Trial Outcomes & Findings for A Study of Tirzepatide (LY3298176) in Participants With Obesity or Overweight With Weight Related Comorbidities (NCT NCT05822830)

NCT ID: NCT05822830

Last Updated: 2025-11-26

Results Overview

Percent change from baseline in body weight was reported. Least Squares (LS) mean was determined using ANCOVA model with Baseline + Baseline BMI Group 1 + Sex + Pre diabetes status at randomization + Treatment (Type III sum of squares) as variables.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

751 participants

Primary outcome timeframe

Baseline, Week 72

Results posted on

2025-11-26

Participant Flow

Participant milestones

Participant milestones
Measure
15 mg or MTD - Tirzepatide
Participants received a starting dose of 2.5 milligrams (mg) tirzepatide administered subcutaneously (SC) once weekly (QW) for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or maximum tolerated dose \[MTD (10 mg or 15 mg)\] until Week 72.
2.4 mg or MTD - Semaglutide
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Overall Study
STARTED
375
376
Overall Study
Received At Least One Dose of Study Drug
374
376
Overall Study
COMPLETED
319
319
Overall Study
NOT COMPLETED
56
57

Reasons for withdrawal

Reasons for withdrawal
Measure
15 mg or MTD - Tirzepatide
Participants received a starting dose of 2.5 milligrams (mg) tirzepatide administered subcutaneously (SC) once weekly (QW) for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or maximum tolerated dose \[MTD (10 mg or 15 mg)\] until Week 72.
2.4 mg or MTD - Semaglutide
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Overall Study
Adverse Event
6
6
Overall Study
Assigned Treatment by Mistake
5
3
Overall Study
Lost to Follow-up
16
18
Overall Study
Non-Compliance With Study Drug
1
1
Overall Study
Participant was Out of the Country
0
1
Overall Study
Pregnancy
1
2
Overall Study
Withdrawal by Subject
27
26

Baseline Characteristics

A Study of Tirzepatide (LY3298176) in Participants With Obesity or Overweight With Weight Related Comorbidities

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
15 mg or MTD - Tirzepatide
n=374 Participants
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=376 Participants
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Total
n=750 Participants
Total of all reporting groups
Age, Continuous
45.00 years
STANDARD_DEVIATION 12.94 • n=9 Participants
44.40 years
STANDARD_DEVIATION 12.74 • n=32 Participants
44.70 years
STANDARD_DEVIATION 12.84 • n=18 Participants
Sex: Female, Male
Female
242 Participants
n=9 Participants
243 Participants
n=32 Participants
485 Participants
n=18 Participants
Sex: Female, Male
Male
132 Participants
n=9 Participants
133 Participants
n=32 Participants
265 Participants
n=18 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
93 Participants
n=9 Participants
103 Participants
n=32 Participants
196 Participants
n=18 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
281 Participants
n=9 Participants
273 Participants
n=32 Participants
554 Participants
n=18 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
0 Participants
n=32 Participants
0 Participants
n=18 Participants
Race (NIH/OMB)
American Indian or Alaska Native
6 Participants
n=9 Participants
0 Participants
n=32 Participants
6 Participants
n=18 Participants
Race (NIH/OMB)
Asian
11 Participants
n=9 Participants
7 Participants
n=32 Participants
18 Participants
n=18 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=9 Participants
0 Participants
n=32 Participants
0 Participants
n=18 Participants
Race (NIH/OMB)
Black or African American
77 Participants
n=9 Participants
67 Participants
n=32 Participants
144 Participants
n=18 Participants
Race (NIH/OMB)
White
276 Participants
n=9 Participants
295 Participants
n=32 Participants
571 Participants
n=18 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=9 Participants
7 Participants
n=32 Participants
11 Participants
n=18 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
0 Participants
n=32 Participants
0 Participants
n=18 Participants
Region of Enrollment
United States
374 Participants
n=9 Participants
376 Participants
n=32 Participants
750 Participants
n=18 Participants

PRIMARY outcome

Timeframe: Baseline, Week 72

Population: All participants who received at least one dose of study drug and had evaluable data for this outcome.

Percent change from baseline in body weight was reported. Least Squares (LS) mean was determined using ANCOVA model with Baseline + Baseline BMI Group 1 + Sex + Pre diabetes status at randomization + Treatment (Type III sum of squares) as variables.

Outcome measures

Outcome measures
Measure
15 mg or MTD - Tirzepatide
n=318 Participants
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=318 Participants
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Percent Change From Baseline in Body Weight
-20.2 Percent change
Standard Error 0.59
-13.7 Percent change
Standard Error 0.59

SECONDARY outcome

Timeframe: Week 72

Population: All participants who received at least one dose of study drug and had evaluable data for this outcome.

Percentage of participants who achieved ≥10% body weight reduction (observed values) was reported.

