Peptide Record

Tirzepatide · Metabolic · graded 2026-07-30

Lipid & cardiovascular markers

This grade describes how much evidence exists for Tirzepatide against lipid & cardiovascular markers — not whether it works, and not whether it is safe. It is computed from the inputs below by a fixed rule with no editorial adjustment.

Why this grade

Not hidden behind a control — showing the work is the point
Score decomposition — every input and its contribution
ComponentPointsScale
Best study type
The strongest design that produced evidence for this outcome, not the average design.
+5Human RCT 5 · Human observational 4 · Animal 2 · Preclinical 1 · None 0
Largest human sample
Largest single human study, not a pooled total across studies.
+3n ≥ 200 → 3 · 50–199 → 2 · < 50 → 1 · no human study → 0
Independent replication
Distinct research groups at the best study tier above, resolved through author and institution records.
+3≥ 3 groups → 3 · 2 → 2 · 1 → 1 · 0 → 0
Directional consistency
Share of studies at the best study tier reporting effect in the same direction — the same studies the replication row counts, not every record on the pair.
Measured over 3 stated directions across 4 studies at the best tier. A ratio over three readings and the same ratio over ninety are the same number and are not the same evidence.
+3≥ 90% concordant → 3 · ≥ 70% → 2 · ≥ 50% → 1 · below → 0 · fewer than 3 readings → 0
Bias risk
A deduction, never a bonus. A flag is counted only where a record states one; silence is not a pass and is not a flag.
0−1 per flag, floor −3: industry funding · no preregistration · no blinding
Total14Sum of the rows above, floored at 0.
What the bias row had to work with — how many of this pair’s records disclosed each field at all
FieldFlag statedStated the oppositeNot statedSilent
industry_funded
industry-funded deducts a point; declared non-commercial does not; silence does neither.
011594%
preregistered
not preregistered deducts a point; preregistered does not; silence does neither.
021488%
blinded
not blinded deducts a point; blinded does not; silence does neither.
021488%

Grade A additionally requires a total of at least 11 and replication of at least 2: a high score carried by one research group is not replicated evidence, however large the trial.

Doses administered in studies

Sourced figures, not a protocol

Studied doses — not yet collected

Dose, route and n are extracted from study full text, and full text is paywalled for most records in this corpus. No dose has been extracted for this pair yet. Read that as an extraction gap, not as evidence that the studies below administered nothing.

This is a gap in our collection, not a finding about studied doses. Read it as “we have not looked yet”, never as “there is nothing there”. How extraction works and where it fails

Cited sources

16 records · ordered by source hierarchy

These are the records the grade above was computed from — the same set, by the same rule, read from one definition shared with the grader. Records attributed to an alias for a materially different product are not among them; where this pair has any, they are listed separately below.

