Trial Outcomes & Findings for A Study of Tirzepatide (LY3298176) in Participants With Type 2 Diabetes Mellitus (NCT NCT03131687)

NCT ID: NCT03131687

Last Updated: 2019-08-20

Results Overview

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.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

318 participants

Primary outcome timeframe

Baseline, Week 26

Results posted on

2019-08-20

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
1 milligrams (mg) tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Overall Study
STARTED
51
53
55
52
53
54
Overall Study
Received at Least One Dose of Study Drug
51
52
55
51
53
54
Overall Study
COMPLETED
45
44
52
48
45
49
Overall Study
NOT COMPLETED
6
9
3
4
8
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
1 milligrams (mg) tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Overall Study
Adverse Event
0
1
0
1
2
2
Overall Study
Death
1
0
0
0
0
0
Overall Study
Withdrawal by Subject
3
3
3
1
2
1
Overall Study
Lost to Follow-up
1
4
0
1
4
2
Overall Study
Participant Started New Diabetic Drug
1
0
0
0
0
0
Overall Study
Principle Investigator Decision
0
1
0
0
0
0
Overall Study
Inadvertent Enrollment
0
0
0
1
0
0

Baseline Characteristics

A Study of Tirzepatide (LY3298176) in Participants With Type 2 Diabetes Mellitus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=51 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=52 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=55 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=51 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=53 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=54 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Total
n=316 Participants
Total of all reporting groups
Age, Continuous
56.6 years
STANDARD_DEVIATION 8.85 • n=5 Participants
57.4 years
STANDARD_DEVIATION 8.85 • n=7 Participants
57.9 years
STANDARD_DEVIATION 8.22 • n=5 Participants
56.5 years
STANDARD_DEVIATION 9.92 • n=4 Participants
56.0 years
STANDARD_DEVIATION 7.58 • n=21 Participants
58.7 years
STANDARD_DEVIATION 7.81 • n=10 Participants
57.2 years
STANDARD_DEVIATION 8.54 • n=115 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
23 Participants
n=7 Participants
21 Participants
n=5 Participants
21 Participants
n=4 Participants
31 Participants
n=21 Participants
30 Participants
n=10 Participants
148 Participants
n=115 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
29 Participants
n=7 Participants
34 Participants
n=5 Participants
30 Participants
n=4 Participants
22 Participants
n=21 Participants
24 Participants
n=10 Participants
168 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
27 Participants
n=5 Participants
25 Participants
n=7 Participants
22 Participants
n=5 Participants
26 Participants
n=4 Participants
23 Participants
n=21 Participants
19 Participants
n=10 Participants
142 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=5 Participants
23 Participants
n=7 Participants
23 Participants
n=5 Participants
20 Participants
n=4 Participants
27 Participants
n=21 Participants
27 Participants
n=10 Participants
139 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
5 Participants
n=4 Participants
3 Participants
n=21 Participants
8 Participants
n=10 Participants
35 Participants
n=115 Participants
Race (NIH/OMB)
American Indian or Alaska Native
5 Participants
n=5 Participants
4 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
2 Participants
n=21 Participants
1 Participants
n=10 Participants
15 Participants
n=115 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
2 Participants
n=10 Participants
5 Participants
n=115 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
0 Participants
n=10 Participants
2 Participants
n=115 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
7 Participants
n=4 Participants
6 Participants
n=21 Participants
4 Participants
n=10 Participants
30 Participants
n=115 Participants
Race (NIH/OMB)
White
41 Participants
n=5 Participants
42 Participants
n=7 Participants
46 Participants
n=5 Participants
37 Participants
n=4 Participants
43 Participants
n=21 Participants
44 Participants
n=10 Participants
253 Participants
n=115 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
0 Participants
n=21 Participants
2 Participants
n=10 Participants
9 Participants
n=115 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
1 Participants
n=10 Participants
2 Participants
n=115 Participants
Region of Enrollment
Puerto Rico
4 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
1 Participants
n=21 Participants
1 Participants
n=10 Participants
16 Participants
n=115 Participants
Region of Enrollment
United States
36 Participants
n=5 Participants
37 Participants
n=7 Participants
38 Participants
n=5 Participants
37 Participants
n=4 Participants
43 Participants
n=21 Participants
43 Participants
n=10 Participants
234 Participants
n=115 Participants
Region of Enrollment
Poland
6 Participants
n=5 Participants
7 Participants
n=7 Participants
4 Participants
n=5 Participants
6 Participants
n=4 Participants
6 Participants
n=21 Participants
2 Participants
n=10 Participants
31 Participants
n=115 Participants
Region of Enrollment
Slovakia
5 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
5 Participants
n=4 Participants
3 Participants
n=21 Participants
8 Participants
n=10 Participants
35 Participants
n=115 Participants
Hemoglobin A1C (HbA1c) at Baseline
8.04 Percentage of HbA1c
STANDARD_DEVIATION 0.861 • n=5 Participants
8.21 Percentage of HbA1c
STANDARD_DEVIATION 0.905 • n=7 Participants
8.17 Percentage of HbA1c
STANDARD_DEVIATION 0.961 • n=5 Participants
8.15 Percentage of HbA1c
STANDARD_DEVIATION 1.072 • n=4 Participants
8.13 Percentage of HbA1c
STANDARD_DEVIATION 1.061 • n=21 Participants
8.13 Percentage of HbA1c
STANDARD_DEVIATION 0.954 • n=10 Participants
8.14 Percentage of HbA1c
STANDARD_DEVIATION 0.966 • n=115 Participants

PRIMARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants who received at least one dose of study drug and had a baseline and postbaseline excluding data after rescue drug initiation.

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.

Outcome measures

Outcome measures
Measure
Placebo
n=44 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=45 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=52 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=47 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=44 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=49 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline to Week 26 in Hemoglobin A1c (HbA1c) Bayesian Dose Response
-0.06 Percentage of HbA1c
Standard Deviation 0.14
-1.06 Percentage of HbA1c
Standard Deviation 0.11
-1.73 Percentage of HbA1c
Standard Deviation 0.08
-1.89 Percentage of HbA1c
Standard Deviation 0.08
-1.94 Percentage of HbA1c
Standard Deviation 0.09
-1.21 Percentage of HbA1c
Standard Deviation 0.14

SECONDARY outcome

Timeframe: Baseline, Week 12

Population: All randomized participants who received at least one dose of study drug and had a baseline and postbaseline value excluding data after rescue drug initiation.

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.

Outcome measures

Outcome measures
Measure
Placebo
n=48 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=45 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=52 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=48 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=48 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=51 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline to Week 12 in Hemoglobin A1c (HbA1c) Bayesian Dose Response
-0.05 Percentage of HbA1c
Standard Deviation 0.13
-0.94 Percentage of HbA1c
Standard Deviation 0.10
-1.54 Percentage of HbA1c
Standard Deviation 0.07
-1.68 Percentage of HbA1c
Standard Deviation 0.08
-1.72 Percentage of HbA1c
Standard Deviation 0.08
-1.08 Percentage of HbA1c
Standard Deviation 0.13

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants who received at least one dose of study drug who had a baseline and postbaseline value excluding data after study drug discontinuation or rescue drug initiation.

HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. The Least Squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included the independent variables: Baseline + Baseline BMI Group + Baseline Metformin Flag + Treatment + Time + Treatment\*Time.

Outcome measures

Outcome measures
Measure
Placebo
n=41 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=44 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=47 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=43 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=35 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=47 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline to Week 26 in HbA1c
0.1 Percentage of HbA1c
Standard Error 0.16
-0.7 Percentage of HbA1c
Standard Error 0.16
-1.6 Percentage of HbA1c
Standard Error 0.15
-2.0 Percentage of HbA1c
Standard Error 0.16
-2.4 Percentage of HbA1c
Standard Error 0.17
-1.1 Percentage of HbA1c
Standard Error 0.15

SECONDARY outcome

Timeframe: Baseline, Week 12

Population: randomized participants who received at least one dose of study drug who had a baseline and postbaseline value excluding data after study drug discontinuation or rescue drug initiation.

HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. The Least Squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included the independent variables: Baseline + Baseline BMI Group + Baseline Metformin Flag + Treatment + Time + Treatment\*Time.

