A Study to Evaluate Tirzepatide (LY3298176) in Pediatric and Adolescent Participants With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin or Basal Insulin or Both

NCT ID: NCT05260021

Last Updated: 2025-09-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

99 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-13

Study Completion Date

2025-01-28

Brief Summary

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The purpose of this study is to learn more about the safety and efficacy of tirzepatide compared to placebo in children or teenagers with type 2 diabetes taking metformin, or basal insulin, or both.

The overall study will last about 60 weeks with up to 14 clinic visits and 6 phone visits. Clinic visits will include blood sample collection, physical exam and questionnaire.

Detailed Description

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Conditions

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Type2 Diabetes Diabetes Mellitus Diabetes Mellitus, Type 2 T2D T2DM (Type 2 Diabetes Mellitus) Glucose Metabolism Disorders Endocrine System Diseases Metabolic Disease

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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Tirzepatide Dose 1

Double-Blind:

Participants receive Tirzepatide by weekly subcutaneous (SC) injection starting with a low dose then increase to a higher dose every four weeks until maintenance dose level 1 is reached.

Open-Label:

Participants will continue to receive Tirzepatide at the last dose level

Group Type EXPERIMENTAL

Tirzepatide Dose 1

Intervention Type DRUG

Administered SC

Tirzepatide Dose 2

Double-Blind:

Participants receive Tirzepatide by weekly SC injection starting with a low dose then increase to a higher dose every four weeks until maintenance dose level 2 is reached.

Open-Label:

Participants will continue to receive Tirzepatide at the last dose level

Group Type EXPERIMENTAL

Tirzepatide Dose 2

Intervention Type DRUG

Administered SC

Placebo

Double-Blind:

Participants receive placebo during the 30-week double-blind period.

Open-Label:

Participants will switch to Tirzepatide by weekly SC injection starting with a low dose then increase to a higher dose every four weeks until maintenance dose level 1 is reached.

Group Type PLACEBO_COMPARATOR

Tirzepatide Dose 1

Intervention Type DRUG

Administered SC

Placebo

Intervention Type DRUG

Administered SC

Interventions

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Tirzepatide Dose 1

Administered SC

Intervention Type DRUG

Tirzepatide Dose 2

Administered SC

Intervention Type DRUG

Placebo

Administered SC

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female, aged 10 to below 18 years at screening visit
* Have type 2 diabetes, treated with diet and exercise and metformin and/or basal insulin. Metformin and/or basal insulin dose must be stable for at least 90 days prior to study screening.
* Have HbA1c \>6.5% to ≤11% at screening
* Have body weight ≥50 kilogram (kg) 110 pounds and BMI of \>85th percentile of the general age and gender-matched population for that country or region.

Exclusion Criteria

* Have Type 1 diabetes mellitus (T1DM), or positive GAD65 or IA2 antibodies
* After the T2DM diagnosis, have a history of diabetic ketoacidosis or hyperosmolar syndrome
* Have had ≥1 episode of severe hypoglycemia and/or ≥1 episode of hypoglycemic unawareness within the last 6 months.
* Have family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN2).
* Had chronic or acute pancreatitis any time prior to study entry
* Female participants who are pregnant or breast feeding or intending to become pregnant.
* Using prescription or over the counter medications for weight loss within 90 days of the screening visit.
Minimum Eligible Age

10 Years

Maximum 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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1-877-CTLilly (1877-285-4559) 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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Children's Hospital Los Angeles

Los Angeles, California, United States

Site Status

Center Of Excellence in Diabetes and Endocrinology

Sacramento, California, United States

Site Status

Rady Children's Hospital

San Diego, California, United States

Site Status

Touro University California

Vallejo, California, United States

Site Status

Children's Hospital Colorado

Aurora, Colorado, United States

Site Status

Nemours Children's Health - Delaware

Wilmington, Delaware, United States

Site Status

Qualmedica Research, LLC

Evansville, Indiana, United States

Site Status

Indiana University Health University Hospital

Indianapolis, Indiana, United States

Site Status

AA Medical Research Center

Flint, Michigan, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Children's Hospital of Philadelphia (CHOP)

