Type 2 & other diabetes

Real‐World Clinical Evidence of Tirzepatide for Metabolic Abnormalities in Subjects With Type 2 Diabetes: The Multicenter Retrospective Observational Hokkaido‐ TZP Study

Diabetes Obes MetabPublished Retrospective observational study

Authors' conclusion

Tirzepatide demonstrated robust clinical efficacy and a favourable safety profile in a real-world clinical setting, regardless of whether incretin-based therapy had been administered previously.

Study context

Population
Subjects with T2D treated with tirzepatide for ≥ 6 months, 10 centres in Hokkaido, Japan; mean age 55.6 ± 12.5 years, mean BMI 30.6 ± 5.8; 81.3% on incretin-based medications at baselineanalysed
Participants
828 subjects
Outcome
Changes in HbA1c and other metabolic parameters, alongside adverse events leading to discontinuation of tirzepatide
Follow-up
6 months
Methodological detailsmulticentre, 10 medical centers in Hokkaido, Japan
  • Multicentre
  • 10 medical centers in Hokkaido, Japan

Main finding

As reported in the abstract

HbA1c change

−1.07%

95% CI −1.16, −0.98; baseline 7.82% ± 1.59%p < 0.001

Body weight change

−3.1 kg

95% CI −3.4, −2.8; baseline 83.8 ± 18.5 kgp < 0.001

Observational data: associations, not effects.

Further findings

Efficacy consistent in patients switching from incretin-based medications

Safety

Discontinuation of tirzepatide

Discontinued because of adverse events, personal preference or other clinical reasons
45 subjects

Original publication

Real‐World Clinical Evidence of Tirzepatide for Metabolic Abnormalities in Subjects With Type 2 Diabetes: The Multicenter Retrospective Observational Hokkaido‐ TZP Study. Diabetes Obes Metab. Published 7 April 2026. doi:10.1111/dom.70734

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