Outcome measures

Outcome measures
Measure
Placebo
n=44 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=44 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=49 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=47 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=36 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=49 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline to Week 12 in HbA1c
-0.1 Percentage of HbA1c
Standard Error 0.13
-0.9 Percentage of HbA1c
Standard Error 0.13
-1.7 Percentage of HbA1c
Standard Error 0.13
-2.0 Percentage of HbA1c
Standard Error 0.13
-2.1 Percentage of HbA1c
Standard Error 0.15
-1.2 Percentage of HbA1c
Standard Error 0.13

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants who received at least one dose of study drug and had a baseline and postbaseline value excluding data after study drug discontinuation or rescue drug initiation.

Least Squares (LS) mean was determined by mixed-model repeated measures (MMRM) model with independent variables: Baseline + Baseline HbA1C Group + Baseline BMI Group + Baseline Metformin Flag + Treatment + Time + Treatment\*Time.

Outcome measures

Outcome measures
Measure
Placebo
n=41 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=44 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=48 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=44 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=35 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=47 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline in Body Weight
-0.4 Kilograms (Kg)
Standard Error 0.81
-0.9 Kilograms (Kg)
Standard Error 0.80
-4.8 Kilograms (Kg)
Standard Error 0.77
-8.7 Kilograms (Kg)
Standard Error 0.80
-11.3 Kilograms (Kg)
Standard Error 0.88
-2.7 Kilograms (Kg)
Standard Error 0.78

SECONDARY outcome

Timeframe: Week 26

Population: All randomized participants who received at least one dose of study drug.

Percentage of participants with 5% or greater body weight loss from baseline last observation carried forward (LOCF) analyses using Logistic regression model with Baseline value + Baseline HbA1C Group + Baseline BMI Group + Baseline Metformin + Treatment as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=51 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=52 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=55 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=51 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=53 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=54 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Percentage of Participants With 5% or Greater Body Weight Loss From Baseline
0 percentage of participants
13.5 percentage of participants
47.3 percentage of participants
70.6 percentage of participants
62.3 percentage of participants
22.2 percentage of participants

SECONDARY outcome

Timeframe: Week 26

Population: All randomized participants who received at least one dose of study drug.

Percentage of participants with 10% or greater body weight loss from baseline LOCF analyses using Logistic regression model with Baseline value + Baseline HbA1C Group + Baseline BMI Group + Baseline Metformin + Treatment as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=51 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=52 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=55 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=51 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=53 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=54 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Percentage of Participants With 10% or Greater Body Weight Loss From Baseline
0 percentage of participants
5.8 percentage of participants
16.4 percentage of participants
39.2 percentage of participants
37.7 percentage of participants
9.3 percentage of participants

SECONDARY outcome

Timeframe: Week 26

Population: All randomized participants who received at least one dose of study drug excluding data after study drug discontinuation or rescue drug initiation.

Percentage of participants with HbA1c ≤6.5% at Week 26 using a logistic regression model for endpoint used last observation carried forward (LOCF) method including baseline value, baseline BMI Group, baseline Metformin and treatment as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=51 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=52 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=55 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=50 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=53 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=54 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Percentage of Participants Reaching the HbA1c Target of ≤6.5%
2.0 percentage of participants
15.4 percentage of participants
63.6 percentage of participants
82.0 percentage of participants
58.5 percentage of participants
38.9 percentage of participants

SECONDARY outcome

Timeframe: Week 26

Population: All randomized participants who received at least one dose of study drug excluding data after study drug discontinuation or rescue drug initiation.

Percentage of participants with HbA1c \<7.0% at Week 26 using a logistic regression model for endpoint used last observation carried forward (LOCF) method including baseline value, baseline BMI Group, baseline Metformin and treatment as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=51 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=52 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=55 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=50 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=53 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=54 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Percentage of Participants Reaching the HbA1c Target of <7.0%
11.8 percentage of participants
32.7 percentage of participants
69.1 percentage of participants
90.0 percentage of participants
77.4 percentage of participants
51.9 percentage of participants

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants who received at least one dose of study drug who had a baseline and postbaseline value excluding data after study drug discontinuation or rescue drug initiation.

Least Squares (LS) mean was determined by mixed-model repeated measures (MMRM) model with covariates: Baseline + Baseline HbA1C Group + Baseline BMI Group + Baseline Metformin Flag + Treatment + Time + Treatment\*Time.

