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Evidence Watch · Peer-reviewed active-comparator trial

15.8% Average Loss With Semaglutide vs. 6.4% With Liraglutide

STEP 8 compared two established weight-management medicines under a defined 68-week trial protocol. The result reports a larger average weight change with once-weekly semaglutide 2.4 mg than with once-daily liraglutide 3.0 mg, but it does not decide which medicine, provider, or program is appropriate for any individual.

Last reviewed September 2026
1 study cited
JAMAPhase 3a, randomized, open-label, active-controlled trial68 weeks
The study result

Mean body-weight change from baseline to week 68 was −15.8% with semaglutide and −6.4% with liraglutide.

The estimated difference between the two active treatments was −9.4 percentage points. This was a medicine comparison using specific dosing schedules and trial eligibility criteria; it did not evaluate telehealth care models, affordability, coverage, or provider service quality.

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Turn the study result into a better program comparison

Use an active-comparator trial as a starting point for better questions, not as a shortcut around program details. Compare GLP-1 providers on their plans, clinician access, medication status, follow-up approach, public price terms, and checkout conditions. The brands below have category-matched GLP-1 offers; none participated in or is endorsed by this study.

01
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WellMedr

From $49 – $129/mo · Editorial score 4.7/5

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Semaglutide at Strut Health
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Tirzepatide at Trimi
04
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Telos Rx

From $49 – $399/mo · Editorial score 3.9/5

Tirzepatide at Telos Rx
05
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HealthRx

From $99 – $209/mo · Editorial score 4.1/5

Semaglutide at HealthRx
06
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Cielo Health

From $115 – $299/mo · Editorial score 4.4/5

Tirzepatide at Cielo Health

We may earn a commission through provider links. Matching affiliate offers and editorial priorities affect inclusion and suggested order in commercial guides. Scores are not clinical endorsements. Disclosure · Methodology

Study details

Population
Adults with obesity or overweight without diabetes who met the trial’s BMI and clinical eligibility criteria
Follow-up
68 weeks
Treatment comparison
Once-weekly subcutaneous semaglutide 2.4 mg compared with once-daily subcutaneous liraglutide 3.0 mg, with lifestyle intervention
Study design
Phase 3a, randomized, open-label, active-controlled trial
Care and plan considerations

A study result is not a personal treatment plan

The trial compared specified weekly and daily injection regimens with lifestyle intervention. It does not establish individual eligibility, local medication access, a provider’s current prescribing options, coverage, side-effect tolerance, or the best plan for a particular person. A licensed clinician must assess those factors.

Compare semaglutide and tirzepatide programs

What this result does not show

  • The study compared fixed trial regimens of semaglutide 2.4 mg and liraglutide 3.0 mg, rather than every product, formulation, or care model.
  • Participants did not have diabetes and met the trial’s defined eligibility criteria.
  • The 15.8% and 6.4% figures are group averages at week 68, not guaranteed outcomes for an individual person.
  • The study was funded by Novo Nordisk; the primary paper and disclosures are linked at the end of this article.
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Study & references

Primary peer-reviewed source

Rubino et al., JAMA 2022 · STEP 8

Read the full paper, methodology, conflict-of-interest disclosures, and supplementary materials before drawing conclusions beyond this plain-English summary.

Read the study at JAMA