Obesity

Tirzepatide Associated With Improved Health‐Related Quality of Life in Adults With Obesity or Overweight in SURMOUNT ‐4

Obesity (Silver Spring)Published Secondary analysis of the SURMOUNT-4 randomised trial

Authors' conclusion

In participants with overweight or obesity, continued tirzepatide treatment was associated with maintaining HRQoL improvement, while treatment withdrawal resulted in worsening of HRQoL.

Study context

Population
Adults with obesity or overweight who achieved tirzepatide maximum tolerated dose (MTD) during a 36-week lead-in
Participants
670 adults
Comparison
Continued tirzepatide MTD vs switch to placebo
Primary endpoint
Health-related quality of life (HRQoL) by PROs (SF-36v2, IWQOL-Lite-CT, EQ-5D-5L)
Follow-up
W36 to W88
Methodological detailsrandomized (1:1), 36-week lead-in, post hoc analysis
  • Randomized (1:1)
  • 36-week lead-in
  • Post hoc analysis

Primary result

As reported in the abstract

HRQoL (PROs)
  • PRO improvements from W0 to W36 with tirzepatide were maintained from W36 to W88 with continued tirzepatide vs placebo

Further findings

PROs by weight reduction and baseline physical function (tirzepatide-treated)

Greater weight reduction and baseline physical function limitations: numerically greater PRO improvements
  • Post hoc analysis

PROs by weight regain (placebo)

Greater weight regain after switch to placebo associated with worsening of PROs
  • Post hoc analysis

Original publication

Tirzepatide Associated With Improved Health‐Related Quality of Life in Adults With Obesity or Overweight in SURMOUNT ‐4. Obesity (Silver Spring). Published 3 September 2025. doi:10.1002/oby.70011

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