Obesity

Real‐world use of tirzepatide among individuals without evidence of type 2 diabetes: Results from the Veradigm® database

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

Majority of individuals in the AOM-eligible cohort had ≥1 ORC, and half had ≥2 ORCs, indicating that in this study cohort tirzepatide was being used in people with multimorbidity. Tirzepatide dose escalation in this real-world cohort was slower than in clinical trials, which may have implications for its real-world effectiveness.

Study context

Population
Adults (≥18 years) without T2D diagnoses with ≥1 tirzepatide prescription (13 May 2022–31 August 2023), US Veradigm Network electronic health record (EHR) database; mean age 45.0 years, 77.1% femalenested cohorts
Participants
10,193 vs 3,470
Exposure
Overall vs Anti-obesity medication (AOM)-eligible
  • Overalln = 10,193
  • AOM-eligiblen = 3,470
Outcome
Obesity-related complications (ORC) and treatment patterns
Follow-up
6 months
Methodological detailsdescriptive, EHR database linked with administrative claims
  • Descriptive
  • EHR database linked with administrative claims

Main finding

As reported in the abstract

6 months
Group≥1 obesity-related complication (ORC)≥2 ORCsInitiated on tirzepatide ≤5 mg (n = 755)Receiving ≤10 mg at fifth refill (n = 448)Adherence at 6 monthsPersistence at 6 monthsSwitched to alternate AOM among discontinued (n = 346)
AOM-eligible76.5%51.8%95.6%91.1%55.5%54.2%10.1%

AOM-eligible

≥1 obesity-related complication (ORC)76.5%
≥2 ORCs51.8%
Initiated on tirzepatide ≤5 mg (n = 755)95.6%
Receiving ≤10 mg at fifth refill (n = 448)91.1%
Adherence at 6 months55.5%
Persistence at 6 months54.2%
Switched to alternate AOM among discontinued (n = 346)10.1%

Observational data: associations, not effects.

Original publication

Real‐world use of tirzepatide among individuals without evidence of type 2 diabetes: Results from the Veradigm® database. Diabetes Obes Metab. Published 14 March 2025. doi:10.1111/dom.16330

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