A Study of Tirzepatide Compared With Intensified Conventional Care in Adult Participants With Type 2 Diabetes

NCT ID: NCT05433584

Last Updated: 2025-12-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

780 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-01

Study Completion Date

2027-11-30

Brief Summary

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This study aims to investigate the efficacy and safety of tirzepatide in participants with type 2 diabetes (T2D) compared to other existing treatment options when treatment is initiated early.

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

NONE

Study Groups

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Tirzepatide

Participants will receive tirzepatide at the maximum tolerated dose subcutaneously (SC)

Group Type EXPERIMENTAL

Tirzepatide

Intervention Type DRUG

Administered SC

Intensified Conventional Care Dose

Participants will receive an antihyperglycemic medication

Group Type ACTIVE_COMPARATOR

Antihyperglycemic medication

Intervention Type DRUG

As prescribed

Interventions

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Tirzepatide

Administered SC

Intervention Type DRUG

Antihyperglycemic medication

As prescribed

Intervention Type DRUG

Other Intervention Names

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LY3298176

Eligibility Criteria

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Inclusion Criteria

* Have, within the last 4 years, been diagnosed with T2D based on the World Health Organization classification or other locally applicable diagnostic standards.
* Have HbA1c ≥7% to ≤9.5% as determined by the central laboratory.
* Have been on a stable treatment of metformin only at least 90 days preceding baseline

* with the minimum effective dose of ≥1500 mg/day, but not higher than the maximum approved dose per country-specific label, or
* \<1500 mg/day in case of intolerance of full therapeutic dose.

Exclusion Criteria

* Have type 1 diabetes mellitus
* Have a history of chronic or acute pancreatitis any time prior to study entry
* Have a history of

* proliferative diabetic retinopathy
* diabetic macular edema, or
* no proliferative diabetic retinopathy requiring immediate or urgent treatment
* Are at high risk for cardiovascular disease (CVD) in the investigator's opinion or have a history of any of these CV conditions prior to study entry

* myocardial infarction
* percutaneous coronary revascularization procedure
* carotid stenting or surgical revascularization
* nontraumatic amputation
* peripheral vascular procedure (e.g., stenting or surgical revascularization)
* cerebrovascular accident (stroke), or congestive heart failure
* Have family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN2)
* Have within 90 days prior to screening received treatment with medications intended to promote weight loss. This includes prescribed, over the counter, or alternative remedies
* Have an estimated glomerular filtration rate (eGFR) \<30 mL/minute/1.73 m2 (or lower than the country-specific threshold for discontinuing metformin therapy per local label), calculated by chronic kidney disease-epidemiology equation as determined by central laboratory at screening.
* Have been treated with any injectable glucagon-like peptide-1 (GLP-1) receptor agonists and insulin prior to screening.

* Exception: use of insulin for gestational diabetes or short-term use (\<14 days) for acute conditions such as acute illness, hospitalization, or elective surgery.
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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Cahaba Research - Trussville

