SURMOUNT-I

Efficacy and safety of tirzepatide in people with obesity

Study design


  • Phase 3 double-blind, randomized, controlled trial

Population


  • Number of patients studied: 2539
  • Inclusion criteria: Adults with BMI of 30 or more, or 27 or more and at least one weight-related complication, excluding diabetes
  • Exclusion criteria: Presence of diabetes

Interventions


  • Experimental group: Once-weekly, subcutaneous tirzepatide (5 mg, 10 mg, or 15 mg) for 72 weeks
  • Control group: Placebo for 72 weeks

Primary outcome


  • Percentage change in weight from baseline and a weight reduction of 5% or more

Safety outcomes or Adverse Events


  • Adverse events in 78.9% to 81.8% of participants treated with tirzepatide, compared to 72.0% in the placebo group; most common were gastrointestinal events (nausea, diarrhea, and constipation)

Conclusion


  • In this 72-week trial in participants with obesity, 5 mg, 10 mg, or 15 mg of tirzepatide once weekly provided substantial and sustained reductions in body weight.

References

  1. Jastreboff, A. M., Aronne, L. J., Ahmad, N. N., Wharton, S., Connery, L., Alves, B., Kiyosue, A., Zhang, S., Liu, B., Bunck, M. C., Stefanski, A., & SURMOUNT-1 Investigators. (2022). Tirzepatide once weekly for the treatment of obesity. New England Journal of Medicine, 387(3), 205–216. https://doi.org/10.1056/NEJMoa2206038