Type 2 & other diabetes

Time spent in glycaemic control with sustained body weight reduction with tirzepatide: A post hoc analysis of the SURPASS clinical trial programme

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

Authors' conclusion

In this post hoc analysis, people with T2D experienced substantially longer continuous time in glycaemic control and more sustained body weight reductions with tirzepatide versus placebo and active comparators.

Study context

Population
Participants with T2D from SURPASS 1–5SURPASS 1–5
Participants
6,246 participants
Comparison
Once-weekly tirzepatide vs comparators
Primary endpoint
Continuous time spent with HbA1c <7.0% (53 mmol/mol), ≤6.5% (48 mmol/mol), ≥5% body weight reduction, and combined HbA1c ≤6.5% with ≥5% body weight reduction
Follow-up
40 weeks (SURPASS-1, −2, −5) or 52 weeks (SURPASS-3, −4)
Methodological detailsparticipant-level, exploratory
  • Participant-level
  • Exploratory

Primary result

As reported in the abstract

Median time spent with HbA1c <7.0% (53 mmol/mol), % of treatment duration

40-week studies: tirzepatide vs semaglutide vs placebo

80% vs 70% vs 0%

52-week studies: tirzepatide vs insulin degludec vs insulin glargine (p < 0.001)

77%-85% vs 62% vs 23%

Further findings

OutcomeTirzepatideSemaglutideMedianP value
Median time spent with ≥5% body weight reductionmedian 20%-77%25%P < 0.001
Median time spent with HbA1c ≤6.5% (48 mmol/mol) and ≥5% body weight reductionLonger with tirzepatidemedian 35%-60%7%P < 0.001

Median time spent with ≥5% body weight reduction

Dose-dependent increases in time with ≥5% body weight reduction with tirzepatide

Original publication

Time spent in glycaemic control with sustained body weight reduction with tirzepatide: A post hoc analysis of the SURPASS clinical trial programme. Diabetes Obes Metab. Published 13 March 2025. doi:10.1111/dom.16337

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.