Outcome measures

Outcome measures
Measure
Placebo
n=40 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=44 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=48 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=44 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=35 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=46 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline in Fasting Blood Glucose
15.5 milligrams per deciliter (mg/dL)
Standard Error 6.66
-6.8 milligrams per deciliter (mg/dL)
Standard Error 6.43
-40.7 milligrams per deciliter (mg/dL)
Standard Error 6.23
-60.7 milligrams per deciliter (mg/dL)
Standard Error 6.36
-57.5 milligrams per deciliter (mg/dL)
Standard Error 7.10
-21.2 milligrams per deciliter (mg/dL)
Standard Error 6.40

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants who received at least one dose of study drug and had a baseline and postbaseline value.

LS means were calculated using MMRM model with independent variables: Baseline, Baseline HbA1C Group, Baseline BMI Group, Baseline Metformin Flag,Treatment, time, treatment\*time.

Outcome measures

Outcome measures
Measure
Placebo
n=45 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=46 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=53 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=48 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=46 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=51 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline in High-Density Lipoprotein Cholesterol (HDL-C)
0.0 Millimoles Per Litre (mmol/L)
Standard Error 0.03
-0.0 Millimoles Per Litre (mmol/L)
Standard Error 0.03
0.0 Millimoles Per Litre (mmol/L)
Standard Error 0.03
0.0 Millimoles Per Litre (mmol/L)
Standard Error 0.03
0.1 Millimoles Per Litre (mmol/L)
Standard Error 0.03
0.0 Millimoles Per Litre (mmol/L)
Standard Error 0.03

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants who received at least one dose of study drug and had a baseline and postbaseline value.

LS means were calculated using MMRM model with independent variables: Baseline, Baseline HbA1C Group, Baseline BMI Group, Baseline Metformin Flag, Treatment, Time, Treatment\*Time.

Outcome measures

Outcome measures
Measure
Placebo
n=45 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=46 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=53 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=48 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=46 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=51 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline in Total Cholesterol
0.3 Millimoles Per Litre (mmol/L)
Standard Error 0.13
0.2 Millimoles Per Litre (mmol/L)
Standard Error 0.13
-0.1 Millimoles Per Litre (mmol/L)
Standard Error 0.12
-0.3 Millimoles Per Litre (mmol/L)
Standard Error 0.12
-0.3 Millimoles Per Litre (mmol/L)
Standard Error 0.13
-0.2 Millimoles Per Litre (mmol/L)
Standard Error 0.12

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants who received at least one dose of study drug and had a baseline and postbaseline value.

LS means were calculated using MMRM model with independent variables: Baseline, Baseline HbA1C Group, Baseline BMI Group, Baseline Metformin Flag, Treatment, Time, Treatment\*Time.

Outcome measures

Outcome measures
Measure
Placebo
n=45 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=46 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=53 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=48 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=46 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=51 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline in Triglycerides
0.3 Millimoles Per Litre (mmol/L)
Standard Error 0.16
-0.0 Millimoles Per Litre (mmol/L)
Standard Error 0.16
-0.5 Millimoles Per Litre (mmol/L)
Standard Error 0.15
-0.7 Millimoles Per Litre (mmol/L)
Standard Error 0.15
-0.8 Millimoles Per Litre (mmol/L)
Standard Error 0.16
-0.3 Millimoles Per Litre (mmol/L)
Standard Error 0.15

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants who received at least one dose of study drug and had a baseline and postbaseline value.

LS means were calculated using MMRM model with independent variables: Baseline, Baseline HbA1C Group, Baseline BMI Group, Baseline Metformin Flag, Treatment, Time, Treatment\*Time.

Outcome measures

Outcome measures
Measure
Placebo
n=42 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=45 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=52 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=48 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=45 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=50 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C)
0.2 Millimoles Per Litre (mmol/L)
Standard Error 0.12
0.2 Millimoles Per Litre (mmol/L)
Standard Error 0.11
0.0 Millimoles Per Litre (mmol/L)
Standard Error 0.11
-0.0 Millimoles Per Litre (mmol/L)
Standard Error 0.11
-0.1 Millimoles Per Litre (mmol/L)
Standard Error 0.12
-0.1 Millimoles Per Litre (mmol/L)
Standard Error 0.11

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants who received at least one dose of study drug and had a baseline and postbaseline value.

