Effect of Retatrutide Compared With Placebo in Participants With Type 2 Diabetes and Moderate or Severe Renal Impairment, With Inadequate Glycemic Control on Basal Insulin, With or Without Metformin and/or SGLT2 Inhibitor (TRANSCEND-T2D-3)

NCT ID: NCT06297603

Last Updated: 2025-11-10

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

PHASE3

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-15

Study Completion Date

2026-11-30

Brief Summary

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The purpose of this study is to investigate the efficacy and safety of retatrutide compared with placebo in participants with Type 2 Diabetes and renal impairment, with inadequate glycemic control on basal insulin alone or a combination of basal insulin with or without metformin and/or sodium-glucose cotransporter-2 (SGLT2) inhibitor. The study will last about 14 months and may include up to 22 visits.

Detailed Description

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Conditions

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Type 2 Diabetes

Keywords

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Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Diabetes Mellitus Diabetes Mellitus, Type 2 Kidney Disease Renal Insufficiency Chronic

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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Retatrutide Dose 1

Participants will receive retatrutide administered subcutaneously (SC).

Group Type EXPERIMENTAL

Retatrutide

Intervention Type DRUG

Administered SC

Retatrutide Dose 2

Participants will receive retatrutide administered SC.

Group Type EXPERIMENTAL

Retatrutide

Intervention Type DRUG

Administered SC

Retatrutide Dose 3

Participants will receive retatrutide administered SC.

Group Type EXPERIMENTAL

Retatrutide

Intervention Type DRUG

Administered SC

Placebo

Participants will receive placebo administered SC.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered SC

Interventions

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Retatrutide

Administered SC

Intervention Type DRUG

Placebo

Administered SC

Intervention Type DRUG

Other Intervention Names

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LY3437943

Eligibility Criteria

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Inclusion Criteria

* Have Type 2 Diabetes (T2D)
* Have HbA1c ≥7.0% (53 millimoles per mole (mmol/mol)) to ≤10.5% (91 mmol/mol)
* Have moderate or severe renal impairment
* Have been on the following stable diabetes treatment during 90 days prior to screening

* basal insulin (≥20 International Units (IU)/day) with or without
* metformin and/or SGLT2 inhibitor
* Are of stable weight for at least 90 days prior to screening
* Have a Body Mass Index (BMI) ≥23.0 kilograms per meter squared (kg/m2)

Exclusion Criteria

* Have Type 1 Diabetes (T1D)
* Have a history of ketoacidosis or hyperosmolar state or coma within the last 6 months prior to screening
* Have a history of severe hypoglycemia or hypoglycemia unawareness within the last 6 months prior to screening
* Are currently receiving or planning to receive treatment for diabetic retinopathy and/or macular edema
* Have a history of unstable or rapidly progressing renal disease
* Have a prior or planned surgical treatment for obesity
* Have New York Heart Association Functional Classification III or IV congestive heart failure
* Have had acute myocardial infarction, stroke, or were hospitalized for congestive heart failure within 90 days prior to screening
* Have a known clinically significant gastric emptying abnormality
* Have a history of an active or untreated malignancy or are in remission from a clinically significant malignancy for less than 5 years
* Have a family or personal history of medullary thyroid carcinoma or multiple endocrine neoplasia (MEN) syndrome Type 2.
* Have any lifetime history of a suicide attempt
* Had chronic or acute pancreatitis
* Have taken prescribed or over-the-counter medication, or alternative remedies, intended to promote body weight reduction within 90 days prior to screening
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 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Nephrology Consultants

Huntsville, Alabama, United States

Site Status

Clinical Research Institute of Arizona (CRI) - Sun City West

Sun City West, Arizona, United States

Site Status

Kidney & Hypertension Center - Apple Valley

Apple Valley, California, United States

Site Status

Hope Clinical Research, Inc.

Canoga Park, California, United States

Site Status

Neighborhood Healthcare Institute of Health

Escondido, California, United States

Site Status

EndoTrials Center for Clinical Research

La Mesa, California, United States

Site Status

UCLA South Bay Endocrinology

Torrance, California, United States

Site Status

Northeast Research Institute (NERI)

