipeline development.
Emphasis
New Scientist stresses expert reaction and the prospects for wider use. STAT stresses Lilly's competitive position and the dropout question.
Leaves out or plays down
STAT's visible text gives no trial size, dropout figures or outside expert comment. New Scientist does not discuss Lilly's commercial position.
Charged language
“astonishing”“racing to bring next-generation obesity drugs to the market”
For example
““It’s a pretty astonishing degree of weight loss,”” — New Scientist
“Lilly, which is racing to bring next-generation obesity drugs to the market” — STAT

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