Effectiveness and Safety of Tirzepatide Among Participants With Obesity With or Without Type 2 Diabetes Mellitus (T2DM)

NCT ID: NCT07099742

Last Updated: 2025-08-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

364 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-09-30

Study Completion Date

2026-07-31

Brief Summary

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This is a prospective, multicenter, real-world study conducted in Bangladesh to assess the effectiveness and safety of Tirzepatide compared to structured lifestyle interventions, including dietary modifications and exercise, in obese adults with or without Type 2 Diabetes Mellitus (T2DM).

The study aims to determine whether treatment with Tirzepatide results in superior weight reduction outcomes compared to lifestyle-based approaches. Adult participants (≥18 years) with a body mass index (BMI) ≥25 kg/m² and no prior exposure to GLP-1 receptor agonists will be enrolled at the discretion of the treating physician. Eligible participants will receive either once-weekly Tirzepatide or participate in lifestyle intervention programs aligned with standard clinical care.

Detailed Description

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Conditions

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Obesity

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Tirzepatide Group

Participants in this group will receive subcutaneous Tirzepatide administered once weekly at a dose determined by standard clinical practice. The dose may be titrated based on patient tolerability and glycemic response.

Tirzepatide

Intervention Type DRUG

Exposure

Lifestyle Modification Group

Participants in this group will receive standard counselling on lifestyle modifications, including diet and physical activity, as per routine clinical care.

Life Style Modification

Intervention Type BEHAVIORAL

Referent group - Lifestyle interventions, exercise, and diet control

Interventions

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Tirzepatide

Exposure

Intervention Type DRUG

Life Style Modification

Referent group - Lifestyle interventions, exercise, and diet control

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Adult patients of both sexes, aged ≥18 years.
* Body mass index (BMI) ≥25 kg/m².
* Naïve to glucagon-like peptide-1 receptor agonist (GLP-1 RA) therapy.
* Self-reported stable body weight (change ≤5 kg) over the past 3 months.

Exclusion Criteria

* Diagnosis of diabetes other than Type 2 Diabetes Mellitus.
* History of chronic or acute pancreatitis.
* Presence of acute medical conditions, including acute hepatitis, myocardial infarction, stroke, heart failure, febrile illness, or acute diarrheal disease.
* Evidence of significant, uncontrolled endocrine disorders (e.g., Cushing's syndrome, thyroid disorders, adrenal insufficiency, congenital adrenal hyperplasia).
* History or presence of malignancy.
* Active gallbladder disease.
* Female participants who are pregnant, breastfeeding, planning pregnancy, or of childbearing potential, not using adequate contraceptive methods.
* Prior or planned surgical treatment for obesity.
* Use of weight-loss products (including prescription medications, over-the-counter drugs, or herbal preparations) within 3 months prior to screening.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr. Md. Alimur Reza

INDUSTRY

Sponsor Role lead

Responsible Party

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Dr. Md. Alimur Reza

Study Epidemiologist

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Prof. Dr. Indrajit Prasad, MBBS, MD(Endo)

Role: PRINCIPAL_INVESTIGATOR

Dhaka Medical College Hospital, Dhaka

Locations

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Trauma Centre, Cumilla.

Comilla, , Bangladesh

Site Status

Dhaka Medical College Hospital, Dhaka

Dhaka, , Bangladesh

Site Status

Rajshahi Medical College Hospital, Rajshahi

Rajshahi, , Bangladesh

Site Status

Countries

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Bangladesh

Central Contacts

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Prof. Dr. Indrajit Prasad, MBBS, MD(Endo)

Role: CONTACT

+8801729094980

Prof. Dr. A.H.M Akhtaruzzaman, MBBS, MCPS, MD(Endo)

Role: CONTACT

Facility Contacts

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Prof. Dr. Ajit Kumar Paul, MBBS, MD(Endo)

Role: primary

+8801713409655

Prof. Dr. Indrajit Prasad

Role: primary

+8801729094980

Dr. M Saifuddin, MBBS, MD(Endo)

Role: backup

Prof. Dr. A.H.M Akhtaruzzaman, MBBS, MCPS, MD(Endo)

Role: primary

+8801748389609

Dr. Masud Un Nabi, MBBS, MD(Endo)

Role: backup

References

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Sustaining security's effectiveness as a hospital continues to expand. Hosp Secur Saf Manage. 1996 Sep;17(5):1-3. No abstract available.

Reference Type BACKGROUND
PMID: 10161731 (View on PubMed)

Forzano I, Varzideh F, Avvisato R, Jankauskas SS, Mone P, Santulli G. Tirzepatide: A Systematic Update. Int J Mol Sci. 2022 Nov 23;23(23):14631. doi: 10.3390/ijms232314631.

Reference Type BACKGROUND
PMID: 36498958 (View on PubMed)

Wadden TA, Chao AM, Machineni S, Kushner R, Ard J, Srivastava G, Halpern B, Zhang S, Chen J, Bunck MC, Ahmad NN, Forrester T. Tirzepatide after intensive lifestyle intervention in adults with overweight or obesity: the SURMOUNT-3 phase 3 trial. Nat Med. 2023 Nov;29(11):2909-2918. doi: 10.1038/s41591-023-02597-w. Epub 2023 Oct 15.

Reference Type BACKGROUND
PMID: 37840095 (View on PubMed)

Jastreboff AM, Aronne LJ, Ahmad NN, Wharton S, Connery L, Alves B, Kiyosue A, Zhang S, Liu B, Bunck MC, Stefanski A; SURMOUNT-1 Investigators. Tirzepatide Once Weekly for the Treatment of Obesity. N Engl J Med. 2022 Jul 21;387(3):205-216. doi: 10.1056/NEJMoa2206038. Epub 2022 Jun 4.

Reference Type BACKGROUND
PMID: 35658024 (View on PubMed)

Related Links

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https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

World Health Organization. Obesity and overweight. Geneva: WHO; 2024. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

https://data.worldobesity.org/publications/?cat=23

World Obesity Federation. World Obesity Day Atlases \| Obesity Atlas 2025. London: Global Obesity Observatory; 2025 \[cited 2025 Mar 4\]. Available from: https://data.worldobesity.org/publications/?cat=23

https://globalnutritionreport.org/resources/nutrition-profiles/asia/southern-asia/bangladesh/

Global Nutrition Report. Bangladesh Nutrition Profile. Bristol: Development Initiatives; 2020. Available from: https://globalnutritionreport.org/resources/nutrition-profiles/asia/southern-asia/bangladesh/

https://www.worldobesityday.org/obesity-and-ncds

World Obesity Day. Obesity and NCDs. 2025. Available from: https://www.worldobesityday.org/obesity-and-ncds

https://www.who.int/news-room/fact-sheets/detail/diabetes

World Health Organization. Diabetes. Geneva: WHO; 2024. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes

https://diabetesatlas.org/data-by-location/country/bangladesh/

International Diabetes Federation. IDF Diabetes Atlas: Bangladesh \[Internet\]. Brussels: IDF; 2024. Available from: https://diabetesatlas.org/data-by-location/country/bangladesh/

Other Identifiers

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Bex-2502004

Identifier Type: -

Identifier Source: org_study_id

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