189 Subsequently, tirzepatide has been extensively investigated in the SURPASS program, a comprehensive development initiative targeting T2DM that is inadequately controlled by various glucose-lowering regimens, including lifestyle alone (SURPASS-1), 190 metformin monotherapy (SURPASS-2), 191 metformin with or without sodium-glucose co-transporter 2 inhibitors (SGLT2i) (SURPASS-3), 192 combination therapy including metformin, SGLT2i, and sulfonylureas (SURPASS-4), 193 insulin glargine with or without metformin (SURPASS-5), 88 and insulin lispro with basal insulin (SURPASS-6)
The gradual dose escalation, usually at 4-week intervals, helps minimize gastrointestinal adverse effects that commonly occur with GLP-1 receptor agonist therapy
As of 2026 the compound rests on a small number of pilot human studies, with no completed controlled efficacy trial and no active large scale recruitment
Zepbound and Orforglipron, if approved, will be an average of $346/month
Speaker: Ms Selina Abraham (University of Amsterdam) 650 Community Renewal and Autonomous Governance Dynamics: A 30-Year Analysis of Hangzhou's Practice China's urbanization is transitioning from rapid development to high-quality development, with community renewal in old urban areas being a key component
And, thats exactly what they found