  • HUMAN-TRIAL4
  • ANIMAL2
  • PRECLINICAL10
SourceStudyDesignnBias flagsDate
HUMAN-TRIALComparative effectiveness of tirzepatide versus GLP-1 receptor agonists on cardiovascular-kidney-metabolic stage progression: a real-world cohort study.
PMID 42009260 · DOI 10.1016/j.diabres.2026.113273 · matched on "Tirzepatide"
human-observational897182none stated2026-06-01
HUMAN-TRIALGlucagon-like peptide-1 receptor agonists in patients with heart failure with reduced ejection fraction.
PMID 41991158 · DOI 10.1093/eschf/xvag111 · matched on "Tirzepatide"
human-observational127021none stated2026-05-05
HUMAN-TRIALDECODE - Haemodynamic Effects Of Semaglutide and Tirzepatide - a Series of Pilot Studies
NCT07483801 · matched on "Tirzepatide"
human-rct112none stated
HUMAN-TRIALTirzepatide on obstructive sleep apnea-related cardiometabolic risk: secondary outcomes of the SURMOUNT-OSA randomized trial.
PMID 41540105 · DOI 10.1038/s41591-025-04071-1 · matched on "Tirzepatide"
human-rctnone stated2026-02-01
ANIMALEffects of tirzepatide, a dual GIP and GLP-1 receptor agonist, on blood pressure, cardiac function, and sympathetic nervous system in stroke-prone spontaneously hypertensive rats.
PMID 41992025 · DOI 10.1038/s41440-026-02632-6 · matched on "Tirzepatide"
animalnone stated2026-06-01
ANIMALTirzepatide mitigates atherosclerosis progression and modulates oxLDL-mediated proatherogenic effects in macrophages: evidence for M1/M2 homeostasis restoration.
PMID 41904760 · DOI 10.1007/s12272-026-01610-3 · matched on "Tirzepatide"
animalnone stated2026-04-01
PRECLINICALThe adverse effects associated with tirzepatide use in patients at increased risk of cardiovascular events: a systematic review with meta-analysis and Trial Sequential Analysis.
PMID 41896878 · DOI 10.1186/s12916-026-04824-w · matched on "Tirzepatide"
not determined8043none stated2026-03-27
PRECLINICALHighlights of Cardiovascular Disease Prevention Studies Presented at the 2026 American College of Cardiology Conference.
PMID 42142201 · DOI 10.1007/s11883-026-01424-0 · matched on "Tirzepatide"
not determinednone stated2026-05-16
PRECLINICALShould Incretin Agonist-Based Brugs be Considered for First Line Antihypertensive Therapy?
PMID 42091772 · DOI 10.1007/s11906-026-01374-7 · matched on "Tirzepatide"
not determinednone stated2026-05-07
PRECLINICALEstablished and emerging pharmacologic options and unmet needs in HFpEF and HFmrEF.
PMID 41711220 · DOI 10.1093/eschf/xvag056 · matched on "Tirzepatide"
not determinednone stated2026-03-03
PRECLINICALHeart failure with preserved ejection fraction: updated diagnostic and therapeutic strategies. SEMI consensus document.
PMID 41638556 · DOI 10.1016/j.rceng.2026.502471 · matched on "Tirzepatide"
not determinednone stated2026-03-01
PRECLINICALGLP-1 and the cardiovascular system.
PMID 41697744 · DOI 10.1172/jci194748 · matched on "Tirzepatide"
not determinednone stated2026-02-16
PRECLINICALClinical Advances in Heart Failure with Preserved Ejection Fraction: A Systematic Review of Therapeutic and Mechanistic Evidence.
PMID 41953528 · DOI 10.2147/vhrm.s578698 · matched on "Tirzepatide"
not determinednone stated2026-01-01
PRECLINICALThe Roles of Incretin Hormones GIP and GLP-1 in Metabolic and Cardiovascular Health: A Comprehensive Review.
PMID 41515907 · DOI 10.3390/ijms27010027 · matched on "Tirzepatide"
not determinednone stated2025-12-19
PRECLINICALBlood Pressure-Lowering Effects of SGLT2 Inhibitors and GLP-1 Receptor Agonists.
PMID 41324724 · DOI 10.1007/s11906-025-01342-7 · matched on "Tirzepatide"
not determinednone stated2025-12-01
PRECLINICALHighlights of Cardiovascular Disease Prevention Studies Presented at the 2025 European Society of Cardiology Conference.
PMID 41145911 · DOI 10.1007/s11883-025-01355-2 · matched on "Tirzepatide"
not determinednone stated2025-10-28

Rows are ordered by source hierarchy, so nothing below a regulatory filing appears above a human trial. A field marked uncertain is one where the extraction passes disagreed; it publishes as unknown rather than as a picked winner. A design reading “not determined” is a design nothing established, not a design of none. Explore the full corpus for Tirzepatide

Also collected, and not part of this grade

1 record · contributed nothing
SourceStudyDesignnBias flagsDate
HUMAN-TRIALImproving Cardiovascular Disease Diagnosis and Treatment in Kazakhstan Using Metabolic Correction With GLP-1 Drugs
NCT07303556 · matched on "Mounjaro"
human-observational120not preregistered