Type 2 & other diabetes

Gastrointestinal adverse events and weight reduction in people with type 2 diabetes treated with tirzepatide in the SURPASS clinical trials

Diabetes Obes MetabPublished Post hoc analysis of the SURPASS-1 to −5 randomised trials

Authors' conclusion

Superior weight reduction with tirzepatide versus comparators appears to be independent of reported N/V/D or GI AEs.

Study context

Population
Participants with T2D in SURPASS-1 to −5, as monotherapy or add-on to background antihyperglycaemic medication(s); subgroups by self-reported N/V/D or gastrointestinal (GI) adverse events (AEs)
Participants
6,263 participants5 RCTs
Comparison
Once-weekly tirzepatide vs comparators
Primary endpoint
Change from baseline in body weight within each trial and subgroup (N/V/D or GI AEs yes/no)
Follow-up
Primary timepoint
Methodological detailssubgroup analysis, mediation analysis
  • Subgroup analysis
  • Mediation analysis

Primary result

As reported in the abstract

Mean weight change with tirzepatide by N/V/D subgroup

Mean weight reduction with tirzepatide, participants reporting N/V/D

−6.2 to −14.9 kg

Mean weight reduction with tirzepatide, participants not reporting N/V/D

−6.2 to −13.3 kg

Further findings

Mediation analysis: contribution of N/V/D and GI AEs to weight difference tirzepatide vs comparators

Minimal contribution of N/V/D and GI AEs
<6%

Safety

Most common GI AEs with tirzepatide

Nausea
12%-24%
Diarrhoea
12%-22%
Vomiting
2%-13%
Transient and of mild-to-moderate severity

Original publication

Gastrointestinal adverse events and weight reduction in people with type 2 diabetes treated with tirzepatide in the SURPASS clinical trials. Diabetes Obes Metab. Published 18 October 2023. doi:10.1111/dom.15333

Composed by AI from the published abstract and checked against it. How Briefs are made →

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