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A Long-term Safety Study of Tirzepatide (LY3298176) in Participants With Type 2 Diabetes

A Phase 3, Long-Term Safety Study of Tirzepatide in Combination With Monotherapy of Oral Antihyperglycemic Medications in Patients With Type 2 Diabetes Mellitus (SURPASS J-combo)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03861039
Enrollment
443
Registered
2019-03-04
Start date
2019-03-30
Completion date
2021-02-16
Last updated
2022-02-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes Mellitus

Brief summary

The purpose of this study is to determine the long-term safety of the study drug tirzepatide in combination with oral antihyperglycemic medications in participants with type 2 diabetes.

Interventions

DRUGTirzepatide

Administered SC

DRUGOral antihyperglycemic medication (OAM)

Oral antihyperglycemic medication (OAM): Sulfonylurea, biguanide, alpha-glucosidase inhibitor, thiazolidinedione, glinide, or sodium-glucose cotransporter type 2 inhibitor.

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Participant must: * Have been diagnosed with type 2 diabetes mellitus based on the World Health Organization classification before the screening visit. * Have HbA1c ≥7.0% to \<11.0%, as determined by the central laboratory at screening. * Have been taking sulfonylureas, biguanides, thiazolidinedione, alpha-glucosidase inhibitor, glinides, or sodium-glucose cotransporter type 2 inhibitor monotherapy for at least 3 months before screening and have been on the following dose for at least 8 weeks before screening. * Have body mass index (BMI) of ≥23 kilograms per meter squared at screening. * Be of stable weight (±5%) during 3 months preceding screening; and agree to not initiate an intensive diet and/or exercise program during the study with the intent of reducing body weight other than the lifestyle and dietary measures for diabetes treatment.

