SURMOUNT-1: 176-week follow-up
Tirzepatide for Obesity Treatment and Diabetes Prevention.
Jastreboff AM, le Roux CW, Stefanski A, Aronne LJ, Halpern B, Wharton S, Wilding JPH, Perreault L, Zhang S, Battula R, Bunck MC, Ahmad NN, Jouravskaya I, SURMOUNT-1 Investigators. · The New England journal of medicine
Study record
- Population
1,032 participants with obesity and baseline prediabetes from the original SURMOUNT-1 trial.
Read source · Abstract-level extractionPrimary abstract — Methods and Results- Formulation
The registered parent protocol specifies sponsor-supplied tirzepatide or placebo in single-dose autoinjector pens, including the planned 176-week prediabetes follow-up. This documents the planned trial presentation, not equivalence to research products or verification of every dispensed batch.
Read source · Study protocolProtocol I8F-MC-GPHK(b), Section 6.1, printed page 56; study design specifies 176-week prediabetes treatment- Route
Subcutaneous injection.
Read source · Abstract-level extractionPrimary abstract — Methods and Results- Dose & frequency
Assigned 5, 10 or 15 mg weekly.
Read source · Abstract-level extractionPrimary abstract — Methods and Results- Study design
Randomized placebo-controlled subgroup follow-up; not a new independent trial.
Read source · Abstract-level extractionPrimary abstract — Methods and Results- Duration
176 weeks assigned treatment plus 17 weeks off treatment.
Read source · Abstract-level extractionPrimary abstract — Methods and Results- Reported findings
Diabetes diagnosed in 1.3% pooled tirzepatide versus 13.3% placebo by week 176; 2.4% versus 13.7% after the off-treatment period.
Read source · Abstract-level extractionPrimary abstract — Methods and Results- Adverse events
Mostly mild/moderate gastrointestinal events, concentrated during escalation; authors reported no new safety signal.
Read source · Abstract-level extractionPrimary abstract — Methods and Results- Monitoring
Registry safety reporting covers the parent trial through week 193, not only the prediabetes subgroup. A subgroup-specific monitoring schedule is not verified here.
Read source · Registry resultsResults — Adverse Events, Time Frame and Description
What it supports
Addresses SURMOUNT-1: 176-week follow-up outcomes in its specified population and comparison.
What it does not establish
Same parent trial. Lower diabetes incidence during follow-up does not prove permanent prevention after discontinuation. Abstract/registry extraction; unverified full-text details remain flagged.
Funding
Eli Lilly funded the study (primary abstract).
Literature search cutoff: 2026-09-08 · Not independently clinically reviewed
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