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Phase 3 Completed N=267 Randomized Double-blind Treatment

A Study of Tirzepatide (LY3298176) in Participants With Obesity Disease

Source: ClinicalTrials.gov NCT04844918 ↗
Enrolled (actual)
267
Serious AEs
8.0%
Results posted
Jul 2024
Primary outcomePrimary: Mean Percent Change in Body Weight — -17.8; -22.7; -1.7 Percent change — p=<0.001
◆ Published Evidence
Established
34citations · ~34 / year
Efficacy and safety of once-weekly tirzepatide in Japanese patients with obesity disease (SURMOUNT-J): a multicentre, randomised, double-blind, placebo-controlled phase 3 trial.
The lancet. Diabetes & endocrinology · 2025 · Likely link

Summary

The main purpose of this study is to learn more about tirzepatide in participants with obesity disease. The study will also measure how Tirzepatide affects body weight with a low-calorie diet and increased physical activity. The study will last around 72 Weeks.

Linked Publications (3)

  • Efficacy and safety of once-weekly tirzepatide in Japanese patients with obesity disease (SURMOUNT-J): a multicentre, randomised, double-blind, placebo-controlled phase 3 trial.
    The lancet. Diabetes & endocrinology · 2025 · 34 citations · Likely link
  • Association of baseline characteristics with clinical outcomes of tirzepatide treatment in Japanese patients with obesity disease: A subgroup analysis of the SURMOUNT-J trial.
    Diabetes, obesity & metabolism · 2026 · 4 citations · Open access · Likely link
  • Effect of Tirzepatide on Health-Related Quality of Life in Japanese Patients With Obesity Disease: Patient-Reported Outcomes From the SURMOUNT-J Study.
    Diabetes, obesity & metabolism · 2026 · 0 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Percent Change in Body Weight
-17.8; -22.7; -1.7 <0.001 sig
PRIMARY
Percentage of Participants Who Achieve ≥5% Body Weight Reduction
94.37; 96.05; 20 <0.001 sig
SECONDARY
Percentage of Participants Who Had Improvement in Obesity-related Health Problems
70.0; 79.69; 11.11 <0.001 sig
SECONDARY
Change From Baseline in Fasting Glucose for Participants With IGT at Baseline
-12.81; -10.61; 2.19 <0.001 sig
SECONDARY
Change From Baseline in Oral Glucose Tolerance (OGTT) 2-hr Glucose for Participants With Impaired Glucose Tolerance (IGT) at Baseline
-61.50; -70.56; -5.74 <0.001 sig
SECONDARY
Percent Change From Baseline in Fasting Lipids [Triglycerides (TG)] for Participants With Hyperlipidemia at Baseline
-47.3; -50.6; -11.0 <0.001 sig
SECONDARY
Percent Change From Baseline in Hepatic Fat Fraction (HFF) for Participants With Non-alcoholic Fatty Liver Disease [NAFLD]
-63.9; -69.9; -19.6 <0.001 sig
SECONDARY
Percentage of Participants Who Achieved Improvements of IGT
92.50; 97.83; 28.0 <0.001 sig
SECONDARY
Percentage of Participants Who Achieved Improvements of Hyperlipidemia
72.41; 81.08; 25 <0.001 sig
SECONDARY
Percentage of Participants Who Achieved Improvements of NAFLD
69.49; 77.42; 9.84 <0.001 sig
SECONDARY
Percentage of Participants Who Achieve ≥10% Body Weight Reduction
85.92; 92.11; 4 <0.001 sig
SECONDARY
Percentage of Participants Who Achieve ≥15% Body Weight Reduction
63.38; 82.89; 1.33 <0.001 sig
SECONDARY
Change From Baseline in Absolute Body Weight
-16.0; -20.8; -1.5 <0.001 sig
SECONDARY
Change From Baseline in Body Mass Index (BMI)
-5.8; -7.7; -0.6 <0.001 sig
SECONDARY
Percent Change From Baseline in Visceral Adipose Tissue (VAT)
-39.4; -44.5; -3.4 <0.001 sig
SECONDARY
Percent Change From Baseline in Subcutaneous Adipose Tissue (SAT)
-32.2; -36.5; -5.0 <0.001 sig
SECONDARY
Change From Baseline in VAT/SAT Ratio
-0.09; -0.08; 0.01 0.004 sig
SECONDARY
Percentage of Participants Who Achieved VAT <100 Square Centimeter (cm²) From Baseline for Participants With VAT≥100 cm² at Baseline
26.32; 37.10; 1.64 <0.001 sig
SECONDARY
Change From Baseline in Waist Circumference
-12.7; -16.6; -1.3 <0.001 sig
SECONDARY
Change From Baseline in Hemoglobin A1c (HbA1c)
-0.67; -0.68; -0.02 <0.001 sig
SECONDARY
Change From Baseline in Fasting Insulin for Participants With IGT at Baseline
-6.04; -6.69; -2.13
SECONDARY
Change From Baseline in Systolic Blood Pressure
-11.2; -12.0; 1.9 <0.001 sig
SECONDARY
Change From Baseline in Diastolic Blood Pressure
-5.9; -6.3; 0.5 <0.001 sig
SECONDARY
Change From Baseline in Short Form 36 Version 2 Health Survey (SF-36v2) Acute Form Physical Functioning Domain Score
1.1; 2.0; -0.1 0.022 sig
SECONDARY
Change From Baseline in Impact of Weight on Quality-of-Life Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function Composite Score
15.2; 13.0; 2.2 <0.001 sig
SECONDARY
Change From Baseline in Euro Quality of Life Five Dimensions (EQ-5D-5L)
0.01; 0.01; -0.01 0.099

Eligibility Criteria

Inclusion Criteria

  • Have a BMI of greater than or equal to ≥27 kg/m² and 5 kg within 3 months prior to screening.
  • Have or plan to have endoscopic and/or device-based therapy for obesity or have had device removal within the last 6 months.
  • Have renal impairment measured as estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m2, calculated by Japanese Society of Nephrology coefficient-modified Chronic Kidney Disease-Epidemiology equation during screening.
  • Have a known clinically significant gastric emptying abnormality.
  • Have had a history of chronic or acute pancreatitis.
  • Have thyroid-stimulating hormone outside of the range of 0.4 to 6.0 micro units per milliliter (μIU/mL) at screening.
  • Have obesity induced by other endocrinologic disorders or diagnosed monogenetic or syndromic forms of obesity.
  • Have a history of significant active or unstable major depressive disorder or other severe psychiatric disorder within the last 2 years.
  • Have a cardiovascular condition within 3 months prior to randomization
  • Have a family or personal history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia Syndrome type 2.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04844918) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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