Exclusion criteria

Participant must not: * Have type 1 diabetes mellitus. * Have had chronic or acute pancreatitis any time prior to study entry. * Have proliferative diabetic retinopathy or diabetic maculopathy or nonproliferative diabetic retinopathy requiring immediate or urgent treatment. * Have disorders associated with slowed emptying of the stomach, or have had any stomach surgeries for the purpose of weight loss. * Have acute or chronic hepatitis, signs and symptoms of any other liver disease, or blood alanine transaminase (ALT) enzyme level \>3.0 times the upper limit of normal (ULN) for the reference range, as determined by the central laboratory. Participants with nonalcoholic fatty liver disease (NAFLD) are eligible for participation in this trial only if there ALT level is ≤3.0 the ULN for the reference range. * Have had a heart attack, stroke, or hospitalization for congestive heart failure in the past 2 months. * Have a personal or family history of medullary thyroid carcinoma or personal history of multiple endocrine neoplasia syndrome type 2. * Have been taking weight loss drugs, including over-the-counter medications during the last 3 months.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug AdministrationBaseline through Week 52An SAE is any AE from this study that results in one of the following outcomes: * Death * Initial or prolonged inpatient hospitalization * A life-threatening experience (that is, immediate risk of dying) * Persistent or significant disability/incapacity * Congenital anomaly/birth defect. * Important medical events that may not be immediately life-threatening or result in death or hospitalization, but may jeopardize the patient or may require. A summary of all SAE's, regardless of causality, is located in the Reported Adverse Events section.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieve HbA1c <7%Week 52Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.
Change From Baseline in Fasting Serum GlucoseBaseline, Week 52Fasting serum glucose (FSG) is a test to determine sugar levels in serum sample after an overnight fast. LS mean was determined by MMRM model for post-baseline measures: Variable = Baseline + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).
Mean Change From Baseline in Daily Average 7-Point Self-Monitored Blood Glucose (SMBG) ValuesBaseline, Week 52The self-monitored plasma glucose (SMBG) data were collected at the following 7 time points: Morning Premeal - Fasting, Morning 2-hour Postmeal, Midday Premeal, Midday 2-hour Postmeal, Evening Premeal, Evening 2-hour Postmeal and Bedtime. LS mean was determined by analysis of covariance (ANCOVA) model for endpoint measures: Variable = Baseline + OAM Group 1 + Treatment (Type III sum of squares).
Change From Baseline in Body WeightBaseline, Week 52LS mean was determined by MMRM model for post-baseline measures: Variable = Baseline + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).
Percentage of Participants Who Achieve Weight Loss of ≥5% From BaselineWeek 52Percentage of Participants who Achieve Weight Loss of ≥5% from Baseline
Change From Baseline in Hemoglobin A1c (HbA1c)Baseline, Week 52HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed-model repeated measures (MMRM) model for post-baseline measures: Variable = Baseline + oral antihyperglycemic medication (OAM) Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).
Change From Baseline in Fasting C-PeptideBaseline, Week 52LS mean was determined by MMRM model for post-baseline measures: log(Actual Measurement) = log(Baseline) + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).
Change From Baseline in Homeostasis Model Assessment B (HOMA-2B) (Insulin)Baseline, Week 52The HOMA2 is a computer model that uses fasting plasma insulin and glucose concentrations to estimate steady state pancreatic beta cell function (%B) and to estimate insulin sensitivity (%S) as a percentage of a normal reference population (normal young adults). The normal reference population was set at 100%. The change from baseline for fasting insulin concentrations are presented as insulin secretion (HOMA2-%B) and insulin sensitivity (HOMA2-%S). LS mean was determined by MMRM model for post-baseline measures: log(Actual Measurement) = log(Baseline) + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).
Change From Baseline in HOMA-2S (Insulin)Baseline, Week 52The HOMA2 is a computer model that uses fasting plasma insulin and glucose concentrations to estimate steady state pancreatic beta cell function (%B) and to estimate insulin sensitivity (%S) as a percentage of a normal reference population (normal young adults). The normal reference population was set at 100%. The change from baseline for fasting insulin concentrations are presented as insulin secretion (HOMA2-%B) and insulin sensitivity (HOMA2-%S). LS mean was determined by MMRM model for post-baseline measures: log(Actual Measurement) = log(Baseline) + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).
Number of Participants With Hypoglycemia Incidence and Rate With Blood Glucose <54 mg/dL or Severe Hypoglycemia, Exclude Hypoglycemic Events Occurring After Initiation of a New Antihyperglycemic TherapyBaseline through Week 56The hypoglycemia events were defined by participant reported events with blood glucose \<54mg/dL (\<3.0 mmol/L) or severe hypoglycemia. Severe hypoglycemia is defined as an episode with severe cognitive impairment requiring the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions.
Number of Participants With Anti-Tirzepatide AntibodiesBaseline through Week 52Number of Participants with Anti-Tirzepatide Antibodies
Change From Baseline in Fasting InsulinBaseline, Week 52LS mean was determined by MMRM model for post-baseline measures: log(Actual Measurement) = log(Baseline) + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).

Countries

Japan

Participant flow

Participants by arm

ArmCount
5 mg Tirzepatide
5 milligrams (mg) tirzepatide administered subcutaneously (SC) once a week. Participant received the following pre-treatment oral antihyperglycemic medication (OAM): Sulfonylurea, biguanide, alpha-glucosidase inhibitor, thiazolidinedione, glinide, or sodium-glucose cotransporter type 2 inhibitor.
148
10 mg Tirzepatide
10 mg tirzepatide administered SC once a week. Participant received the following pre-treatment oral antihyperglycemic medication (OAM): Sulfonylurea, biguanide, alpha-glucosidase inhibitor, thiazolidinedione, glinide, or sodium-glucose cotransporter type 2 inhibitor.
147
15 mg Tirzepatide
15 mg tirzepatide administered SC once a week. Participant received the following pre-treatment oral antihyperglycemic medication (OAM): Sulfonylurea, biguanide, alpha-glucosidase inhibitor, thiazolidinedione, glinide, or sodium-glucose cotransporter type 2 inhibitor.
148
Total443

