Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Compound monograph · §3

Maridebart cafraglutide — clinical evidence

Assessed outcomes with certainty ratings, contributing trials and the reasoning for each rating.

Document identifier
CEI-MN-018/3
Series
Compound monograph
Version
3.3
Published
19 Jan 2025
Last reviewed
19 May 2025
Next review
19 May 2027
Identifier
10.71829/cei.mono.18
Certainty
Low
Cycle
2025 Q1

§3Clinical evidence

Assessed outcomes for Maridebart cafraglutidePoint estimates with confidence intervals for each contributing study, plotted against the line of no effect.0.00.20.40.6Standardised direction and relative magnitude of the recorded effectIndicationEffect as recordedObesity2 trials · Low−16.2 % body weight at 52 weeks at the…Type 2 diabetes1 trial · Low−2.2 % HbA1c reported at 52 weeks in…
Moderate or high certaintyLow or very low certainty
Figure 3. Illustrative. Assessed outcomes plotted on a common standardised axis so that direction and relative magnitude can be compared at a glance. The estimates are not on a common natural scale and the intervals are the Institute's standardised representation of the reported precision, not the published confidence intervals. Published intervals appear in the per-indication extracts and in the text below.

§3.1Obesity and overweight in adults

Anchor outcome. Percentage change in body weight from baseline.

Effect as recorded. −16.2 % body weight at 52 weeks at the highest dose in phase 2 versus −2.5 % with placebo; estimated difference −13.7 percentage points (95 % CI −17.1 to −10.3).[1,2]

Certainty. Low certainty Phase 2 with a modest sample and high gastrointestinal event rates on initiation. Downgraded for imprecision and for single-trial evidence.

Contributing trials. MARITIDE-PH2-OBESITY · MARITIDE-PH3. Full structured abstracts are published for each.

Full evidence extract for obesity and overweight in adults · Indication assessment

§3.2Type 2 diabetes mellitus

Anchor outcome. Change in HbA1c (%, mmol/mol).

Effect as recorded. −2.2 % HbA1c reported at 52 weeks in phase 2; phase 2.[2,3]

Certainty. Low certainty Small sample.

Contributing trials. MARITIDE-PH2-T2D. Full structured abstracts are published for each.

Full evidence extract for type 2 diabetes mellitus · Indication assessment

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Samms RJ, Coghlan MP, Sloop KW. How may GIP enhance the therapeutic efficacy of GLP-1?. Trends in Endocrinology & Metabolism 2020;31(6):410–421. doi:10.1016/j.tem.2020.02.006 · PMID 32396843
  2. Coskun T, Sloop KW, Loghin C, Alsina-Fernandez J, Urva S, Bokvist KB, Cui X, Briere DA, Cabrera O, Roell WC, Kuchibhotla U, Moyers JS, Benson CT, Gimeno RE, D’Alessio DA, Haupt A. LY3298176, a novel dual GIP and GLP-1 receptor agonist for the treatment of type 2 diabetes mellitus: from discovery to clinical proof of concept. Molecular Metabolism 2018;18:3–14. doi:10.1016/j.molmet.2018.09.009 · PMID 30473097
  3. Jastreboff AM, Aronne LJ, Ahmad NN, Wharton S, Connery L, Alves B, Kiyosue A, Zhang S, Liu B, Bunck MC, Stefanski A. Tirzepatide once weekly for the treatment of obesity. New England Journal of Medicine 2022;387(3):205–216. doi:10.1056/NEJMoa2206038 · PMID 35658024

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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