Obesity

Tirzepatide for Obesity in Adults ≥ 65 Years: A Post Hoc Analysis of the SURMOUNT and SUMMIT Clinical Trials

Diabetes Obes MetabPublished Post hoc analysis of the SURMOUNT-1 to −5, SURMOUNT-OSA and SUMMIT phase 3 trials

Authors' conclusion

In this post hoc analysis from Phase 3 clinical trials, efficacy and safety profiles of tirzepatide in adults aged ≥ 65 years with obesity were comparable to those in adults aged < 65 years.

Study context

Population
Adults with obesity in the SURMOUNT-1 to −5 (incl. SURMOUNT-1 3-year), SURMOUNT-OSA and SUMMIT trials
Comparison
Tirzepatide in adults ≥65 years vs <65 years
Methodological detailsage subgroup analysis, pooled safety analysis
  • Age subgroup analysis
  • Pooled safety analysis

Primary result

As reported in the abstract

Efficacy by age subgroup · varying by trial design
  • Tirzepatide associated with clinically meaningful weight reduction and favourable treatment differences in cardiometabolic risk factors and quality of life in adults ≥65 years, broadly comparable to adults <65 years
  • Analysed by study

Safety

Adverse event (AEs) in older adults, tirzepatide vs placebo, and ≥65 vs <65 years · throughout treatment period

No clinically meaningful differences in AE rates between tirzepatide and placebo in older adults for gastrointestinal tolerability, falls, fractures, depression, pancreatitis, and renal, hepatic, gallbladder and biliary-related AEs
No clinically relevant risks beyond those inherent to older age in adults ≥65 vs <65 years
  • Pooled population

Original publication

Tirzepatide for Obesity in Adults ≥ 65 Years: A Post Hoc Analysis of the SURMOUNT and SUMMIT Clinical Trials. Diabetes Obes Metab. Published 16 June 2026. doi:10.1111/dom.70991

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