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event2511
Overall StudyWithdrawal by Subject134

Baseline characteristics

Characteristic5 mg Tirzepatide10 mg Tirzepatide15 mg TirzepatideTotal
Age, Continuous57.7 years
STANDARD_DEVIATION 11
56.9 years
STANDARD_DEVIATION 11.2
56.5 years
STANDARD_DEVIATION 10.4
57.0 years
STANDARD_DEVIATION 10.8
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
148 Participants147 Participants148 Participants443 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Hemoglobin A1c8.53 : Percentage of HbA1c
STANDARD_DEVIATION 1.15
8.56 : Percentage of HbA1c
STANDARD_DEVIATION 1.05
8.59 : Percentage of HbA1c
STANDARD_DEVIATION 1.09
8.56 : Percentage of HbA1c
STANDARD_DEVIATION 1.09
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
148 Participants147 Participants148 Participants443 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants0 Participants
Region of Enrollment
Japan
148 Participants147 Participants148 Participants443 Participants
Sex: Female, Male
Female
29 Participants34 Participants44 Participants107 Participants
Sex: Female, Male
Male
119 Participants113 Participants104 Participants336 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 1480 / 1470 / 148
other
Total, other adverse events
109 / 148108 / 147124 / 148
serious
Total, serious adverse events
2 / 14811 / 14711 / 148

Outcome results

Primary

Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration

An SAE is any AE from this study that results in one of the following outcomes: * Death * Initial or prolonged inpatient hospitalization * A life-threatening experience (that is, immediate risk of dying) * Persistent or significant disability/incapacity * Congenital anomaly/birth defect. * Important medical events that may not be immediately life-threatening or result in death or hospitalization, but may jeopardize the patient or may require. A summary of all SAE's, regardless of causality, is located in the Reported Adverse Events section.

Time frame: Baseline through Week 52

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
5 mg TirzepatideNumber of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration0 Participants
10 mg TirzepatideNumber of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration1 Participants
15 mg TirzepatideNumber of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration1 Participants
Secondary

Change From Baseline in Body Weight

LS mean was determined by MMRM model for post-baseline measures: Variable = Baseline + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).

Time frame: Baseline, Week 52

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
5 mg TirzepatideChange From Baseline in Body Weight-3.8 Kilograms (kg)Standard Error 0.51
10 mg TirzepatideChange From Baseline in Body Weight-7.5 Kilograms (kg)Standard Error 0.51
15 mg TirzepatideChange From Baseline in Body Weight-10.2 Kilograms (kg)Standard Error 0.52
Secondary

Change From Baseline in Fasting C-Peptide

LS mean was determined by MMRM model for post-baseline measures: log(Actual Measurement) = log(Baseline) + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).

Time frame: Baseline, Week 52

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
5 mg TirzepatideChange From Baseline in Fasting C-Peptide-0.12 micrograms/litre (ug/L)Standard Error 0.044
10 mg TirzepatideChange From Baseline in Fasting C-Peptide-0.28 micrograms/litre (ug/L)Standard Error 0.04
15 mg TirzepatideChange From Baseline in Fasting C-Peptide-0.34 micrograms/litre (ug/L)Standard Error 0.04
Secondary

Change From Baseline in Fasting Insulin

LS mean was determined by MMRM model for post-baseline measures: log(Actual Measurement) = log(Baseline) + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).

Time frame: Baseline, Week 52

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
5 mg TirzepatideChange From Baseline in Fasting Insulin6.2 picomol per liter (pmol/L)Standard Error 2.68
10 mg TirzepatideChange From Baseline in Fasting Insulin-4.8 picomol per liter (pmol/L)Standard Error 2.21
15 mg TirzepatideChange From Baseline in Fasting Insulin-7.7 picomol per liter (pmol/L)Standard Error 2.16
Secondary

Change From Baseline in Fasting Serum Glucose

Fasting serum glucose (FSG) is a test to determine sugar levels in serum sample after an overnight fast. LS mean was determined by MMRM model for post-baseline measures: Variable = Baseline + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).

