Type 2 & other diabetes

Safety and efficacy analyses across age and body mass index subgroups in East Asian participants with type 2 diabetes in the phase 3 tirzepatide studies ( SURPASS programme)

Diabetes Obes MetabPublished Post hoc subgroup analysis of the SURPASS phase 3 randomised trials

Authors' conclusion

This post hoc analysis showed that once-weekly tirzepatide had a similar safety and efficacy profile across BMI and age subgroups in East Asian participants.

Study context

Population
East Asian participants (94% from Japan) with T2D, baseline HbA1c 7.0%–11.0% and body mass index (BMI) ≥23 or ≥25 kg/m², treated with tirzepatide 5, 10 or 15 mg in SURPASS-1, −3, −4, −5, J-mono and J-combo; at baseline 73% had BMI ≥25 kg/m² and 74% were <65 years
Comparison
Tirzepatide across age and BMI subgroups
Methodological detailssubgroup analysis by age and BMI
  • Subgroup analysis by age and BMI

Primary result

As reported in the abstract

HbA1c, waist circumference and BMI across age and BMI subgroups · week 52

Mean absolute HbA1c reductions across the three doses, all BMI and age subgroups

2.3% to 3.0%

Mean waist circumference reductions, all BMI and age subgroups

4.3 to 9.8 cm

Further findings

Insulin sensitivity (HOMA-IR)

Improvements in absolute insulin sensitivity were greater with baseline BMI ≥25 kg/m²

Lipid profiles

Improvements in lipid profiles were similar across subgroups

Safety

Safety profile broadly similar across BMI and age subgroups
Drug discontinuation because of AEs was higher with baseline age ≥65 years

Original publication

Safety and efficacy analyses across age and body mass index subgroups in East Asian participants with type 2 diabetes in the phase 3 tirzepatide studies ( SURPASS programme). Diabetes Obes Metab. Published 20 January 2023. doi:10.1111/dom.14952

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