A Study of Tirzepatide (LY3298176) in Participants With Impaired Kidney Function

NCT ID: NCT03482024

Last Updated: 2023-03-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-30

Study Completion Date

2019-08-19

Brief Summary

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The purpose of this study is to assess how fast tirzepatide gets into the blood stream and how long it takes the body to remove it in participants with impaired kidney function compared to healthy participants.

Detailed Description

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Conditions

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Renal Insufficiency End Stage Renal Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Tirzepatide - Control

Group 1 - Tirzepatide 5 milligrams (mg) administered subcutaneously (SC) to healthy participants with normal renal function.

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC.

Tirzepatide - Mild Renal Impairment

Group 2 - Tirzepatide 5mg administered SC to participants with mild renal impairment.

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC.

Tirzepatide - Moderate Renal Impairment

Group 3 - Tirzepatide 5mg administered SC to participants with moderate renal impairment.

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC.

Tirzepatide - Severe Renal Impairment

Group 4 - Tirzepatide 5mg administered SC to participants with severe renal impairment.

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC.

Tirzepatide - End Stage Renal Disease (ESRD)

Group 5 - Tirzepatide 5mg administered SC to participants with ESRD.

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC.

Interventions

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Tirzepatide

Administered SC.

Intervention Type DRUG

Other Intervention Names

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LY3298176

Eligibility Criteria

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Inclusion Criteria

* All Participants:

* Women not of childbearing potential may participate and include those who are infertile due to surgical sterilization (hysterectomy, bilateral oophorectomy, or tubal ligation), congenital anomaly such as mullerian agenesis; or postmenopausal
* Are between the body mass index (BMI) of 19.0 and 40.0 kilograms per meter squared (kg/m²), inclusive, at screening
* Healthy Participants:

\-- Healthy males or females as determined by medical history, physical examination, and other screening procedures, with normal renal function, assessed by estimated glomerular filtration rate (eGFR) ≥90 milliliters per minute (mL/min) at screening
* Participants with Renal Impairment or ESRD:

\-- Males or females with stable mild to severe renal impairment, assessed by eGFR or with ESRD (having received hemodialysis for at least 3 months)
* Participants with Type 2 Diabetes Mellitus (T2DM) and Renal Impairment or ESRD:

* Have T2DM controlled with diet or exercise alone or stable on metformin for at least 8 weeks
* Taking stable doses of over-the-counter or prescription medications (eg, antihypertensive agents, aspirin, lipid-lowering agents) for treatment of concurrent medical conditions are permitted to participate providing they have been stable on their treatment regimen for at least 4 weeks
* Have a hemoglobin A1c (HbA1c) ≥7.0% and ≤11.0% at screening

Exclusion Criteria

* All Participants:

* Women of childbearing potential
* Have known allergies to tirzepatide or related compounds
* Have a personal or family history of medullary thyroid carcinoma or have multiple endocrine neoplasia syndrome type 2
* Have serum aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>2× the upper limit of normal (ULN) or total bilirubin (TBL) \>1.5× ULN
* Have a history or presence of pancreatitis (history of chronic pancreatitis or idiopathic acute pancreatitis), elevation in serum amylase or lipase or GI disorder (eg, relevant esophageal reflux or gall bladder disease) or any GI disease which impacts gastric emptying (eg, gastric bypass surgery, pyloric stenosis, with the exception of appendectomy) or could be aggravated by glucagon-like peptide-1 (GLP-1) analogs or dipeptidyl peptidase IV (DPP-IV) inhibitors
* Participants with Renal Impairment or ESRD:

* Have hemoglobin \<8.5 grams per deciliter (g/dL) or significant active hematological disease from causes other than underlying renal disease.
* Have used any drug indicated for medical care of the participant's renal impairment, which is not established in dose and administered for at least 7 days before LY3298176 administration
* Participants with T2DM and Renal Impairment or ESRD:

* Have taken any glucose-lowering medications other than metformin, including insulin, in the past 3 months before screening
* Have had more than 1 episode of severe hypoglycemia, as defined by the American Diabetes Association criteria, within 6 months before entry into the study or has a history of hypoglycemia unawareness or poor recognition of hypoglycemic symptoms
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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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)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Orange County Research Center

Tustin, California, United States

Site Status

Clinical Pharmacology of Miami

Miami, Florida, United States

Site Status

Orlando Clinical Research Center

Orlando, Florida, United States

Site Status

High Point Clinical Trials Center

High Point, North Carolina, United States

Site Status

Countries

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United States

References

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Urva S, Quinlan T, Landry J, Martin J, Loghin C. Effects of Renal Impairment on the Pharmacokinetics of the Dual GIP and GLP-1 Receptor Agonist Tirzepatide. Clin Pharmacokinet. 2021 Aug;60(8):1049-1059. doi: 10.1007/s40262-021-01012-2. Epub 2021 Mar 29.

Reference Type DERIVED
PMID: 33778934 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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I8F-MC-GPGG

Identifier Type: OTHER

Identifier Source: secondary_id

17021

Identifier Type: -

Identifier Source: org_study_id

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