Outcome measures

Outcome measures
Measure
15 mg or MTD - Tirzepatide
n=318 Participants
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=318 Participants
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Percentage of Participants Who Achieve ≥10% Body Weight Reduction
87.7 Percentage of participants
66.7 Percentage of participants

SECONDARY outcome

Timeframe: Week 72

Population: All participants who received at least one dose of study drug and had evaluable data for this outcome.

Percentage of participants who achieved ≥15% body weight reduction (observed values) was reported.

Outcome measures

Outcome measures
Measure
15 mg or MTD - Tirzepatide
n=318 Participants
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=318 Participants
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Percentage of Participants Who Achieve ≥15% Body Weight Reduction
71.7 Percentage of participants
45.0 Percentage of participants

SECONDARY outcome

Timeframe: Week 72

Population: All participants who received at least one dose of study drug and had evaluable data for this outcome.

Percentage of participants who achieved ≥20% body weight reduction (observed values) was reported.

Outcome measures

Outcome measures
Measure
15 mg or MTD - Tirzepatide
n=318 Participants
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=318 Participants
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Percentage of Participants Who Achieve ≥20% Body Weight Reduction
55.0 Percentage of participants
31.1 Percentage of participants

SECONDARY outcome

Timeframe: Week 72

Population: All participants who received at least one dose of study drug and had evaluable data for this outcome.

Percentage of participants who achieved ≥25% body weight reduction (observed values) was reported.

Outcome measures

Outcome measures
Measure
15 mg or MTD - Tirzepatide
n=318 Participants
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=318 Participants
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Percentage of Participants Who Achieve ≥25% Body Weight Reduction
36.5 Percentage of participants
18.6 Percentage of participants

SECONDARY outcome

Timeframe: Baseline, Week 72

Population: All participants who received at least one dose of study drug and had evaluable data for this outcome.

Change from baseline in waist circumference in centimeter was reported. LS mean was determined using ANCOVA model with Baseline + Baseline BMI Group 1 + Sex + Pre diabetes status at randomization + Treatment (Type III sum of squares) as variables.

Outcome measures

Outcome measures
Measure
15 mg or MTD - Tirzepatide
n=318 Participants
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=318 Participants
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Change From Baseline in Waist Circumference in Centimeter
-18.4 centimeters
Standard Error 0.61
-13.0 centimeters
Standard Error 0.66

SECONDARY outcome

Timeframe: Week 72

Population: All participants who received at least one dose of study drug and had evaluable data for this outcome.

Percentage of participants who achieved ≥30% body weight reduction (observed values) was reported.

Outcome measures

Outcome measures
Measure
15 mg or MTD - Tirzepatide
n=318 Participants
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=318 Participants
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Percentage of Participants Who Achieve ≥30% Body Weight Reduction
23.0 Percentage of participants
8.2 Percentage of participants

SECONDARY outcome

Timeframe: Baseline, Week 72

Population: All participants who received at least one dose of study drug and had evaluable data for this outcome.

Change from baseline in BMI was reported. LS mean was determined using Mixed Model Repeated Measures (MMRM) model using Baseline + Sex + Pre diabetes status at randomization + Treatment + Time + Treatment\*Time(Type III sum of squares) as variables.

Outcome measures

Outcome measures
Measure
15 mg or MTD - Tirzepatide
n=367 Participants
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=373 Participants
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Change From Baseline in Body Mass Index (BMI)
-8.5 kilograms per meter square
Standard Error 0.24
-6.0 kilograms per meter square
Standard Error 0.24

SECONDARY outcome

Timeframe: Baseline, Week 72

Population: All participants who received at least one dose of study drug and had evaluable data for this outcome.

Percent change from baseline in body weight comparing 15mg of Tirzepatide and 2.4 mg Semaglutide was reported. The treatment effect for tirzepatide versus semaglutide for percent change in body weight was also evaluated assuming that participants had stayed on treatment and reached the highest dose of treatment. LS mean was determined by MMRM model using Baseline + Sex + Pre diabetes status at randomization + Baseline BMI Group 1 + Treatment + Time + Treatment\*Time (Type III sum of squares) as variables.

Outcome measures

Outcome measures
Measure
15 mg or MTD - Tirzepatide
n=367 Participants
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=373 Participants
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Percent Change From Baseline in Body Weight Comparing 15 mg Tirzepatide and 2.4 mg Semaglutide
-21.8 Percent change
Standard Error 0.60
-15.4 Percent change
Standard Error 0.60

Adverse Events

15 mg or MTD - Tirzepatide

Serious events: 18 serious events
Other events: 255 other events
Deaths: 0 deaths