Time frame: Baseline, Week 52

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
5 mg TirzepatideChange From Baseline in Fasting Serum Glucose-58.6 milligram per Deciliter (mg/dL)Standard Error 1.75
10 mg TirzepatideChange From Baseline in Fasting Serum Glucose-71.2 milligram per Deciliter (mg/dL)Standard Error 1.75
15 mg TirzepatideChange From Baseline in Fasting Serum Glucose-74.4 milligram per Deciliter (mg/dL)Standard Error 1.81
Secondary

Change From Baseline in Hemoglobin A1c (HbA1c)

HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed-model repeated measures (MMRM) model for post-baseline measures: Variable = Baseline + oral antihyperglycemic medication (OAM) Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).

Time frame: Baseline, Week 52

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
5 mg TirzepatideChange From Baseline in Hemoglobin A1c (HbA1c)-2.57 Percentage of HbA1cStandard Error 0.075
10 mg TirzepatideChange From Baseline in Hemoglobin A1c (HbA1c)-2.98 Percentage of HbA1cStandard Error 0.075
15 mg TirzepatideChange From Baseline in Hemoglobin A1c (HbA1c)-3.02 Percentage of HbA1cStandard Error 0.077
Secondary

Change From Baseline in HOMA-2S (Insulin)

The HOMA2 is a computer model that uses fasting plasma insulin and glucose concentrations to estimate steady state pancreatic beta cell function (%B) and to estimate insulin sensitivity (%S) as a percentage of a normal reference population (normal young adults). The normal reference population was set at 100%. The change from baseline for fasting insulin concentrations are presented as insulin secretion (HOMA2-%B) and insulin sensitivity (HOMA2-%S). LS mean was determined by MMRM model for post-baseline measures: log(Actual Measurement) = log(Baseline) + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).

Time frame: Baseline, Week 52

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
5 mg TirzepatideChange From Baseline in HOMA-2S (Insulin)-0.1 Percentage of HOMA-2SStandard Error 3.37
10 mg TirzepatideChange From Baseline in HOMA-2S (Insulin)16.7 Percentage of HOMA-2SStandard Error 4.23
15 mg TirzepatideChange From Baseline in HOMA-2S (Insulin)24.1 Percentage of HOMA-2SStandard Error 4.66
Secondary

Change From Baseline in Homeostasis Model Assessment B (HOMA-2B) (Insulin)

The HOMA2 is a computer model that uses fasting plasma insulin and glucose concentrations to estimate steady state pancreatic beta cell function (%B) and to estimate insulin sensitivity (%S) as a percentage of a normal reference population (normal young adults). The normal reference population was set at 100%. The change from baseline for fasting insulin concentrations are presented as insulin secretion (HOMA2-%B) and insulin sensitivity (HOMA2-%S). LS mean was determined by MMRM model for post-baseline measures: log(Actual Measurement) = log(Baseline) + OAM Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares).

Time frame: Baseline, Week 52

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
5 mg TirzepatideChange From Baseline in Homeostasis Model Assessment B (HOMA-2B) (Insulin)39.7 percentage of HOMA-2BStandard Error 2.16
10 mg TirzepatideChange From Baseline in Homeostasis Model Assessment B (HOMA-2B) (Insulin)44.9 percentage of HOMA-2BStandard Error 2.4
15 mg TirzepatideChange From Baseline in Homeostasis Model Assessment B (HOMA-2B) (Insulin)49.2 percentage of HOMA-2BStandard Error 2.6
Secondary

Mean Change From Baseline in Daily Average 7-Point Self-Monitored Blood Glucose (SMBG) Values

The self-monitored plasma glucose (SMBG) data were collected at the following 7 time points: Morning Premeal - Fasting, Morning 2-hour Postmeal, Midday Premeal, Midday 2-hour Postmeal, Evening Premeal, Evening 2-hour Postmeal and Bedtime. LS mean was determined by analysis of covariance (ANCOVA) model for endpoint measures: Variable = Baseline + OAM Group 1 + Treatment (Type III sum of squares).

