Type 1 diabetes

Efficacy and Safety of Tirzepatide in Adults With Type 1 Diabetes: A Proof of Concept Observational Study

J Diabetes Sci TechnolPublished Retrospective observational study

Authors' conclusion

Tirzepatide significantly reduced HbA1c and body weight in adults with T1D. A randomized controlled trial is needed to establish efficacy and safety of this drug in T1D.

Study context

Population
Adults with T1D; mean age 42 ± 8 years, 54% female, mean body mass index (BMI) 36.7 ± 5.3 kg/m²
Participants
26 adults
Outcome
Reduction in HbA1c and percent change in body weight from baseline
Follow-up
Over 8 months
Methodological detailssingle-centre, proof of concept
  • Single-centre
  • Proof of concept

Main finding

As reported in the abstract

3, 6 and 8 months
Hemoglobin A1c (HbA1c) reduction at 3 months (significant)
0.45%
HbA1c reduction at 8 months (significant)
0.59%
Body weight reduction at 3 months (significant)
3.4%
Body weight reduction at 6 months (significant)
10.5%
Body weight reduction at 8 months (significant)
10.1%

Observational data: associations, not effects.

Secondary outcomes

Continuous glucose monitoring (CGM) metrics: TIR (70-180 mg/dL), TITR (70-140 mg/dL), TAR (>180 mg/dL) · 3 months

TIR increase
+12.6%, P = .002
TITR increase
+10.7%, P = .0016
TAR decrease
−12.6%, P = .002
Changes sustained over 8 months

Safety

Safety and tolerability

Discontinued medication
2 patients
Relatively safe and well tolerated

Original publication

Efficacy and Safety of Tirzepatide in Adults With Type 1 Diabetes: A Proof of Concept Observational Study. J Diabetes Sci Technol. Published 5 February 2024. doi:10.1177/19322968231223991

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