NCT03131687

Brief Summary

The purpose of this study is to evaluate the efficacy of the study drug tirzepatide in participants with type 2 diabetes mellitus.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
318

participants targeted

Target at P75+ for phase_2 type-2-diabetes-mellitus

Timeline
Completed

Started May 2017

Geographic Reach
4 countries

49 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 24, 2017

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 27, 2017

Completed
27 days until next milestone

Study Start

First participant enrolled

May 24, 2017

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2018

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

August 20, 2019

Completed
Last Updated

August 20, 2019

Status Verified

April 1, 2019

Enrollment Period

1.2 years

First QC Date

April 24, 2017

Results QC Date

July 31, 2019

Last Update Submit

July 31, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline to Week 26 in Hemoglobin A1c (HbA1c) Bayesian Dose Response

    HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.This was a Bayesian dose response analysis of HbA1c (%) change from baseline. At baseline: Mean (SD = Standard Deviation) of baseline HbA1c (%). After baseline: Posterior Mean (SD = Posterior Standard Deviation) of HbA1c (%) change from baseline. The Least Squares Mean is Posterior mean.

    Baseline, Week 26

Secondary Outcomes (16)

  • Change From Baseline to Week 12 in Hemoglobin A1c (HbA1c) Bayesian Dose Response

    Baseline, Week 12

  • Change From Baseline to Week 26 in HbA1c

    Baseline, Week 26

  • Change From Baseline to Week 12 in HbA1c

    Baseline, Week 12

  • Change From Baseline in Body Weight

    Baseline, Week 26

  • Percentage of Participants With 5% or Greater Body Weight Loss From Baseline

    Week 26

  • +11 more secondary outcomes

Study Arms (6)

Placebo

PLACEBO COMPARATOR

Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.

Drug: Placebo

1 mg Tirzepatide

EXPERIMENTAL

1 milligrams (mg) tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.

Drug: tirzepatideDrug: Placebo

5 mg Tirzepatide

EXPERIMENTAL

5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.

Drug: tirzepatideDrug: Placebo

10 mg Tirzepatide

EXPERIMENTAL

10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.

Drug: tirzepatideDrug: Placebo

15 mg Tirzepatide

EXPERIMENTAL

15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.

Drug: tirzepatideDrug: Placebo

1.5 mg Dulaglutide

ACTIVE COMPARATOR

1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.

Drug: DulaglutideDrug: Placebo

Interventions

Administered SC

Also known as: LY3298176
1 mg Tirzepatide10 mg Tirzepatide15 mg Tirzepatide5 mg Tirzepatide

Administered SC

Also known as: LY2189265
1.5 mg Dulaglutide

Administered SC

1 mg Tirzepatide1.5 mg Dulaglutide10 mg Tirzepatide15 mg Tirzepatide5 mg TirzepatidePlacebo

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Have had type 2 diabetes (T2D) for ≥6 months according to the World Health Organization (WHO) classification.
  • Have HbA1c of 7.0% to 10.5%, inclusive, as assessed by the central laboratory.
  • If on metformin, have been treated with stable doses of metformin for at least 3 months.
  • Have a body mass index (BMI) ≥23 and \<50 kilograms per square meter.

You may not qualify if:

  • Have type 1 diabetes (T1D).
  • Have used any glucose-lowering medication other than metformin within 3 months prior to study entry or during screening/lead-in period or have used any glucagon-like peptide-1 receptor agonists (GLP-1 RAs) at any time in the past.
  • Have had any of the following cardiovascular conditions: acute myocardial infarction (MI), New York Heart Association Class III or Class IV heart failure, or cerebrovascular accident (stroke).
  • Have acute or chronic hepatitis, signs and symptoms of any other liver disease other than nonalcoholic fatty liver disease (NAFLD), or alanine aminotransferase (ALT) level \>2.5 times the upper limit of the reference range, as determined by the central laboratory at study entry; participants with NAFLD are eligible for participation in this trial.
  • Have had chronic or acute pancreatitis any time prior to study entry.
  • Have an estimated glomerular filtration rate (eGFR) \<45 milliliters/minute/1.73 square meter, calculated by the Chronic Kidney Disease-Epidemiology (CKD-EPI) equation.
  • Have serum calcitonin ≥20 picograms per milliliter, as determined by the central laboratory at study entry.
  • Have any condition that is a contraindication for use of the GLP-1 RA class (per country-specific labels) at study entry or develop such condition between study entry and randomization.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (49)

Internal Medicine Center LLC

Mobile, Alabama, 36608, United States

Location

Anaheim Clinical Trails

Anaheim, California, 92801, United States

Location

Valley Research

Fresno, California, 93720, United States

Location

National Research Institute

Huntington Park, California, 90255, United States

Location

National Research Institute

Los Angeles, California, 90057, United States

Location

Catalina Research Institute

Montclair, California, 91763, United States

Location

Valley Clinical Trails, Inc

Northridge, California, 91325, United States

Location

Artemis Institute For Clinical Research

San Diego, California, 92103, United States

Location

Artemis Institute For Clinical Research

San Marcos, California, 92078, United States

Location

Encompass Clinical Research

Spring Valley, California, 91978, United States

Location

University Clinical Investigators INC

Tustin, California, 92780, United States

Location

Chase Medical Research

Waterbury, Connecticut, 06708, United States

Location

Clinical Research of South Florida

Coral Gables, Florida, 33134, United States

Location

East Coast Institute For Research

Jacksonville, Florida, 32216, United States

Location

Suncoast Research Group, LCC

Miami, Florida, 33135, United States

Location

New Horizon Research Center

Miami, Florida, 33175, United States

Location

Sensible Healthcare

Ocoee, Florida, 34761, United States

Location

Palm Harbor Medical Associate

Palm Harbor, Florida, 34684, United States

Location

Solaris Clinical Research

Meridian, Idaho, 83646, United States

Location

Iderc P.L.C.

