Obesity

Efficacy and safety of once-weekly tirzepatide in Japanese patients with obesity disease (SURMOUNT-J): a multicentre, randomised, double-blind, placebo-controlled phase 3 trial

Lancet Diabetes EndocrinolPublished Randomised controlled trial

Authors' conclusion

In Japanese adults with obesity disease, tirzepatide provided clinically a meaningful reduction in bodyweight compared with placebo over 72 weeks, with a safety profile consistent with that observed in global populations.

Study context

Population
Japanese adults with obesity disease (BMI ≥27 kg/m² with ≥2 obesity-related health disorders or ≥35 kg/m² with ≥1), excluding diabetesModified intention-to-treat (mITT) 225
Participants
267 adults
Comparison
Once-weekly SC tirzepatide 10 mg or 15 mg vs placebo, adjunct to lifestyle modifications
  • Tirzepatide 10 mgn = 73
  • Tirzepatide 15 mgn = 77
  • Placebon = 75reference
Primary endpoint
Coprimary: mean percent change in bodyweight and proportion achieving ≥5% bodyweight reduction (efficacy estimand)
Follow-up
Week 72
Methodological detailsmulticentre, double-blind, placebo-controlled, phase 3
  • Multicentre
  • Double-blind
  • Placebo-controlled
  • Phase 3

Primary result

As reported in the abstract

Change in bodyweight; ≥5% bodyweight reduction
Each group vs placeboEstimated treatment difference in change in bodyweight, % (95% CI)P value
Tirzepatide 10 mg
−16.1(−18.7 to −13.5)
P < 0.0001
Tirzepatide 15 mg
−21.1(−23.6 to −18.5)
P < 0.0001

Further findings

Cardiometabolic and body composition indices

Also improved with tirzepatide

Safety

Treatment-emergent adverse events

OutcomeTirzepatide 10 mgTirzepatide 15 mgPlacebo
Study discontinuation due to adverse events1%0 events4%

Treatment-emergent adverse events

Most commonly gastrointestinal symptoms

Original publication

Efficacy and safety of once-weekly tirzepatide in Japanese patients with obesity disease (SURMOUNT-J): a multicentre, randomised, double-blind, placebo-controlled phase 3 trial. Lancet Diabetes Endocrinol. Published 28 February 2025. doi:10.1016/s2213-8587(24)00377-2

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