Obesity

Efficacy and safety of once‐weekly tirzepatide in Japanese participants with type 2 diabetes who have obesity or overweight: Subpopulation analysis of the SURMOUNT ‐2 trial

Diabetes Obes MetabPublished Secondary analysis of the SURMOUNT-2 randomised trial

Authors' conclusion

In Japanese adults with obesity and T2D, once-weekly treatment with tirzepatide (10 or 15 mg) demonstrated significant reductions in body weight compared with placebo, with the safety profile generally consistent with previous studies.

Study context

Population
Japanese adults with BMI ≥27 kg/m² and T2D with HbA1c ≥7% to ≤10%Japanese subpopulation
Participants
41 adults
Comparison
Once-weekly tirzepatide 10 mg or 15 mg vs placebo, as adjunct to lifestyle interventions
Primary endpoint
Coprimary: mean percent change in body weight and proportion achieving ≥5% body weight reduction
Follow-up
Week 72
Methodological detailssubpopulation analysis, three clinical trial sites
  • Subpopulation analysis
  • Three clinical trial sites

Primary result

As reported in the abstract

Mean percent change in body weight from baseline

Tirzepatide 10 mg

−12.4

mean · SE 1.8% · %

Tirzepatide 15 mg

−10.2

mean · SE 1.8% · %

Placebo

−3.5

mean · SE 1.8% · %

Tirzepatide 10 mg vs Placebo: P = 0.001 · Tirzepatide 15 mg vs Placebo: P = 0.013

Body weight reduction ≥5% (coprimary): tirzepatide 10 mg
85.7%
Body weight reduction ≥5% (coprimary): tirzepatide 15 mg
78.6%
Body weight reduction ≥5% (coprimary): placebo
46.2%

Further findings

Reductions in glycemic parameters, waist circumference and systolic BP, and numerical improvements in lipid profile, with tirzepatide

Safety

No new safety concerns were identified

Original publication

Efficacy and safety of once‐weekly tirzepatide in Japanese participants with type 2 diabetes who have obesity or overweight: Subpopulation analysis of the SURMOUNT ‐2 trial. Diabetes Obes Metab. Published 9 June 2025. doi:10.1111/dom.16500

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