2.4 mg or MTD - Semaglutide

Serious events: 13 serious events
Other events: 267 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
15 mg or MTD - Tirzepatide
n=374 participants at risk
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=376 participants at risk
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Cardiac disorders
Atrial fibrillation
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Cardiac disorders
Sinus tachycardia
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Colitis ischaemic
0.00%
0/374 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Diverticulum intestinal
0.00%
0/374 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Haemorrhoids
0.00%
0/374 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Incarcerated hiatus hernia
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Obstructive pancreatitis
0.00%
0/374 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Volvulus
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Hepatobiliary disorders
Bile duct stone
0.00%
0/374 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.53%
2/376 • Number of events 2 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Hepatobiliary disorders
Cholecystitis
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Hepatobiliary disorders
Cholecystitis acute
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Hepatobiliary disorders
Cholelithiasis
0.53%
2/374 • Number of events 2 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.80%
3/376 • Number of events 3 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Hepatobiliary disorders
Gallbladder disorder
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Immune system disorders
Anaphylactic shock
0.00%
0/374 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Infections and infestations
Appendicitis
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Infections and infestations
Pneumonia
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Infections and infestations
Sinusitis
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Investigations
Hepatic enzyme increased
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Metabolism and nutrition disorders
Dehydration
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.53%
2/374 • Number of events 2 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastrointestinal stromal tumour
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.00%
0/242 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.41%
1/243 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Nervous system disorders
Benign fasciculation syndrome
0.00%
0/374 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Nervous system disorders
Syncope
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Nervous system disorders
Transient global amnesia
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Renal and urinary disorders
Stress urinary incontinence
0.00%
0/374 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Renal and urinary disorders
Ureterolithiasis
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.27%
1/374 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.00%
0/376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Vascular disorders
Hypovolaemic shock
0.00%
0/374 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.

Other adverse events

Other adverse events
Measure
15 mg or MTD - Tirzepatide
n=374 participants at risk
Participants received a starting dose of 2.5 mg tirzepatide administered SC QW for 4 weeks, then the dose was increased by 2.5 mg every 4 weeks (2.5 to 5 to 7.5 to 10 to 12.5 to 15 mg) up to 15 mg QW or MTD (10 mg or 15 mg) until Week 72.
2.4 mg or MTD - Semaglutide
n=376 participants at risk
Participants received a starting dose of 0.25 mg semaglutide administered SC QW for 4 weeks, then the dose was increased every 4 weeks (0.25 to 0.5 to 1.0 to 1.7 to 2.4 mg) up to 2.4 mg QW or MTD (1.7 mg or 2.4 mg) until Week 72.
Gastrointestinal disorders
Abdominal distension
7.2%
27/374 • Number of events 50 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
6.4%
24/376 • Number of events 29 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Abdominal pain
6.4%
24/374 • Number of events 31 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
6.9%
26/376 • Number of events 29 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Constipation
27.0%
101/374 • Number of events 179 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
28.5%
107/376 • Number of events 167 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Diarrhoea
23.5%
88/374 • Number of events 227 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
23.4%
88/376 • Number of events 212 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Dyspepsia
5.9%
22/374 • Number of events 31 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
7.4%
28/376 • Number of events 40 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Eructation
9.9%
37/374 • Number of events 47 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
7.7%
29/376 • Number of events 37 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Gastrooesophageal reflux disease
6.1%
23/374 • Number of events 34 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
10.6%
40/376 • Number of events 59 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Nausea
43.6%
163/374 • Number of events 561 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
44.4%
167/376 • Number of events 505 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Gastrointestinal disorders
Vomiting
15.0%
56/374 • Number of events 154 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
21.3%
80/376 • Number of events 218 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
General disorders
Fatigue
10.4%
39/374 • Number of events 108 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
12.2%
46/376 • Number of events 72 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
General disorders
Injection site reaction
8.6%
32/374 • Number of events 376 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
0.27%
1/376 • Number of events 1 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Infections and infestations
Covid-19
13.6%
51/374 • Number of events 54 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
12.5%
47/376 • Number of events 48 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Infections and infestations
Nasopharyngitis
4.5%
17/374 • Number of events 20 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
6.1%
23/376 • Number of events 28 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Infections and infestations
Sinusitis
2.9%
11/374 • Number of events 14 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
5.6%
21/376 • Number of events 23 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Infections and infestations
Upper respiratory tract infection
8.6%
32/374 • Number of events 36 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
11.4%
43/376 • Number of events 49 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Metabolism and nutrition disorders
Decreased appetite
4.5%
17/374 • Number of events 17 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
5.1%
19/376 • Number of events 20 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Nervous system disorders
Dizziness
6.4%
24/374 • Number of events 30 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
4.8%
18/376 • Number of events 21 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Nervous system disorders
Headache
7.2%
27/374 • Number of events 43 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
7.2%
27/376 • Number of events 44 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
Skin and subcutaneous tissue disorders
Alopecia
8.3%
31/374 • Number of events 31 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.
6.1%
23/376 • Number of events 23 • Baseline Up To 72 Weeks
All randomized participants who received at least one dose of study drug. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly. Based on the planned safety analysis, adverse event analysis was planned as per the treatment regimen received.

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60