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In the SURMOUNT-1 study, a phase 3 clinical trial in obese patients, randomized participants in a 1:1:1:1 ratio to tirzepatide (5, 10, 15 mg) or placebo over 72 weeks, significant weight reductions were observed at 72 weeks: 15.0% for 5 mg, 19.5% for 10 mg, 20.9% for 15 mg, compared to 3.1% for placebo [18]

The FDA approval of Zepbound is based on the results of the SURMOUNT-1 and SURMOUNT-2Trusted Source phase 3 clinical trials

Other stimuli that enhance calcitonin secretion include supraphysiologic concentrations of glucagon (48), 5HT1 receptor agonists (49) gastrin (and pentagastrin) (50), alcohol (51), and exercise (52) and glucagon-like peptide-1 (GLP-1) (53) A detailed discussion of each of these stimuli is beyond the limits of this chapter and the reader is referred to a review on this subject for more detail (54) The finding that glucagon-like peptide-1 (GLP-1) agonists, an effective therapy for type 2 diabetes mellitus, bind to GLP-1 receptors, stimulates CT release and cause MTCs in rodents has stimulated a broad discussion regarding their safety in humans (53)

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doi:10.3390/molecules28031447 10