Evidence map›Paper›PMID 42575714›Full record

Observational studyDiabetes, obesity & metabolism2026

Tirzepatide Persistence and Associated Changes in Clinical Outcomes in US Adults With Obesity or Overweight: A 6-Month Claims Database Analysis.

Theresa Hunter Gibble, Malvika Venkataraman, Donna Mojdami, Carlos Vallarino, Grace Stockbower, Michael Grabner, Mythili Ananth, Karishma Desai

Abstract readObservational Study
In one paragraph

Observational study 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. Observational
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

8 authors.

Theresa Hunter GibbleEli Lilly and Company, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0001-8412-9175
Malvika VenkataramanCarelon Research, Wilmington, Delaware, USA.
Donna MojdamiEli Lilly and Company, Indianapolis, Indiana, USA.
Carlos VallarinoEli Lilly and Company, Indianapolis, Indiana, USA.
Grace StockbowerCarelon Research, Wilmington, Delaware, USA.
Michael GrabnerCarelon Research, Wilmington, Delaware, USA.ORCID https://orcid.org/0000-0002-6521-1007
Mythili AnanthEli Lilly and Company, Indianapolis, Indiana, USA.
Karishma DesaiCarelon Research, Wilmington, Delaware, USA.ORCID https://orcid.org/0000-0001-6108-4154

Funding

Eli Lilly and Company
6 · The paper itself

Abstract

aimsTirzepatide is a once-weekly glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor agonist (GLP-1 RA) approved in the US for the treatment of Type 2 diabetes (T2D), weight loss and obstructive sleep apnoea. This study aimed to assess the utilisation and effectiveness of tirzepatide among individuals in a large US commercially insured population. MATERIALS AND

methodsThis retrospective, observational study used administrative claims and electronic health records from the Healthcare Integrated Research Database (HIRD). Adults with ≥ 1 prescription claim for tirzepatide (for obesity/overweight, without T2D), between November 2023-June 2024 and continuous medical/pharmacy enrollment for ≥ 12 months pre-index and ≥ 6 months post-index were included. Descriptive analyses included baseline demographic and clinical characteristics, treatment patterns and tirzepatide effectiveness (change from baseline in weight, BMI, cardiometabolic risk factors evaluated among persistent individuals) and were stratified by individuals who were GLP-1 RA naïve and individuals who switched to tirzepatide from a GLP-1 RA obesity medication.

resultsOf the 22 512 individuals who initiated tirzepatide (mean age: 46 years, 73% female), 55% (n = 12 292) were adherent (PDC ≥ 80%) and 68% (n = 15 208) were persistent during the 6-month follow-up period. Of the overall population, 91% (n = 20 554) had ≥ 1 obesity-related complication at baseline, with dyslipidaemia, hypertension and anxiety being the most frequent complications. Clinically meaningful mean weight reduction (10.5%; n = 808) and numerical reductions in most cardiometabolic risk factors were observed among persistent individuals with available pre- and post-index measurements, including 12.0% body weight reduction in the GLP-naïve subgroup.

conclusionsOver half of US adults with obesity or overweight who initiated tirzepatide were adherent (PDC ≥ 80%) and had a favourable persistence profile during a 6-month follow-up period. Persistent users achieved clinically meaningful weight reduction and numerical reductions in most cardiometabolic risk factors.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsObesityOverweightTirzepatideAdultAnti-Obesity AgentsDatabases, FactualDiabetes Mellitus, Type 2FemaleHumansHypoglycemic AgentsMaleMiddle AgedRetrospective StudiesTreatment OutcomeUnited StatesAnti-Obesity AgentsGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsTirzepatideobesityreal‐worldtirzepatideweight reduction

Identifiers

PMID42575714
PMCPMC13646385

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.