Philadelphia, Pennsylvania, United States

Site Status

Consano Clinical Research, LLC

Shavano Park, Texas, United States

Site Status

The Children's Hospital at Westmead

Westmead, New South Wales, Australia

Site Status

Centre for Children's Health Research

Brisbane, Queensland, Australia

Site Status

Perth Children's Hospital

Perth, Western Australia, Australia

Site Status

CEDOES

Vitória, Espírito Santo, Brazil

Site Status

Centro de Diabetes Curitiba

Curitiba, Paraná, Brazil

Site Status

Instituto Méderi de Pesquisa e Saúde

Passo Fundo, Rio Grande do Sul, Brazil

Site Status

Instituto da Crianca com Diabetes

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Centro de Pesquisa Sao Lucas

Campinas, São Paulo, Brazil

Site Status

Instituto de Pesquisa clinica de Campinas

Campinas, São Paulo, Brazil

Site Status

Instituto de Pesquisa Clinica

São Paulo, São Paulo, Brazil

Site Status

Instituto da Crianca do Hospital das Clinicas da FMUSP

São Paulo, São Paulo, Brazil

Site Status

Ruschel Medicina e Pesquisa Clínica

Rio de Janeiro, , Brazil

Site Status

CPQuali Pesquisa Clínica

São Paulo, , Brazil

Site Status

CEPIC - Centro Paulista de Investigação Clínica

São Paulo, , Brazil

Site Status

Centre Hospitalier Universitaire d'Angers

Angers, Maine-et-Loire, France

Site Status

Assistance Publique - Hopitaux de Paris (AP-HP) - Hopital Robert Debre - Centre Hospitalo Universitaire (C -T

Paris, , France

Site Status

Gujarat Endocrin Pvt Ltd

Ahmedabad, Gujarat, India

Site Status

M S Ramaiah Medical College and Hospitals

Bangalore, Karnataka, India

Site Status

Bhakti Vedanta Hospital and Research Institute

Thāne, Maharashtra, India

Site Status

All India Institute of Medical Sciences

New Delhi, National Capital Territory of Delhi, India

Site Status

Kovai Diabetes Speciality Center and Hospital

Coimbatore, Tamil Nadu, India

Site Status

Postgraduate Institute of Medical Education & Research

Chandigarh, , India

Site Status

Yitzhak Shamir Medical Center

Be’er Ya‘aqov, Central District, Israel

Site Status

Sheba Medical Center

Ramat Gan, Central District, Israel

Site Status

Shaare Zedek Medical Center

Jerusalem, Jerusalem, Israel

Site Status

Rambam Health Care Campus

Haifa, Northern District, Israel

Site Status

Soroka Medical Center

Beersheba, Southern District, Israel

Site Status

Azienda Ospedaliera Universitaria dell'Università "Luigi Vanvitelli" Piazza Luigi Miraglia, 2 Napoli Campa -T

Napoli, Campania, Italy

Site Status

Azienda Ospedaliera Universitaria Integrata Verona - Ospedale Borgo Trento

Verona, Veneto, Italy

Site Status

Ospedale Pediatrico Salesi

Ancona, , Italy

Site Status

Unidad Médica para la Salud Integral

San Nicolás de los Garza, Nuevo León, Mexico

Site Status

Clínica Cemain

Tampico, Tamaulipas, Mexico

Site Status

Investigacion En Salud Y Metabolismo Sc

Chihuahua City, , Mexico

Site Status

Consultorio Médico de Endocrinología y Pediatría

Puebla City, , Mexico

Site Status

Arké SMO S.A de C.V

Veracruz, , Mexico

Site Status

Leicester Royal Infirmary

Leicester, England, United Kingdom

Site Status

Hull Royal Infirmary

Hull, Kingston Upon Hull, United Kingdom

Site Status

Leicester General Hospital

Leicester, Leicestershire, United Kingdom

Site Status

Countries

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United States Australia Brazil France India Israel Italy Mexico United Kingdom

References

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Hannon TS, Chao LC, Barrientos-Perez M, Pamidipati KC, Lando LF, Lee CJ, Patel H, Bergman BK. Efficacy and safety of tirzepatide in children and adolescents with type 2 diabetes (SURPASS-PEDS): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2025 Oct 4;406(10511):1484-1496. doi: 10.1016/S0140-6736(25)01774-X. Epub 2025 Sep 17.

Reference Type DERIVED
PMID: 40975112 (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/WoqX8k1IVNPugq1V1yyyL

A Study to Evaluate Tirzepatide (LY3298176) in Pediatric and Adolescent Participants With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin or Basal Insulin or Both (SURPASS-PEDS)

Other Identifiers

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I8F-MC-GPGV

Identifier Type: OTHER

Identifier Source: secondary_id

2021-003612-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

17121

Identifier Type: -

Identifier Source: org_study_id

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