Type 2 & other diabetes

Effects of Tirzepatide Versus Basal Insulins in People With Type 2 Diabetes and Different Baseline Glycemic Patterns: Post Hoc Analyses of the SURPASS-3 and SURPASS-4 Trials

Diabetes CarePublished Post hoc analysis of the SURPASS-3 and SURPASS-4 randomised trials

Authors' conclusion

In this post hoc analysis, tirzepatide was associated with superior glycemic control compared with insulin, irrespective of baseline glycemic pattern.

Study context

Population
People with T2D and different baseline glycemic patterns: subgroups low fasting serum glucose (FSG)/low PPG, low FSG/high PPG, high FSG/low PPG, high FSG/high PPG, defined by median values of fasting serum glucose and postprandial glucose
Comparison
Tirzepatide vs basal insulin
Primary endpoint
Change from baseline in glycemic parameters (HbA1c, FSG, PPG) by baseline FSG/PPG subgroup
Follow-up
Week 52
Methodological detailssubgroup analysis
  • Subgroup analysis

Primary result

As reported in the abstract

HbA1c, FSG and PPG change by FSG/PPG subgroup · baseline to week 52
All tirzepatide doses and basal insulins decreased HbA1c, FSG and PPG in all subgroups
P < 0.05
Within each subgroup, HbA1c and PPG decreases greater with tirzepatide than insulin
P < 0.05

Original publication

Effects of Tirzepatide Versus Basal Insulins in People With Type 2 Diabetes and Different Baseline Glycemic Patterns: Post Hoc Analyses of the SURPASS-3 and SURPASS-4 Trials. Diabetes Care. Published 26 March 2024. doi:10.2337/dc23-2366

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