Tirzepatide Improved Markers of Islet Cell Function and Insulin Sensitivity in People With T2D (SURPASS-2)

Jan 22, 2024The Journal of clinical endocrinology and metabolism

Tirzepatide improved insulin production and sensitivity in people with type 2 diabetes

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Abstract

At week 40, tirzepatide doses resulted in a 96.9-120.4% increase in pancreatic β-cell function compared to an 84.0% increase with semaglutide.

  • Tirzepatide significantly improved β-cell function, as indicated by changes, more than semaglutide.
  • All doses of tirzepatide resulted in a greater reduction in insulin resistance () compared to semaglutide.
  • Tirzepatide 10 and 15 mg led to significant reductions in both fasting C-peptide and fasting glucagon, while semaglutide showed an increase in C-peptide.
  • Reductions in HbA1c and body weight were consistently greater with tirzepatide across all levels of baseline β-cell function and insulin resistance.

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Key numbers

96.9% to 120.4%
Increase in
Percent change from baseline at week 40 with tirzepatide vs semaglutide.
15.5% to 24.0%
Reduction in
Percent change from baseline at week 40 with tirzepatide vs semaglutide.
−2.09% to −2.46%
HbA1c Reduction
Change from baseline to week 40 for tirzepatide vs semaglutide.

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