Once-Weekly Tirzepatide for Obesity

madman

Super Moderator
Here are the key points from the video titled "Once-Weekly Tirzepatide for Obesity | NEJM":

  1. Study Objective: The trial investigated the effectiveness of the type 2 diabetes drug, tirzepatide, in inducing weight reduction in adults with obesity or overweight plus a weight-related complication, but without diabetes.
  2. Trial Design: This was an international phase 3, double-blind, randomized trial involving 2,539 adults who were assigned to receive either 5, 10, or 15 milligrams of tirzepatide or a placebo, along with lifestyle intervention.
  3. Primary Endpoints: Tirzepatide showed a significant weight reduction compared to placebo. Mean weight reduction ranged from 15% to 21% with tirzepatide, compared to 3% with placebo. Additionally, a higher percentage of participants on tirzepatide lost at least 5% of their body weight by week 72 compared to those on placebo.
  4. Adverse Events: The most common adverse events were gastrointestinal issues such as nausea, diarrhea, and constipation. These were typically transient and mild to moderate in severity, occurring mainly during dose escalation.
  5. Conclusion: All three doses of tirzepatide provided meaningful and sustained weight reduction in adults with obesity without diabetes. Full trial results are available on the NEJM website.


The type 2 diabetes drug tirzepatide has been reported to induce weight loss in patients with diabetes. A new randomized trial reports weight loss with tirzepatide in patients without diabetes. These findings are summarized in a short video.

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Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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