LS means were calculated using MMRM model with independent variables: Baseline, Baseline HbA1C Group, Baseline BMI Group, Baseline Metformin Flag, Treatment, Time, Treatment\*Time.

Outcome measures

Outcome measures
Measure
Placebo
n=42 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=44 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=47 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=44 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=35 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=47 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Change From Baseline in Waist Circumference
-1.3 centimeters (cm)
Standard Error 0.91
-2.1 centimeters (cm)
Standard Error 0.89
-5.1 centimeters (cm)
Standard Error 0.86
-7.4 centimeters (cm)
Standard Error 0.88
-10.2 centimeters (cm)
Standard Error 1.00
-2.5 centimeters (cm)
Standard Error 0.87

SECONDARY outcome

Timeframe: Baseline through Week 30

Population: All randomized participants who received at least one dose of study drug.

Number of Participants With Anti-Drug Antibodies.

Outcome measures

Outcome measures
Measure
Placebo
n=51 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=52 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=55 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=51 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
n=53 Participants
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=54 Participants
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Number of Participants With Anti-Drug Antibodies
0 Participants
16 Participants
19 Participants
24 Participants
26 Participants
0 Participants

SECONDARY outcome

Timeframe: Predose: Week 1,8,12 and 26; Postdose: Week 1,2,4 and 12

Population: All randomized participants who received at least one dose of Tirzepatide study drug excluding post rescue data.

Pharmacokinetics (PK): Model Predicted Concentration at Steady State (Css) of Tirzepatide

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Tirzepatide placebo and dulaglutide placebo administered subcutaneously (SC) once weekly.
1 mg Tirzepatide
n=55 Participants
1 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
5 mg Tirzepatide
n=51 Participants
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=53 Participants
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Pharmacokinetics (PK): Model Predicted Concentration at Steady State (Css) of Tirzepatide
78.6 Nanograms Per Millilitre (ng/mL)
Geometric Coefficient of Variation 29
394 Nanograms Per Millilitre (ng/mL)
Geometric Coefficient of Variation 29
787 Nanograms Per Millilitre (ng/mL)
Geometric Coefficient of Variation 29
1180 Nanograms Per Millilitre (ng/mL)
Geometric Coefficient of Variation 29

Adverse Events

Placebo

Serious events: 2 serious events
Other events: 17 other events
Deaths: 0 deaths

1 mg Tirzepatide

Serious events: 2 serious events
Other events: 17 other events
Deaths: 1 deaths

5 mg Tirzepatide

Serious events: 1 serious events
Other events: 29 other events
Deaths: 0 deaths

10 mg Tirzepatide

Serious events: 3 serious events
Other events: 32 other events
Deaths: 0 deaths

15 mg Tirzepatide + Placebo

Serious events: 2 serious events
Other events: 39 other events
Deaths: 0 deaths

1.5 mg Dulaglutide

Serious events: 3 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=51 participants at risk
Tirzepatide placebo and dulaglutide placebo administered (SC) once weekly.
1 mg Tirzepatide
n=52 participants at risk
1 mg tirzepatide and placebo given SC once weekly.
5 mg Tirzepatide
n=55 participants at risk
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=51 participants at risk
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide + Placebo
n=53 participants at risk
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=54 participants at risk
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Cardiac disorders
Coronary artery disease
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/54 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Cardiac disorders
Coronary artery occlusion
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Cardiac disorders
Torsade de pointes
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Cardiac disorders
Ventricular fibrillation
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Enteritis
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/53 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Mesenteric vein thrombosis
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.8%
1/55 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Hepatobiliary disorders
Cholecystitis
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/54 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Infections and infestations
Perirectal abscess
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/53 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Infections and infestations
Pneumonia
3.9%
2/51 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Infections and infestations
Urosepsis
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Lactic acidosis
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/54 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Pathological fracture
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma stage iv
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Nervous system disorders
Cluster headache
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/54 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Nervous system disorders
Transient ischaemic attack
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/53 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Nervous system disorders
Vertebrobasilar insufficiency
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/53 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Renal and urinary disorders
Acute kidney injury
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Vascular disorders
Accelerated hypertension
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/53 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.