Birmingham, Alabama, United States

Site Status

San Fernando Valley Health Institute

Canoga Park, California, United States

Site Status

Velocity Clinical Research, Huntington Park

Huntington Park, California, United States

Site Status

Velocity Clinical Research, San Diego

La Mesa, California, United States

Site Status

Clinical Trials Research

Lincoln, California, United States

Site Status

Velocity Clinical Research, Westlake

Los Angeles, California, United States

Site Status

Catalina Research Institute, LLC

Montclair, California, United States

Site Status

Velocity Clinical Research, North Hollywood

North Hollywood, California, United States

Site Status

Velocity Clinical Research, Panorama City

Panorama City, California, United States

Site Status

Western University of Health Sciences

Pomona, California, United States

Site Status

Velocity Clinical Research, Santa Ana

Santa Ana, California, United States

Site Status

New England Research Associates, LLC

Bridgeport, Connecticut, United States

Site Status

Excel Medical Clinical Trials

Boca Raton, Florida, United States

Site Status

Alliance for Multispecialty Research, LLC

Coral Gables, Florida, United States

Site Status

South Florida Clinical Research Institute

Margate, Florida, United States

Site Status

Emory University School of Medicine- Grady Campus

Atlanta, Georgia, United States

Site Status

Center for Advanced Research & Education

Gainesville, Georgia, United States

Site Status

Qualmedica Research, LLC

Evansville, Indiana, United States

Site Status

Iowa Diabetes and Endocrinology Research Center

West Des Moines, Iowa, United States

Site Status

Qualmedica Research

Bowling Green, Kentucky, United States

Site Status

NECCR PrimaCare Research

Fall River, Massachusetts, United States

Site Status

SKY Integrative Medical Center/SKYCRNG

Ridgeland, Mississippi, United States

Site Status

StudyMetrix Research

City of Saint Peters, Missouri, United States

Site Status

Clinvest Research LLC

Springfield, Missouri, United States

Site Status

Research Foundation of SUNY - University of Buffalo

Buffalo, New York, United States

Site Status

Lucas Research, Inc

Morehead City, North Carolina, United States

Site Status

The Corvallis Clinic, P.C.

Corvallis, Oregon, United States

Site Status

Clinical Research of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Preferred Primary Care Physicians

Uniontown, Pennsylvania, United States

Site Status

Tribe Clinical Research, LLC

Greenville, South Carolina, United States

Site Status

Velocity Clinical Research, Spartanburg

Spartanburg, South Carolina, United States

Site Status

Dallas Diabetes Research Center

Dallas, Texas, United States

Site Status

Centro de Investigaciones Metabólicas (CINME)

Ciudad Autónoma de Buenos Aire, Buenos Aires, Argentina

Site Status

Instituto de Investigaciones Clínicas Mar del Plata

Mar del Plata, Buenos Aires, Argentina

Site Status

Go Centro Medico San Nicolás

San Nicolás de los Arroyos, Buenos Aires, Argentina

Site Status

CIAD Moron

Morón, Buenos Air, Argentina

Site Status

Centro Médico Viamonte

Buenos Aires, Ciudad Aut, Argentina

Site Status

Dr. M.B. Jones Inc.

Victoria, British Columbia, Canada

Site Status

Bluewater Clinical Research Group Inc.

Sarnia, Ontario, Canada

Site Status

Stouffville Medical Centre

Stouffville, Ontario, Canada

Site Status

9109-0126 Quebec Inc.

