Diabetes care

Tirzepatide Compared to Dulaglutide or Semaglutide for Major Heart Problems in Type 2 Diabetes with Heart Disease

Updated

Abstract

Tirzepatide initiators had a lower rate of modified major adverse cardiovascular events compared to dulaglutide initiators (IR 31.3 vs. 39.4).

  • In a cohort of 9,233 pairs, tirzepatide was linked to a hazard ratio of 0.80 for modified MACE compared to dulaglutide.
  • The lower rate of modified MACE with tirzepatide was primarily influenced by reduced all-cause mortality, with a hazard ratio of 0.60.
  • Post hoc analyses indicated that tirzepatide was associated with fewer pneumonia-related hospitalizations compared to dulaglutide.
  • Rates of modified MACE between tirzepatide and semaglutide were similar, with an incidence rate of 23.7 for tirzepatide versus 23.2 for semaglutide.

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Funding

Competing interests

Duality of Interest. J.W.O. has served on advisory boards or had speaker engagements with Corcept Therapeutics and Bayer AG. S.J.C. reports having a spouse employed by Depuy Synthes. B.M.E. reports grants (site coinvestigator) and personal fees (end point adjudication) from Novo Nordisk, a grant to Brigham and Women’s Hospital (principal investigator), and personal fees from Kowa not clearly relevant to the work; personal fees from Ipsen Pharmaceuticals for consulting and from NIDDK outside the submitted work; and consulting fees (editorial board member) from American Heart Association journal Circulation and royalties for peer review of UptoDate articles. R.J.G. reports grants from Amarin, Kowa, and Novartis (to employer) outside the submitted work. D.J.W. has served on data monitoring committees for Amgen. E.P. reports research grants to Brigham and Women’s Hospital (principal investigator) from Boehringer Ingelheim, AstraZeneca, and Bayer unrelated to the submitted work and receives royalties from UpToDate. No other potential conflicts of interest relevant to this article were reported.
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