Obesity

Tirzepatide leads to weight reduction in people with obesity due to MC4R deficiency

Nat MedPublished Secondary analysis of the SURMOUNT-1 randomised trial

Authors' conclusion

We conclude that tirzepatide is an effective treatment for the most common genetic subtype of obesity, MC4R deficiency.

Study context

Population
Men and women with obesity in the SURMOUNT-1 trial of tirzepatide (dual GLP-1 and GIP receptor agonist) with genetic data availabledata available
Participants
2,291 men
Comparison
MC4R mutation carriers vs noncarriers treated with tirzepatide
  • MC4R mutation carriersn = 32
Methodological detailsgenetic subgroup analysis
  • Genetic subgroup analysis

Primary result

As reported in the abstract

Weight reduction in the tirzepatide arm · 72 weeks

Further findings

BMI at baseline · higher in carriers

P = 0.036

OutcomeMC4R mutation carriersNoncarriers
Prevalence of pathogenic MC4R mutations1.4%— not stated in the abstract

— not stated in the abstract

Original publication

Tirzepatide leads to weight reduction in people with obesity due to MC4R deficiency. Nat Med. Published 26 August 2025. doi:10.1038/s41591-025-03913-2

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