Table 3.
Effects of tirzepatide on circulatory pressure–volume characteristics, inflammation and kidney function
| Variable and duration of treatment | Change with tirzepatide from baseline | Change with placebo from baseline | ETD | 95% CI | P |
|---|---|---|---|---|---|
| Systolic BP (mmHg) | |||||
| 12 weeks | −5.5 | 0.9 | −6.4 | −8.4 to −4.4 | <0.001 |
| 24 weeks | −6.6 | −0.3 | −6.4 | −8.3 to −4.5 | <0.001 |
| 52 weeks | −4.6 | 0.1 | −4.7 | −6.8 to −2.5 | <0.001 |
| Diastolic BP (mmHg) | |||||
| 12 weeks | −1.1 | −0.5 | −0.7 | −1.9 to −0.6 | 0.313 |
| 24 weeks | −1.7 | −0.5 | −1.3 | −2.5 to 0.0 | 0.054 |
| 52 weeks | −1.2 | −0.3 | −0.9 | −2.3 to 0.5 | 0.189 |
| Pulse pressure (mmHg) | |||||
| 12 weeks | −4.4 | 1.4 | −5.8 | −7.4 to −4.1 | <0.001 |
| 24 weeks | −4.9 | 0.3 | −5.2 | −6.8 to −3.7 | <0.001 |
| 52 weeks | −3.5 | 0.4 | −3.9 | −5.6 to −2.2 | <0.001 |
| Estimated BV (l) | |||||
| 12 weeks | −0.27 | −0.04 | −0.23 | −0.26 to −0.21 | <0.001 |
| 24 weeks | −0.49 | −0.07 | −0.42 | −0.45 to −0.38 | <0.001 |
| 52 weeks | −0.68 | −0.11 | −0.58 | −0.63 to −0.52 | <0.001 |
| Estimated PV (l) | |||||
| 12 weeks | −0.17 | −0.03 | −0.13 | −0.16 to −0.11 | <0.001 |
| 24 weeks | −0.27 | −0.04 | −0.23 | −0.26 to −0.19 | <0.001 |
| 52 weeks | −0.39 | −0.08 | −0.32 | −0.36 to −0.27 | <0.001 |
| High-sensitivity CRP (% change from baseline) | |||||
| 12 weeks | −4.7 | 1.9 | −6.5 | −18.0 to 6.7 | 0.318 |
| 24 weeks | −21.5 | −6.7 | −15.9 | −26.4 to −4.0 | 0.010 |
| 52 weeks | −39.8 | −4.1 | −37.2 | −45.7 to −27.3 | <0.001 |
| eGFR (ml min−1 1.73 m−2) | |||||
| 12 weeks | −0.6 | 0.5 | −1.1 | −2.7 to 0.4 | 0.148 |
| 24 weeks | 0.3 | 0.1 | 0.2 | −1.4 to 1.8 | 0.818 |
| 52 weeks | 2.6 | −0.3 | 2.9 | 0.9 to 4.9 | 0.004 |
| UACR (% change from baseline) | |||||
| 24 weeks | −26.4 | −1.9 | −25.0 | −35.5 to −12.7 | <0.001 |
| 52 weeks | −14.7 | 0.4 | −15.1 | −28.0 to 0.1 | 0.051 |
| NT-proBNP level (% change from baseline) | |||||
| 12 weeks | −8.9 | 2.0 | −10.8 | −19.1 to −1.5 | 0.024 |
| 24 weeks | −10.2 | −0.6 | −9.7 | −18.9 to 0.5 | 0.063 |
| 52 weeks | −7.2 | 3.7 | −10.5 | −20.7 to 1.0 | 0.072 |
| Troponin T level (% change from baseline) | |||||
| 12 weeks | −1.3 | −0.8 | −0.6 | −7.5 to 7.0 | 0.881 |
| 24 weeks | −8.6 | 1.4 | −9.8 | −16.0 to −3.3 | 0.004 |
| 52 weeks | −9.6 | 0.9 | −10.4 | −16.7 to −3.6 | 0.003 |
P values are two-sided for each time point comparison based upon comparing the least-squares means calculated from a mixed-model repeated-measures model incorporating baseline value, history of HF decompensation within 12 months, diabetes status, baseline BMI group (<35, ≥35 kg m−2), treatment assignment, time, and treatment × time interaction. No correction was made for multiple hypothesis testing.