Other adverse events

Other adverse events
Measure
Placebo
n=51 participants at risk
Tirzepatide placebo and dulaglutide placebo administered (SC) once weekly.
1 mg Tirzepatide
n=52 participants at risk
1 mg tirzepatide and placebo given SC once weekly.
5 mg Tirzepatide
n=55 participants at risk
5 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
10 mg Tirzepatide
n=51 participants at risk
10 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
15 mg Tirzepatide + Placebo
n=53 participants at risk
15 mg tirzepatide administered SC once weekly. Dulaglutide placebo administered SC once weekly.
1.5 mg Dulaglutide
n=54 participants at risk
1.5 mg Dulaglutide administered SC once weekly. Tirzepatide placebo administered SC once weekly.
Gastrointestinal disorders
Abdominal discomfort
3.9%
2/51 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.8%
1/55 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
2.0%
1/51 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
7.5%
4/53 • Number of events 7 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal distension
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.6%
2/55 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
9.8%
5/51 • Number of events 5 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
7.5%
4/53 • Number of events 4 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.6%
3/54 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal pain upper
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.8%
1/55 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.7%
3/53 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/54 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Constipation
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.6%
2/55 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
11.8%
6/51 • Number of events 6 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/53 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.6%
3/54 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Diarrhoea
3.9%
2/51 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
13.5%
7/52 • Number of events 13 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
23.6%
13/55 • Number of events 17 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
23.5%
12/51 • Number of events 13 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
32.1%
17/53 • Number of events 23 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
16.7%
9/54 • Number of events 12 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Dyspepsia
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.8%
1/55 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
11.8%
6/51 • Number of events 7 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/53 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.7%
2/54 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Nausea
5.9%
3/51 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/52 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
20.0%
11/55 • Number of events 17 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
21.6%
11/51 • Number of events 13 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
39.6%
21/53 • Number of events 29 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
29.6%
16/54 • Number of events 22 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Vomiting
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/52 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
7.3%
4/55 • Number of events 8 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
15.7%
8/51 • Number of events 9 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
26.4%
14/53 • Number of events 20 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
9.3%
5/54 • Number of events 6 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Infections and infestations
Bronchitis
5.9%
3/51 • Number of events 4 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.8%
1/55 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.9%
3/51 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.7%
2/54 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Infections and infestations
Influenza
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/52 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.6%
2/55 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
7.8%
4/51 • Number of events 4 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/53 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.7%
2/54 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Infections and infestations
Nasopharyngitis
3.9%
2/51 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.5%
3/55 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.9%
2/51 • Number of events 5 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.7%
3/53 • Number of events 6 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
11.1%
6/54 • Number of events 6 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Infections and infestations
Upper respiratory tract infection
5.9%
3/51 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.5%
3/55 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.9%
2/51 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/53 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
7.4%
4/54 • Number of events 5 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Infections and infestations
Urinary tract infection
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/52 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.6%
2/55 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
7.5%
4/53 • Number of events 4 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Contusion
3.9%
2/51 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.5%
3/55 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/53 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/54 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Investigations
Amylase increased
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.6%
2/55 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
7.8%
4/51 • Number of events 7 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/53 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Investigations
Lipase increased
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.5%
3/55 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
7.8%
4/51 • Number of events 7 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/53 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/54 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Investigations
Weight decreased
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/52 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.6%
2/55 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
9.8%
5/51 • Number of events 5 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/53 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/54 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Decreased appetite
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/52 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
20.0%
11/55 • Number of events 12 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
25.5%
13/51 • Number of events 14 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
18.9%
10/53 • Number of events 13 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.6%
3/54 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Nervous system disorders
Dizziness
3.9%
2/51 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
7.7%
4/52 • Number of events 4 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.6%
2/55 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.9%
2/51 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
9.4%
5/53 • Number of events 5 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/54 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Nervous system disorders
Headache
3.9%
2/51 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.8%
2/52 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
3.6%
2/55 • Number of events 2 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
9.4%
5/53 • Number of events 5 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/54 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Cough
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/52 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.8%
1/55 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.7%
3/53 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/54 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
Vascular disorders
Hypertension
2.0%
1/51 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/52 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/55 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
0.00%
0/51 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
1.9%
1/53 • Number of events 1 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.
5.6%
3/54 • Number of events 3 • Up To 34 Weeks
All randomized participants who received at least one dose of study drug.

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60