Can a diabetes and weight drug work as well in south asian patients?
NCT ID NCT07809568
First seen Sep 09, 2026 · Last updated Sep 10, 2026 · Updated 1 time
Summary
Researchers are observing how tirzepatide works in routine care for adults in Pakistan who have obesity, prediabetes, or type 2 diabetes. The study follows 330 people starting the medicine as part of their normal treatment at ten diabetes and endocrinology centres. Doctors decide the dose and duration, and the study records changes in blood sugar, weight, blood pressure, cholesterol, side effects, and quality of life over 24 weeks. The goal is to understand how the drug performs in a South Asian population where data are limited.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tirzepatide, a dual GIP/GLP-1 receptor agonist medicine given as an injection
- What this could lead to
- If tirzepatide performs well in this population, doctors in Pakistan and similar South Asian settings could have clearer guidance on how well it controls blood sugar and weight in everyday practice.
- What could go wrong
- This is an observational study, so it cannot prove cause and effect, and results may not apply to other groups. People may stop treatment or miss visits, and side effects such as nausea and stomach upset are common with this drug class.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 330 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adults aged 18 years or older with obesity (BMI ≥ 30) who are initiating tirzepatide as part of routine clinical care at ten diabetes and endocrinology centres in Pakistan. Participants are grouped into three cohorts by glycaemic status at entry: obesity without diabetes (HbA1c \< 5.7%), prediabetes with obesity (HbA1c 5.7-6.4%), and type 2 diabetes with obesity (diagnosed at least 6 months prior).
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult aged 18 years or older * Obesity (BMI ≥ 30) meeting one cohort definition * Baseline HbA1c available to confirm cohort * Initiating tirzepatide as part of routine clinical care, decided independently of the study * No prior lifetime use of tirzepatide * Washout of at least 8 weeks from any GLP-1 or dual GIP/GLP-1 receptor agonist, if previously used * Baseline retinal (eye) screening completed * Able and willing to provide written informed consent Exclusion Criteria: * Type 1 or secondary diabetes * Any prior tirzepatide use * Proliferative diabetic retinopathy or clinically significant macular oedema * Pregnancy or breastfeeding * Severe renal impairment (eGFR \< 30 mL/min/1.73 m²) * Active malignancy, or a major cardiovascular event within the past 3 months * Inability to undergo retinal assessment * Mental incapacity or language barrier preventing informed consent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
9 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Aga Khan University Hospital (AKUH)
Karachi, Sindh, Pakistan
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Bolan Medical Complex
Quetta, Balouchistan, Pakistan
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Capital Development Authority (CDA) Hospital
Islamabad, Punjab Province, Pakistan
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Chandka Medical College
Lārkāna, Sindh, Pakistan
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Hanif Medical Complex
Rawalpindi, Punjab Province, Pakistan
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Indus Hospital Health Network
Karachi, Sindh, Pakistan
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Jinnah Postgraduate Medical Centre
Lahore, Punjab Province, Pakistan
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Khyber Medical University
Peshawar, KPK, Pakistan
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OMI Hospital
Karachi, Sindh, Pakistan
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