West Des Moines, Iowa, 50265, United States

Location

Cotton O'Neil Diabetes and Endocrine

Topeka, Kansas, 66606, United States

Location

ActivMed Practices & Research

Methuen, Massachusetts, 01844, United States

Location

Clinical Research Professionals

St Louis, Missouri, 63141, United States

Location

Palm Research Center

Las Vegas, Nevada, 89128, United States

Location

Premier Research

Trenton, New Jersey, 08611, United States

Location

Manhattan Medical Research

New York, New York, 10016, United States

Location

Lillestol Research LLC

Fargo, North Dakota, 58103, United States

Location

Aventiv Research

Columbus, Ohio, 43213, United States

Location

The Corvallis Clinic P.C.

Corvallis, Oregon, 97330, United States

Location

PMG Research Of Charleston LLC

Moncks Corner, South Carolina, 29461, United States

Location

New Phase Research & Development

Knoxville, Tennessee, 37909, United States

Location

PMG Research Of Knoxville

Knoxville, Tennessee, 37938, United States

Location

Dallas Diabetes Endocrine Center

Dallas, Texas, 75230, United States

Location

Consano Clinical Research

Shavano Park, Texas, 78231, United States

Location

Chrysalis Clinical Research

St. George, Utah, 84790, United States

Location

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Gdansk, 80-546, Poland

Location

"For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician."

Gdynia, 81-553, Poland

Location

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Gdynia, 81-553, Poland

Location

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Katowice, 40-772, Poland

Location

Clinica de Pesquisas e Centro de Estudos em Oncologia Ginecológica e Mamária LTDA

Lodz, 90-242, Poland

Location

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Szczecin, 70-506, Poland

Location

Manati Center for Clinical Research

Manatí, PR, 00674, Puerto Rico

Location

Clinical Research Puerto Rico. Inc

San Juan, 00909, Puerto Rico

Location

GCM Medical Group PSC

San Juan, 00909, Puerto Rico

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Košice, 04012, Slovakia

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Malacky, 90101, Slovakia

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Púchov, 02001, Slovakia

Location

"For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician."

Trenčín, 91101, Slovakia

Location

For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.

Trenčín, 91101, Slovakia

Location

Related Publications (4)

  • Sattar N, McGuire DK, Pavo I, Weerakkody GJ, Nishiyama H, Wiese RJ, Zoungas S. Tirzepatide cardiovascular event risk assessment: a pre-specified meta-analysis. Nat Med. 2022 Mar;28(3):591-598. doi: 10.1038/s41591-022-01707-4. Epub 2022 Feb 24.

  • Pirro V, Roth KD, Lin Y, Willency JA, Milligan PL, Wilson JM, Ruotolo G, Haupt A, Newgard CB, Duffin KL. Effects of Tirzepatide, a Dual GIP and GLP-1 RA, on Lipid and Metabolite Profiles in Subjects With Type 2 Diabetes. J Clin Endocrinol Metab. 2022 Jan 18;107(2):363-378. doi: 10.1210/clinem/dgab722.

  • Hartman ML, Sanyal AJ, Loomba R, Wilson JM, Nikooienejad A, Bray R, Karanikas CA, Duffin KL, Robins DA, Haupt A. Effects of Novel Dual GIP and GLP-1 Receptor Agonist Tirzepatide on Biomarkers of Nonalcoholic Steatohepatitis in Patients With Type 2 Diabetes. Diabetes Care. 2020 Jun;43(6):1352-1355. doi: 10.2337/dc19-1892. Epub 2020 Apr 14.

  • Frias JP, Nauck MA, Van J, Kutner ME, Cui X, Benson C, Urva S, Gimeno RE, Milicevic Z, Robins D, Haupt A. Efficacy and safety of LY3298176, a novel dual GIP and GLP-1 receptor agonist, in patients with type 2 diabetes: a randomised, placebo-controlled and active comparator-controlled phase 2 trial. Lancet. 2018 Nov 17;392(10160):2180-2193. doi: 10.1016/S0140-6736(18)32260-8. Epub 2018 Oct 4.

Related Links

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

Tirzepatidedulaglutide

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Glucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide ReceptorsReceptors, G-Protein-CoupledReceptors, Cell SurfaceMembrane ProteinsProteinsAmino Acids, Peptides, and ProteinsReceptors, Gastrointestinal HormoneReceptors, Peptide

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

Study Officials

  • Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

    Eli Lilly and Company

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 24, 2017

First Posted

April 27, 2017

Study Start

May 24, 2017

Primary Completion

August 1, 2018

Study Completion

August 1, 2018

Last Updated

August 20, 2019

Results First Posted

August 20, 2019

Record last verified: 2019-04

Data Sharing

IPD Sharing
Will share

Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
More information

Locations