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Mounjaro Rivals Trulicity in Cardiovascular Safety and Lowers All-Cause Mortality

The results pave the way for a regulatory submission this year targeting a 2026 cardiovascular label expansion.

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In a head-to-head trial, Mounjaro demonstrated non-inferiority to Eli Lilly’s older GLP-1 drug already approved for reducing cardiovascular risk. Credit: Cynthia A Jackson via Shutterstock.com.
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Overview

  • The SURPASS-CVOT head-to-head trial showed Mounjaro cut major adverse cardiovascular events by 8% compared to Trulicity.
  • Patients on Mounjaro experienced a 16% reduction in all-cause mortality relative to those taking Trulicity.
  • The five-year study enrolled over 13,000 participants and recorded comparable gastrointestinal safety, with discontinuations at 13.3% for Mounjaro and 10.2% for Trulicity.
  • Mounjaro outperformed Trulicity in renal function preservation and blood sugar control in secondary analyses.
  • Eli Lilly plans to submit these trial results to the FDA this year to secure a 2026 cardiovascular risk-reduction label for Mounjaro.