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Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Trial abstract · §2

SUMMIT — design and population

Design, allocation, arms and the population enrolled.

Document identifier
CEI-TR-0035/2
Series
Trial abstract
Version
1.0
Published
07 Mar 2024
Last reviewed
07 Apr 2025
Next review
07 Apr 2027
Identifier
10.71829/cei.trial.35
Certainty
Moderate
Cycle
2024 Q1
Phase
Phase 3
Status
Reported

§2Design and population

§2.1Design and allocation

Design class
Randomised, double-blind, placebo-controlled, parallel-group
Masking
Double-blind (participant, investigator and sponsor)
Arms
2
Allocation
Randomised between the intervention and its comparator
Endpoint adjudication
Not applicable to the primary endpoint of this design
Data monitoring
As specified in the protocol

§2.2Arms

Table 2. Randomised arms. Illustrative: arm-level allocations are reconstructed by the Institute from the design class and the randomised total where the published report does not state them.

ArmAllocatedShareDescription
Tirzepatide34747.5 %Intervention at the dose reached after titration
Placebo38452.5 %Matched placebo, administered on the same schedule
Randomised total 731 as published. Arm-level splits are reconstructed and are not published figures.

§2.3Population

Indications. Heart failure with preserved ejection fraction and obesity · Obesity and overweight in adults

Symptomatic heart failure with a left ventricular ejection fraction of 50 % or above, occurring with obesity as a dominant phenotypic driver.

Geographic footprint. Canada · France · Italy · Poland · Israel · Brazil · Mexico · China.

§2.4Eligibility as the Institute reads it

  • Included. Symptomatic heart failure with a left ventricular ejection fraction of 50 % or above, occurring with obesity as a dominant phenotypic driver.
  • Excluded. Participants for whom the intervention is contraindicated, including personal or family history of medullary thyroid carcinoma. Exclusion criteria narrow the population to which the estimate applies and are the principal source of indirectness where a trial estimate is applied to ordinary practice.
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