Evidence map›Paper›PMID 42521631›Full record

ArticleDiabetes, obesity & metabolism2026

Low-Dose Tirzepatide for Obesity: Comparative Efficacy of 2.5 mg Versus 5 mg in Non-Diabetic Japanese Adults.

Michitaka Amioka, Hideyo Amioka, Hiroki Kinoshita, Akinori Sairaku, Yukiko Nakano

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michitaka AmiokaDepartment of Cardiovascular Medicine, Hiroshima Cardiovascular Clinic, Hiroshima, Japan.ORCID 0000-0001-5637-2709
Hideyo AmiokaDepartment of Cardiovascular Medicine, Hiroshima Cardiovascular Clinic, Hiroshima, Japan.
Hiroki KinoshitaDepartment of Cardiovascular Medicine, Onomichi General Hospital, Hiroshima, Japan.
Akinori SairakuDepartment of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.
Yukiko NakanoDepartment of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a major global health issue. While tirzepatide demonstrates robust weight reduction in clinical trials, data comparing low maintenance doses (2.5 vs. 5 mg) in non-diabetic adults with obesity remain limited. This study evaluated the comparative efficacy and safety of 2.5 versus 5 mg tirzepatide combined with lifestyle intervention.

methodsThis multicentre, prospective, non-randomised cohort study enrolled non-diabetic Japanese adults (18-65 years) with BMI ≥ 30 kg/m

resultsOf 112 participants analysed (58 on 2.5 mg, 54 on 5 mg), baseline characteristics were well balanced (mean BMI 30.8 kg/m

conclusionIn non-diabetic Japanese adults with obesity, 2.5 and 5 mg tirzepatide combined with lifestyle modification yielded similar weight loss at 6 months, with better tolerability at the lower dose. These findings support the potential utility of low-dose tirzepatide strategies in real-world practice.

Indexed as

Anti-Obesity AgentsObesityTirzepatideAdolescentAdultAgedBody Mass IndexDose-Response Relationship, DrugEast Asian PeopleFemaleHumansJapanMaleMiddle AgedProspective StudiesTreatment OutcomeAnti-Obesity AgentsTirzepatidecohort studyGLP‐1 analogueobesity therapyreal‐world evidence

Identifiers

PMID42521631
PMCPMC13538803

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.