Obesity

Tirzepatide on ingestive behavior in adults with overweight or obesity: a randomized 6-week phase 1 trial

Nat MedPublished Randomised controlled trial

Primary result · Change in energy intake during ad libitum lunchResult — go to the resultEstimated treatment difference −524.6 kcal 95% CI −648.1 to −401.0

Authors' conclusion

Our results suggest tirzepatide reduces food intake, potentially by impacting ingestive behavior.

Study context

Population
Adults without diabetes, BMI 27–50 kg/m² (overweight or obesity)
Participants
114 adults
Comparison
Once-weekly tirzepatide vs placebo
Primary endpoint
Change from baseline in energy intake during an ad libitum lunch, tirzepatide vs placebo
Follow-up
Week 3
Methodological detailsphase 1, blinded tirzepatide and placebo, open-label liraglutide, randomized 1:1:1
  • Phase 1
  • Blinded tirzepatide and placebo
  • Open-label liraglutide
  • Randomized 1:1:1

Primary result

Change in energy intake during ad libitum lunch

Estimated treatment difference

−524.6 kcal

95% CI −648.1 to −401.0

P < 0.0001

Tirzepatidevs Placebo
estimated treatment difference −524.6 kcal (95% CI −648.1 to −401.0); P < 0.0001

As reported in the abstract

Secondary outcomes

Self-reported ingestive behavior

Tirzepatide decreased overall appetite, food cravings, tendency to overeat, perceived hunger and reactivity to foods in the environment vs placebo
No impact on volitional restriction of dietary intake vs placebo

BOLD fMRI activation to food photos · week 3

No statistically significant impact on activation to highly palatable food photos (aggregated high-fat, high-sugar and high-fat, high-carbohydrate) vs placebo
Decreased activation to high-fat, high-sugar food photos in medial frontal and cingulate gyri, orbitofrontal cortex and hippocampus vs placebo

Original publication

Tirzepatide on ingestive behavior in adults with overweight or obesity: a randomized 6-week phase 1 trial. Nat Med. Published 24 June 2025. doi:10.1038/s41591-025-03774-9

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