Wegovy® Shows Superior Cardiovascular Protection Over Tirzepatide in Real-World Study

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Company: Novo Nordisk
Drug: Wegovy®

DenmarkNovo Nordisk today revealed ground-breaking findings from the real-world STEER study, showing that in patients with obesity and established cardiovascular disease, Wegovy® (semaglutide 2.4 mg) significantly lowers the risk of major adverse cardiovascular events (MACE) by 57% when compared to tirzepatide. This strong data supports Wegovy®’s cardiovascular advantages and establishes it as a top therapy choice for this high-risk patient group.

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Key Findings from the STEER Study

Wegovy® and tirzepatide are compared side by side in the STEER study, a real-world evidence analysis. The time to the first occurrence of MACE, a composite of heart attack, stroke, or all-cause death, was the main outcome.

  1. Compared to tirzepatide, patients receiving continuous Wegovy® medication had a 57% higher reduction in MACE risk.
  2. Compared to tirzepatide users, all patients treated with Wegovy® had a 29% lower incidence of MACE, regardless of medication adherence.
  3. In the continuous treatment analysis, there were substantially fewer cardiovascular events (15 occurrences) in the Wegovy® group than in the tirzepatide group (39 events).

These findings from the STEER study align with the historic SELECT trial, which showed that Wegovy® reduced MACE risk by 20%.

Read More: Novo Nordisk’s Wegovy® (Semaglutide) Receives FDA Approval for MASH Treatment

Our landmark trial, SELECT, showed that Wegovy® is associated with a significant 20% risk reduction of cardiovascular events, backed up with even greater risk reductions in the real-world studies SCORE and STEER. The results are clear – STEER demonstrates that Wegovy® cuts the risk of heart attack, stroke or death by 57% compared to tirzepatide,

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This data confirms that semaglutide stands apart as the only available GLP-1-based medication with proven cardiovascular benefits for people living with obesity and cardiovascular disease, without diabetes.

Ludovic Helfgott


About STEER study

The effectiveness of tirzepatide and Wegovy® (semaglutide 2.4 mg) in preventing Major Adverse Cardiovascular Events (MACE) in adults with established cardiovascular disease (CVD) and overweight or obesity who did not have a history of diabetes was compared in the real-world, retrospective, observational STEER study. The purpose of the study was to determine how well these two well-known weight-loss drugs work outside of a controlled clinical trial in a typical clinical context. The study’s results were presented in Madrid, Spain, during the 2025 Congress of the European Society of Cardiology (ESC).

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