A Study of Tirzepatide in Participants With Impaired Liver Function

NCT ID: NCT03940742

Last Updated: 2023-03-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-22

Study Completion Date

2020-09-22

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 liver function compared to healthy participants. The study will last about two months and will include five visits to the study center.

Detailed Description

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Conditions

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Hepatic Insufficiency

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Normal Hepatic Function

Participants with normal hepatic function received single subcutaneous dose of 5 milligrams (mg) tirzepatide.

Group Type ACTIVE_COMPARATOR

Tirzepatide

Intervention Type DRUG

Administered SC

Mild Hepatic Impairment

Participants with mild hepatic impairment received single subcutaneous dose of 5 mg tirzepatide.

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC

Moderate Hepatic Impairment

Participants with moderate hepatic impairment received single subcutaneous dose of 5 mg tirzepatide.

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC

Severe Hepatic Impairment

Participants with severe hepatic impairment received single subcutaneous dose of 5 mg tirzepatide.

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 of childbearing potential are excluded from the study.
* 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 liver function

Participants with Impaired Liver Function:

* Males or females with chronic mild, moderate and severe liver impairment, assessed by Child-Pugh scoring
* Have type 2 diabetes mellitus (T2DM) controlled with diet or exercise alone or on stable doses of metformin for at least 8 weeks
* Have a hemoglobin A1c (HbA1c) ≥6.0% and ≤11.0% at screening

Exclusion Criteria

All Participants:

* 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 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 Impaired Liver Function:

* Have hemoglobin \<8.5 grams per deciliter (g/dL)
* Have kidney function that is significantly impaired at screening
* Have taken any glucose-lowering medications other than metformin, including insulin, in the past 3 months before screening
* Have brain function impaired significantly due to liver condition
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

Orlando Clinical Research Center

Orlando, Florida, United States

Site Status

New Orleans Center for Clinical Research

New Orleans, Louisiana, United States

Site Status

Countries

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United States

References

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Urva S, Quinlan T, Landry J, Ma X, Martin JA, Benson CT. Effects of Hepatic Impairment on the Pharmacokinetics of the Dual GIP and GLP-1 Receptor Agonist Tirzepatide. Clin Pharmacokinet. 2022 Jul;61(7):1057-1067. doi: 10.1007/s40262-022-01140-3. Epub 2022 Jun 8.

Reference Type DERIVED
PMID: 35674880 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://trials.lillytrialguide.com/en-US/trial/3Q0iEn37gojINvezSaoRkX

A Study of Tirzepatide in Participants With Impaired Liver Function

Other Identifiers

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I8F-MC-GPGQ

Identifier Type: OTHER

Identifier Source: secondary_id

17102

Identifier Type: -

Identifier Source: org_study_id

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