Obesity

Association of baseline characteristics with clinical outcomes of tirzepatide treatment in Japanese patients with obesity disease: A subgroup analysis of the SURMOUNT ‐J trial

Diabetes Obes MetabPublished Prespecified subgroup analysis of the SURMOUNT-J randomised trial

Authors' conclusion

These results suggest that tailored interventions such as tirzepatide dosage adjustments may help optimise the treatment management of Japanese patients with obesity disease.

Study context

Population
Japanese adults with obesity disease, excluding diabetes; subgroups by sex, age (<65, ≥65 years) and body mass index (BMI) (<35, ≥35 kg/m²)
Participants
225 adults
Comparison
Once-weekly SC tirzepatide 10 mg or 15 mg vs placebo, by baseline sex, age and BMI
  • Tirzepatide 10 mgn = 73
  • Tirzepatide 15 mgn = 77
  • Placebon = 75reference
Primary endpoint
Key safety and efficacy outcomes analysed by baseline characteristics
Follow-up
Week 72
Methodological detailspost hoc analyses of cardiometabolic parameters
  • Post hoc analyses of cardiometabolic parameters

Primary result

As reported in the abstract

Percent body weight change by subgroup, estimated treatment difference vs placebo
Tirzepatide 10 mg
estimated treatment difference (females) −17.5%
Tirzepatide 15 mg
estimated treatment difference (females) −24.9%
Tirzepatide 10 mg
estimated treatment difference (males) −15.1%
Tirzepatide 15 mg
estimated treatment difference (males) −18.1%
Tirzepatide 10 mg
estimated treatment difference (BMI <35 kg/m²) −18.7%
Tirzepatide 15 mg
estimated treatment difference (BMI <35 kg/m²) −21.7%
Tirzepatide 10 mg
estimated treatment difference (BMI ≥35 kg/m²) −11.7%
Tirzepatide 15 mg
estimated treatment difference (BMI ≥35 kg/m²) −20.4%

Further findings

≥5% weight reduction, across subgroups · week 72

Tirzepatide (range across subgroups)
86%-100%
Placebo (range across subgroups)
18%-30%

Cardiometabolic parameters by subgroup

All subgroups showed improvements in cardiometabolic parameters with tirzepatide
  • Post hoc analyses

Safety

Safety profiles did not substantially differ by subgroup

Original publication

Association of baseline characteristics with clinical outcomes of tirzepatide treatment in Japanese patients with obesity disease: A subgroup analysis of the SURMOUNT ‐J trial. Diabetes Obes Metab. Published 25 November 2025. doi:10.1111/dom.70315

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