Obesity

Tirzepatide reduces the predicted risk of atherosclerotic cardiovascular disease and improves cardiometabolic risk factors in adults with obesity or overweight: SURMOUNT‐1 post hoc analysis

Diabetes Obes MetabPublished Post hoc analysis of the SURMOUNT-1 randomised trial

Authors' conclusion

Tirzepatide treatment significantly reduced the 10-year predicted risk of ASCVD versus placebo in patients with obesity or overweight without diabetes.

Study context

Population
Adults with BMI ≥30 or ≥27 kg/m² and at least one weight-related complication, without diabetes; Atherosclerotic cardiovascular disease (ASCVD) risk analysis in participants without a history of ASCVDwithout history of ASCVD
Participants
2,461 adults
Comparison
Tirzepatide vs placebo
Primary endpoint
Percent change in predicted 10-year ASCVD risk score (ACC/AHA risk engine)
Follow-up
Baseline to week 72
Methodological detailsphase 3
  • Phase 3

Primary result

As reported in the abstract

Relative change in predicted 10-year ASCVD risk

Tirzepatide

−23.5% to −16.4%

Placebo

12.7%

P < 0.001

Further findings

OutcomeP value
Relative change in risk, intermediate-to-high baseline risk subgroupSignificantly greater with tirzepatideP < 0.05

Baseline median 10-year ASCVD risk score

Low and did not differ across groups
1.5%-1.6%

Relative change in risk, intermediate-to-high baseline risk subgroup

Similar relative change but greater absolute risk reduction vs overall population

Cardiometabolic variables · 72 weeks

Reductions in cardiometabolic variables with tirzepatide

Original publication

Tirzepatide reduces the predicted risk of atherosclerotic cardiovascular disease and improves cardiometabolic risk factors in adults with obesity or overweight: SURMOUNT‐1 post hoc analysis. Diabetes Obes Metab. Published 6 November 2023. doi:10.1111/dom.15318

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