Obesity

Efficacy and Safety of Tirzepatide in Japanese Participants With Obesity: A Subpopulation Analysis of the SURMOUNT ‐1 Trial

Obesity (Silver Spring)Published Secondary analysis of the SURMOUNT-1 randomised trial

Authors' conclusion

Once-weekly treatment with tirzepatide demonstrated significant reductions in body weight and prespecified cardiometabolic measures compared with placebo in Japanese adults with obesity or overweight.

Study context

Population
Japanese adults in SURMOUNT-1 with BMI ≥ 30 kg/m² or ≥ 27 kg/m² and ≥ 1 weight-related comorbidity
Participants
102 adults
Comparison
Tirzepatide 5, 10 or 15 mg once weekly vs placebo, alongside lifestyle intervention
Primary endpoint
Coprimary: mean percent change in body weight and proportion achieving ≥ 5% body weight reduction
Follow-up
Week 72
Methodological detailsprespecified subpopulation analysis, placebo-controlled, once-weekly
  • Prespecified subpopulation analysis
  • Placebo-controlled
  • Once-weekly

Primary result

As reported in the abstract

Percent change in body weight (least squares mean, SE)

Tirzepatide 5 mg

−12.0

least squares mean · SE 1.7% · %

Tirzepatide 10 mg

−22.4

least squares mean · SE 1.7% · %

Tirzepatide 15 mg

−22.1

least squares mean · SE 1.6% · %

Placebo

−0.3

least squares mean · SE 1.6% · %

Tirzepatide 5 mg vs Placebo: P < 0.001 · Tirzepatide 10 mg vs Placebo: P < 0.001 · Tirzepatide 15 mg vs Placebo: P < 0.001

≥ 5% weight reduction: Tirzepatide 5 mg
91.7%
≥ 5% weight reduction: Tirzepatide 10 mg
100%
≥ 5% weight reduction: Tirzepatide 15 mg
96.6%
≥ 5% weight reduction: Placebo
15.4%

Further findings

Cardiometabolic measures · week 72

Significant improvements in cardiometabolic measures with tirzepatide vs placebo

Safety

No new safety concerns were identified

Original publication

Efficacy and Safety of Tirzepatide in Japanese Participants With Obesity: A Subpopulation Analysis of the SURMOUNT ‐1 Trial. Obesity (Silver Spring). Published 30 January 2026. doi:10.1002/oby.70131

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