A Study of Tirzepatide (LY3298176) Versus Placebo in Participants With Type 2 Diabetes Inadequately Controlled on Insulin Glargine With or Without Metformin

NCT ID: NCT04039503

Last Updated: 2022-01-12

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

475 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-30

Study Completion Date

2021-01-13

Brief Summary

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The purpose of this study is to compare the safety and efficacy of the study drug tirzepatide to placebo in participants with type 2 diabetes that are already on insulin glargine, with or without metformin. Participants will administer tirzepatide or placebo along with their previous glucose lowering medications. The study will last approximately 47 weeks and may include about 23 visits.

Detailed Description

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Conditions

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Type 2 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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5 mg Tirzepatide

5 milligrams (mg) tirzepatide administered subcutaneously (SC) once a week.

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC as add-on to the pre-trial background medication.

10 mg Tirzepatide

10 mg tirzepatide administered SC once a week.

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC as add-on to the pre-trial background medication.

15 mg Tirzepatide

15 mg tirzepatide administered SC once a week.

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC as add-on to the pre-trial background medication.

Placebo

Placebo administered SC once a week.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered SC as add-on to the pre-trial background medication.

Interventions

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Tirzepatide

Administered SC as add-on to the pre-trial background medication.

Intervention Type DRUG

Placebo

Administered SC as add-on to the pre-trial background medication.

Intervention Type DRUG

Other Intervention Names

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LY3298176

Eligibility Criteria

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Inclusion Criteria

* Have been diagnosed with type 2 diabetes mellitus (T2DM) and have been treated with insulin glargine (U100), once daily with or without metformin ≥3 months prior to screening visit.
* Have HbA1c between ≥7.0% and ≤10.5%.
* Have a stable weight (± 5%) for at least 3 months before screening.
* Have a body mass index (BMI) ≥23 kilograms per meter squared (kg/m²) at screening.

Exclusion Criteria

* Have type 1 diabetes mellitus.
* Have had chronic or acute pancreatitis any time prior to study entry.
* Have proliferative diabetic retinopathy or diabetic maculopathy or nonproliferative diabetic retinopathy requiring acute treatment.
* Have disorders associated with slowed emptying of the stomach, or have had any stomach surgeries for the purpose of weight loss.
* Have an estimated glomerular filtration rate \<30 mL/minute/1.73 m² \[for participants on metformin, estimated glomerular filtration rate \<45 mL/min/1.73 m2 (or lower than the country-specific threshold for using the protocol-required dose of metformin per local label)\]
* Have had a heart attack, stroke, or hospitalization for congestive heart failure in the past 2 months.
* Have a personal or family history of medullary thyroid carcinoma or personal history of multiple endocrine neoplasia syndrome type 2.
* Have been taking weight loss drugs, including over-the-counter medications during the last 3 months.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

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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Valley Endocrine, Fresno

Fresno, California, United States

Site Status

Sun Coast Clinical Research, Inc

New Port Richey, Florida, United States

Site Status

Southern New Hampshire Diabetes and Endocrinology

Nashua, New Hampshire, United States

Site Status

Manhattan Medical Research

New York, New York, United States

Site Status

Intend Research

Norman, Oklahoma, United States

Site Status

Milan Kvapil s.r.o.

Příbram, Central Bohemia, Czechia

Site Status

Diacentrum Brandys n.L. s.r.o.

Brandys Nad Labem-Stara Bolesl, , Czechia

Site Status

Diabetologicka ordinace pro dospele

Krnov, , Czechia

Site Status

Diahelp s.r.o., Interni a diabetologicka ambulance

Pardubice, , Czechia

Site Status

Lekarna Dr. Max

Prague, , Czechia

Site Status

Milan Kvapil s.r.o.

Prague, , Czechia

Site Status

RESTRIAL s.r.o.

