Obesity

Body weight reduction in women treated with tirzepatide by reproductive stage: a post hoc analysis from the SURMOUNT program

Obesity (Silver Spring)Published Post hoc analysis of the SURMOUNT-1, −3 and −4 randomised trials

Authors' conclusion

In this post hoc analysis, tirzepatide treatment was associated with significant body weight, waist circumference, and WHtR reductions versus placebo in women living with obesity or overweight and without type 2 diabetes, irrespective of reproductive stage.

Study context

Population
Women from SURMOUNT-1, −3 and −4 living with obesity or overweight without T2D, categorised as pre-, peri- or post-menopause
Comparison
Tirzepatide vs placebo, by reproductive stage
Primary endpoint
Body weight change by reproductive stage
Follow-up
End of study treatment
Methodological detailssubgroup analysis by reproductive stage, retrospective categorisation
  • Subgroup analysis by reproductive stage
  • Retrospective categorisation

Primary result

As reported in the abstract

Body weight reduction from baseline (SURMOUNT-1)

P < 0.001

Further findings

Waist circumference reduction, premenopause (SURMOUNT-1) · end of study treatment

P < 0.001

Waist circumference reduction, perimenopause (SURMOUNT-1) · end of study treatment

P < 0.001

Waist circumference reduction, postmenopause (SURMOUNT-1) · end of study treatment

P < 0.001

OutcomeTirzepatidePlacebo
Body weight reduction ≥5%, across reproductive stage subgroups (SURMOUNT-1) · end of study treatment97% to 98%29% to 33%
WHtR ≤ 0.49 (low central adiposity) among baseline BMI < 35 kg/m², across reproductive stage subgroups (SURMOUNT-1) · end of study treatment30% to 52%— not stated in the abstract

— not stated in the abstract

SURMOUNT-3 and −4

Similar results observed in SURMOUNT-3 and −4

Original publication

Body weight reduction in women treated with tirzepatide by reproductive stage: a post hoc analysis from the SURMOUNT program. Obesity (Silver Spring). Published 12 March 2025. doi:10.1002/oby.24254

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