Cardiometabolic & kidney

Comparison of tirzepatide and dulaglutide on major adverse cardiovascular events in participants with type 2 diabetes and atherosclerotic cardiovascular disease: SURPASS‐CVOT design and baseline characteristics

Am Heart JPublished Design and baseline characteristics report of a randomised controlled trial

Authors' conclusion

SURPASS-CVOT will provide definitive evidence as to the CV safety and efficacy of tirzepatide as compared with dulaglutide, a GLP-1 receptor agonist with established CV benefit.

Study context

Population
People with T2DM aged ≥40 years with established atherosclerotic CVD, HbA1c ≥7% to ≤10.5% and BMI ≥25 kg/m²randomised
Participants
13,299 people
Comparison
Tirzepatide vs dulaglutide
Primary endpoint
Time to first MACE:
  • Cardiovascular (CV) death
  • MI
  • Stroke
Methodological detailsSURPASS-CVOT, double-blind, active-controlled, event-driven, non-inferiority, 1:1 randomisation, 640 sites in 30 countries
  • SURPASS-CVOT
  • Double-blind
  • Active-controlled
  • Event-driven
  • Non-inferiority
  • 1:1 randomisation
  • 640 sites in 30 countries

Primary result

As reported in the abstract

Baseline characteristics · baseline
Mean age
64.1 years
Diabetes duration
14.7 years
HbA1c
8.4%
BMI
32.6 kg/m²
Coronary disease
65.0%
Prior MI (of those with coronary disease)
47.3%
Prior coronary revascularization (of those with coronary disease)
57.4%
Prior stroke
19.1%
PAD
25.3%

Original publication

Comparison of tirzepatide and dulaglutide on major adverse cardiovascular events in participants with type 2 diabetes and atherosclerotic cardiovascular disease: SURPASS‐CVOT design and baseline characteristics. Am Heart J. Published 25 September 2023. doi:10.1016/j.ahj.2023.09.007

Summarised from the published abstract; every number is checked against it

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