Prague, , Czechia

Site Status

Praxis Dr. Jörg Lüdemann

Falkensee, Brandenburg, Germany

Site Status

Arztpraxis Dr. Cornelia Marck

Pohlheim, Hesse, Germany

Site Status

InnoDiab Forschung GmbH

Essen, North Rhine-Westphalia, Germany

Site Status

Institut für Diabetesforschung Münster GmbH

Münster, North Rhine-Westphalia, Germany

Site Status

Praxis Dr. Kempe - Dr. Stemler

Ludwigshafen am Rhein, Rhineland-Palatinate, Germany

Site Status

Schwerpunktpraxis Diabetes

Saint Ingbert-Oberwürzbach, Saarland, Germany

Site Status

SMO.MD GmbH

Magdeburg, Saxony-Anhalt, Germany

Site Status

RED-Institut GmbH

Oldenburg in Holstein, Schleswig-Holstein, Germany

Site Status

Diabetologische Schwerpunktpraxis B. Scholz/Dr. B. Paschen

Hamburg, , Germany

Site Status

Gemeinschaftspraxis für innere Medizin und Diabetologie

Hamburg, , Germany

Site Status

Kashiwa hospital

Kashiwa, Chiba, Japan

Site Status

Manda Hospital

Sapporo, Hokkaido, Japan

Site Status

Takai Naika Clinic

Kamakura, Kanagawa, Japan

Site Status

Takatsuki Red Cross Hospital

Takatsuki, Osaka, Japan

Site Status

Tokyo-Eki Center-building Clinic

Chuo-ku, Tokyo, Japan

Site Status

Tokyo Center Clinic

Chuo-ku, Tokyo, Japan

Site Status

Tokyo Clinical Trial Centre Fukuwa Clinic

Chuo-ku, Tokyo, Japan

Site Status

The Institute for Adult Diseases, Asahi Life Foundation

Chuou-ku, Tokyo, Japan

Site Status

Sato Naika Clinic

Ōta-ku, Tokyo, Japan

Site Status

Jinnouchi Hospital

Kumamoto, , Japan

Site Status

Centrum Medyczne AMED

Warsaw, Masovian Voivodeship, Poland

Site Status

NZOZ ZDROWIE Osteo-Medic

Bialystok, Podlaskie Voivodeship, Poland

Site Status

Centrum Badan Klinicznych, PI House

Gdansk, Pomeranian Voivodeship, Poland

Site Status

NZOZ Przychodnia Specjalistyczna MEDICA

Lublin, , Poland

Site Status

Centro de Endocrinologia y Nutricion del Turabo

Caguas, PR, Puerto Rico

Site Status

Manati Center for Clinical Research Inc

Manatí, PR, Puerto Rico

Site Status

Ambulancia vnútorného lekárstva Hnúša (Diabetes care)

Hnúšťa, , Slovakia

Site Status

Sin Azucar

Malacky, , Slovakia

Site Status

Dia-Clarus.s.r.o.

Prievidza, , Slovakia

Site Status

JAL

Trnava, , Slovakia

Site Status

Medivasa, s.r.o.

Žilina, , Slovakia

Site Status

Hospital Clinico Universitario Virgen de la Victoria

Málaga, Andalusia, Spain

Site Status

Hospital de la Ribera

Alzira, Valencia, Spain

Site Status

Hospital Universitario Virgen Macarena

Seville, , Spain

Site Status

Hospital Infanta Luisa

Seville, , Spain

Site Status

Hospital Universitari i Politecnic La Fe-ENDO

Valencia, , Spain

Site Status

Countries

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United States Czechia Germany Japan Poland Puerto Rico Slovakia Spain

References

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De Block C, Peleshok J, Wilding JPH, Kwan AYM, Rasouli N, Maldonado JM, Wysham C, Liu M, Aleppo G, Benneyworth BD. Post Hoc Analysis of SURPASS-1 to -5: Efficacy and Safety of Tirzepatide in Adults with Type 2 Diabetes are Independent of Baseline Characteristics. Diabetes Ther. 2025 Jan;16(1):43-71. doi: 10.1007/s13300-024-01660-0. Epub 2024 Nov 12.

Reference Type DERIVED
PMID: 39531161 (View on PubMed)

Boye KS, Sapin H, Dong W, Williamson S, Lee CJ, Thieu VT. Improved Glycaemic and Weight Management Are Associated with Better Quality of Life in People with Type 2 Diabetes Treated with Tirzepatide. Diabetes Ther. 2023 Nov;14(11):1867-1887. doi: 10.1007/s13300-023-01457-7. Epub 2023 Sep 5.

Reference Type DERIVED
PMID: 37668888 (View on PubMed)

Boye KS, Thieu VT, Sapin H, Lee CJ, Lando LF, Brown K, Bray R, Wiese RJ, Patel H, Rodriguez A, Yu M. Patient-Reported Outcomes in People with Type 2 Diabetes Receiving Tirzepatide in the SURPASS Clinical Trial Programme. Diabetes Ther. 2023 Nov;14(11):1833-1852. doi: 10.1007/s13300-023-01451-z. Epub 2023 Aug 1.

Reference Type DERIVED
PMID: 37526908 (View on PubMed)

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.

Reference Type DERIVED
PMID: 35210595 (View on PubMed)

Dahl D, Onishi Y, Norwood P, Huh R, Bray R, Patel H, Rodriguez A. Effect of Subcutaneous Tirzepatide vs Placebo Added to Titrated Insulin Glargine on Glycemic Control in Patients With Type 2 Diabetes: The SURPASS-5 Randomized Clinical Trial. JAMA. 2022 Feb 8;327(6):534-545. doi: 10.1001/jama.2022.0078.

Reference Type DERIVED
PMID: 35133415 (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/33Mn9pqfndRwZEPVvpNxDR

A Study of Tirzepatide (LY3298176) Versus Placebo in Participants With Type 2 Diabetes Inadequately Controlled on Insulin Glargine With or Without Metformin

Other Identifiers

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I8F-MC-GPGI

Identifier Type: OTHER

Identifier Source: secondary_id

2019-000860-99

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

16998

Identifier Type: -

Identifier Source: org_study_id

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