Back to profileDirect study · 2025

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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