Type 1 diabetes

Tirzepatide in Adults With Type 1 Diabetes: A Phase 2 Randomized Placebo-Controlled Clinical Trial

Diabetes CarePublished Randomised controlled trial

Primary result · Change in body weightResult — go to the resultEstimated treatment difference −8.7 kg 95% CI −12.0 to −5.5

Authors' conclusion

Among adults with type 1 diabetes and obesity, tirzepatide was superior to placebo for weight loss over 12 weeks.

Study context

Population
Adults with T1D and BMI >30 kg/m²22 completed
Participants
24 adults
Comparison
Once-weekly SC tirzepatide vs placebo
Primary endpoint
Change in body weight
Follow-up
12 weeks
Methodological detailsphase 2, double-blind, placebo-controlled
  • Phase 2
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Estimated treatment difference

−8.7 kg

95% CI −12.0 to −5.5

P < 0.0001

Change by group

Tirzepatide

−10.3

mean · 95% CI −12.8–-7.7 · kg

Placebo

−0.7

mean · 95% CI −1.4–2.8 · kg

Tirzepatidevs Placebo
estimated treatment difference −8.7 kg (95% CI −12.0 to −5.5); P < 0.0001

Further findings

Weight loss ≥5% · 12 weeks

Weight loss ≥10% · 12 weeks

Units/day

OutcomeTirzepatidePlaceboEstimateP value
HbA1cmean difference −0.4 % (95% CI −0.7 to 0.0)P = 0.05
Total daily insulin dose−24.2−0.3difference from baseline vs. placebo −35.1 % (95% CI −46.5 to −21.3)P = 0.0002

Safety

No significant adverse events in either group

Original publication

Tirzepatide in Adults With Type 1 Diabetes: A Phase 2 Randomized Placebo-Controlled Clinical Trial. Diabetes Care. Published 20 November 2025. doi:10.2337/dc25-2379

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