PEDEvidence

SOURCE-LINKED STUDY SUMMARY

Tirzepatide and muscle composition changes in people with type 2 diabetes (SURPASS-3 MRI): a post-hoc analysis of a randomised, open-label, parallel-group, phase 3 trial.

The lancet. Diabetes & endocrinology ·

Human

Abstract summarizedQuality not appraised
What was studied
This exploratory post-hoc analysis evaluated thigh muscle volume and fat infiltration during tirzepatide treatment.
Who / model studied
The analysis included 246 insulin-naive adults with type 2 diabetes who completed valid MRI scans at week 52.
Studied dose & schedule
Participants received tirzepatide 5, 10, or 15 mg subcutaneously once weekly, or titrated insulin degludec daily, for 52 weeks.
What the study found
Pooled tirzepatide reduced muscle volume by 0.64 L and muscle fat infiltration by 0.36 percentage points. Volume loss matched weight-loss-based population estimates, while fat infiltration improved more than estimated.
Limitations & context
This was exploratory, post-hoc, and limited to MRI-substudy participants with valid week-52 scans; the external comparison used modeled UK Biobank estimates.

Read summary source ↗ · Prepared 10/6/2026 · AI-assisted, source-based summary

Review record & corrections

Summary prepared: . Source scope: abstract. This is an AI-assisted source summary, not an independent clinician sign-off.

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Research findings apply to the population and conditions studied. This educational summary is not a treatment recommendation or a formal assessment of study quality.

Original publication ↗ · DOI: 10.1016/s2213-8587(25)00027-0

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