Apitegromab for lean mass preservation during tirzepatide-induced weight loss: a randomized, double-blind, placebo-controlled phase 2 trial - Summary - MDSpire

Apitegromab for lean mass preservation during tirzepatide-induced weight loss: a randomized, double-blind, placebo-controlled phase 2 trial

  • By

  • Richard E. Pratley

  • Douglas Scott Denham

  • Rupal Trivedi

  • Elaine Watkins

  • Lisa Connery

  • Jennifer Barnes

  • Dongzi Yu

  • Janet Hong

  • Christopher Simard

  • Kimberly Umans

  • Lan Liu

  • Giridhar S. Tirucherai

  • Jing L. Marantz

  • June 8, 2026

  • 0 min

Share

Objective:

To evaluate the efficacy and safety of apitegromab in preserving lean mass in adults with overweight or obesity receiving incretin mimetic therapy, specifically targeting those undergoing such treatment.

Key Findings:
  • Apitegromab significantly reduced lean mass loss by preserving 1.9 kg of lean mass compared to placebo (P = 0.0014).
  • Total body weight loss was similar between groups, with lean mass loss representing 14.6% of weight loss with apitegromab versus 30.2% with placebo (P < 0.001).
  • At week 32, the difference in lean mass between apitegromab and placebo remained significant (P = 0.0480).
  • Safety profiles were similar between apitegromab and placebo, with gastrointestinal AEs being the most frequently reported.
Interpretation:

The results suggest that apitegromab may effectively preserve lean mass during weight loss induced by tirzepatide.

Limitations:
  • The study was limited to a specific population of adults with overweight or obesity, which may affect the generalizability of the findings.
  • The sample size may limit the robustness of the conclusions drawn from the study.
Conclusion:

Apitegromab shows potential in preserving lean mass during pharmacologic weight management, suggesting a need for further research to confirm these findings and their implications for clinical practice.

Original Source(s)

Related Content