Time frame: Baseline, Week 52

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
5 mg TirzepatideMean Change From Baseline in Daily Average 7-Point Self-Monitored Blood Glucose (SMBG) Values-80.0 mg/dLStandard Error 1.91
10 mg TirzepatideMean Change From Baseline in Daily Average 7-Point Self-Monitored Blood Glucose (SMBG) Values-94.1 mg/dLStandard Error 1.92
15 mg TirzepatideMean Change From Baseline in Daily Average 7-Point Self-Monitored Blood Glucose (SMBG) Values-96.3 mg/dLStandard Error 1.99
Secondary

Number of Participants With Anti-Tirzepatide Antibodies

Number of Participants with Anti-Tirzepatide Antibodies

Time frame: Baseline through Week 52

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
5 mg TirzepatideNumber of Participants With Anti-Tirzepatide Antibodies87 Participants
10 mg TirzepatideNumber of Participants With Anti-Tirzepatide Antibodies82 Participants
15 mg TirzepatideNumber of Participants With Anti-Tirzepatide Antibodies88 Participants
Secondary

Number of Participants With Hypoglycemia Incidence and Rate With Blood Glucose <54 mg/dL or Severe Hypoglycemia, Exclude Hypoglycemic Events Occurring After Initiation of a New Antihyperglycemic Therapy

The hypoglycemia events were defined by participant reported events with blood glucose \<54mg/dL (\<3.0 mmol/L) or severe hypoglycemia. Severe hypoglycemia is defined as an episode with severe cognitive impairment requiring the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions.

Time frame: Baseline through Week 56

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
5 mg TirzepatideNumber of Participants With Hypoglycemia Incidence and Rate With Blood Glucose <54 mg/dL or Severe Hypoglycemia, Exclude Hypoglycemic Events Occurring After Initiation of a New Antihyperglycemic Therapy1 Participants
10 mg TirzepatideNumber of Participants With Hypoglycemia Incidence and Rate With Blood Glucose <54 mg/dL or Severe Hypoglycemia, Exclude Hypoglycemic Events Occurring After Initiation of a New Antihyperglycemic Therapy1 Participants
15 mg TirzepatideNumber of Participants With Hypoglycemia Incidence and Rate With Blood Glucose <54 mg/dL or Severe Hypoglycemia, Exclude Hypoglycemic Events Occurring After Initiation of a New Antihyperglycemic Therapy3 Participants
Secondary

Percentage of Participants Who Achieve HbA1c <7%

Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.

Time frame: Week 52

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (NUMBER)
5 mg TirzepatidePercentage of Participants Who Achieve HbA1c <7%92.57 percentage of participants
10 mg TirzepatidePercentage of Participants Who Achieve HbA1c <7%97.95 percentage of participants
15 mg TirzepatidePercentage of Participants Who Achieve HbA1c <7%96.55 percentage of participants
Secondary

Percentage of Participants Who Achieve Weight Loss of ≥5% From Baseline

Percentage of Participants who Achieve Weight Loss of ≥5% from Baseline

Time frame: Week 52

Population: All randomized participants who received at least one dose of study drug and had a baseline and at least 1 post-baseline value.

ArmMeasureValue (NUMBER)
5 mg TirzepatidePercentage of Participants Who Achieve Weight Loss of ≥5% From Baseline43.92 percentage of participants
10 mg TirzepatidePercentage of Participants Who Achieve Weight Loss of ≥5% From Baseline70.55 percentage of participants
15 mg TirzepatidePercentage of Participants Who Achieve Weight Loss of ≥5% From Baseline84.14 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 17, 2026