Montreal, Quebec, Canada

Site Status

ClinPhenomics CVC GmbH

Frankfurt am Main, Hesse, Germany

Site Status

Diabetes- und Stoffwechselpraxis Bochum

Bochum, North Rhine-Westphalia, Germany

Site Status

InnoDiab Forschung Gmbh

Essen, North Rhine-Westphalia, Germany

Site Status

Zentrum für klinische Studien

Saint Ingbert, Saarland, Germany

Site Status

Arztpraxis Christine Kosch Pirna

Pirna, Saxony, Germany

Site Status

RED-Institut GmbH

Oldenburg in Holstein, Schleswig-Holstein, Germany

Site Status

Diabetespraxis Mergentheim

Bad Mergentheim, , Germany

Site Status

Diabetes Zentrum Dr. Tews

Gelnhausen, , Germany

Site Status

Edith Wolfson Medical Center

Holon, Central District, Israel

Site Status

Rabin Medical Center

Petah Tikva, Central District, Israel

Site Status

Sheba Medical Center

Ramat Gan, Central District, Israel

Site Status

Kaplan Medical Center

Rehovot, Central District, Israel

Site Status

Hadassah Medical Center

Jerusalem, Jerusalem, Israel

Site Status

Bnai Zion Medical Center

Haifa, Northern District, Israel

Site Status

Clalit Health Services - Sakhnin Community Clinic

Sakhnin, Northern District, Israel

Site Status

Clalit Health Services - Atlit

Atlit, Southern District, Israel

Site Status

Linn Medical Center

Haifa, Ḥeifā, Israel

Site Status

A.O.U.C. Policlinico di Bari

Bari, Apulia, Italy

Site Status

University of Naples Federico II

Napoli, Campania, Italy

Site Status

Centro Cardiologico Monzino

Milan, Milano, Italy

Site Status

Ospedale Civile Santa Croce Pronto Soccorso

Moncalieri, Piedmont, Italy

Site Status

Ospedale san Giovanni di Dio-Diabetologia

Olbia, Sardinia, Italy

Site Status

A.O.U. Policlinico Paolo Giaccone

Palermo, Sicily, Italy

Site Status

Azienda Ospedaliera Universitaria Pisana

Pisa, Tuscany, Italy

Site Status

AOU Renato Dulbecco

Catanzaro, , Italy

Site Status

Private Practice - Dr. Arechavaleta Granell Maria del Rosario

Guadalajara, Jalisco, Mexico

Site Status

Hospital Universitario "Dr. Jose Eleuterio Gonzalez"

Monterrey, Nuevo León, Mexico

Site Status

Investigacion En Salud Y Metabolismo Sc

Chihuahua City, , Mexico

Site Status

San Juan Bautista School of Medicine - Clinical Research Unit

Caguas, PR, Puerto Rico

Site Status

GCM Medical Group, PSC - Hato Rey Site

San Juan, PR, Puerto Rico

Site Status

Dorado Medical Complex

Dorado, , Puerto Rico

Site Status

Diabdana

Oradea, Bihor County, Romania

Site Status

C.M.D.T.A. Neomed

Brasov, Brașov County, Romania

Site Status

Centrul Medical NutriLife

Bucharest, București, Romania

Site Status

Gama Diamed

Mangalia, Constanța County, Romania

Site Status

Diabmed Dr. Popescu Alexandrina

Ploieşti, Prahova, Romania

Site Status

Milena Sante

Galați, , Romania

Site Status

Clinica Korall

Satu Mare, , Romania

Site Status

MEDIKALS

Piešťany, , Slovakia

Site Status

ProDia s.r.o.

Považská Bystrica, , Slovakia

Site Status

JAL

Trnava, , Slovakia

Site Status

IRIDIA

Vrútky, Žilina Region, Slovakia

Site Status

Aberdeen Royal Infirmary

Aberdeen, Aberdeen City, United Kingdom

Site Status

Ninewells Hospital and Medical School

Dundee, Angus, United Kingdom

Site Status

Staploe Medical Centre

Ely, Cambridgeshire, United Kingdom

Site Status

Knowle House Surgery

Plymouth, Devon, United Kingdom

Site Status

Hull Royal Infirmary

Hull, Kingston Upon Hull, United Kingdom

Site Status

Leicester General Hospital

Leicester, Leicestershire, United Kingdom

Site Status

Wickersley Health Centre - Clifton Medical Centre

Rotherham, , United Kingdom

Site Status

Countries

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United States Argentina Canada Germany Israel Italy Mexico Puerto Rico Romania Slovakia United Kingdom

Related Links

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https://trials.lillytrialguide.com/en-US/trial/6uDOXjWupVuV6MjrZKbsNy

A Study of Tirzepatide Compared With Intensified Conventional Care in Adult Participants With Type 2 Diabetes (SURPASS-EARLY)

Other Identifiers

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I8F-MC-GPHE

Identifier Type: OTHER

Identifier Source: secondary_id

2022-000130-42

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2022-5010733-40-00

Identifier Type: OTHER

Identifier Source: secondary_id

U1111-1282-0263

Identifier Type: REGISTRY

Identifier Source: secondary_id

17205

Identifier Type: -

Identifier Source: org_study_id

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