Fleming Island, Florida, United States

Site Status

Encore Medical Research - Weston

Weston, Florida, United States

Site Status

Orita Clinical Research

Decatur, Georgia, United States

Site Status

CARE Institute

Idaho Falls, Idaho, United States

Site Status

Cotton O'Neil Diabetes & Endocrinology

Topeka, Kansas, United States

Site Status

Billings Clinic

Billings, Montana, United States

Site Status

Excel Clinical Research, LLC

Las Vegas, Nevada, United States

Site Status

Albany Medical College, Division of Community Endocrinology

Albany, New York, United States

Site Status

NYC Research INC

Long Island City, New York, United States

Site Status

Research Foundation of SUNY - University of Buffalo

Williamsville, New York, United States

Site Status

University of North Carolina Medical Center

Chapel Hill, North Carolina, United States

Site Status

Central States Research

Tulsa, Oklahoma, United States

Site Status

Preferred Primary Care Physicians, Preferred Clinical Research-St. Clair

Pittsburgh, Pennsylvania, United States

Site Status

AM Diabetes & Endocrinology Center

Bartlett, Tennessee, United States

Site Status

Velocity Clinical Research, Dallas

Dallas, Texas, United States

Site Status

Prime Revival Research Institute, LLC

Flower Mound, Texas, United States

Site Status

Juno Research

Houston, Texas, United States

Site Status

PlanIt Research, PLLC

Houston, Texas, United States

Site Status

Southern Endocrinology Associates

Mesquite, Texas, United States

Site Status

Texas Valley Clinical Research

Weslaco, Texas, United States

Site Status

Diabetes & Endocrine Treatment Specialists

Sandy City, Utah, United States

Site Status

Investigaciones Medicas Imoba Srl

Buenos Aires, , Argentina

Site Status

Centro de Investigaciones Metabólicas (CINME)

Buenos Aires, , Argentina

Site Status

CIPREC

Buenos Aires, , Argentina

Site Status

CIPREC

Buenos Aires, , Argentina

Site Status

Centro Médico Viamonte

Buenos Aires, , Argentina

Site Status

Mautalen Salud e Investigación

Buenos Aires, , Argentina

Site Status

Centro Medico Dra. Laura Maffei- Investigacion Clinica Aplicada

Buenos Aires, , Argentina

Site Status

CEDIC

CABA, , Argentina

Site Status

Centro Diabetológico Dr. Waitman

Córdoba, , Argentina

Site Status

Centro Médico Colón

Córdoba, , Argentina

Site Status

Centro de Investigaciones Clínicas Baigorria

Granadero Baigorria, , Argentina

Site Status

CIMeL

Lanús, , Argentina

Site Status

Centro de Investigaciones Médicas Mar del Plata

Mar del Plata, , Argentina

Site Status

DIM Clínica Privada

Ramos Mejía, , Argentina

Site Status

INECO Neurociencias Oroño

Rosario, , Argentina

Site Status

Instituto Médico Catamarca IMEC

Rosario, , Argentina

Site Status

Instituto Médico Fundación Grupo Colaborativo Rosario Investigación y Prevención Medica

Rosario, , Argentina

Site Status

Instituto de Investigaciones Clinicas Rosario

Rosario, , Argentina

Site Status

Centro de Diabetes Curitiba

Curitiba, , Brazil

Site Status

Instituto de Ensino e Pesquisa Clinica do Ceara

Fortaleza, , Brazil

Site Status

Centro de Pesquisas Clínicas Dr. Marco Mota

Maceió, , Brazil

Site Status

IBPClin - Instituto Brasil de Pesquisa Clínica

Rio de Janeiro, , Brazil

Site Status

Praxis Pesquisa Medica

Santo André, , Brazil

Site Status

Instituto de Pesquisa Clinica

São Paulo, , Brazil

Site Status

CEDOES

Vitória, , Brazil

Site Status

Clalit Health Services - Atlit

Atlit, , Israel

Site Status

Soroka Medical Center

Beersheba, , Israel

Site Status

Institute of Diabetes, Technology and Research - Clalit Health

Herzliya, , Israel

Site Status

Edith Wolfson Medical Center

Holon, , Israel

Site Status

Hadassah Medical Center

Jerusalem, , Israel

Site Status

Sheba Medical Center

Ramat Gan, , Israel

Site Status

Clalit Health Services - Sakhnin Community Clinic

Sakhnin, , Israel

Site Status

Enclifar Ensayos Clínicos Farmacológicos Sc

Chihuahua City, , Mexico

Site Status

Diseno y Planeacion en Investigacion Medica

Guadalajara, , Mexico

Site Status

Medical Care and Research SA de CV

Mérida, , Mexico

Site Status

FAICIC S. de R.L. de C.V.

Veracruz, , Mexico

Site Status

Centro de Endocrinologia Alcantara Gonzalez

Bayamón, , Puerto Rico

Site Status

Isis Clinical Research Center

Guaynabo, , Puerto Rico

Site Status

Mgcendo Llc

San Juan, , Puerto Rico

Site Status

Southmead Hospital

Bristol, , United Kingdom

Site Status

Edinburgh Royal Infirmary

Edinburgh, , United Kingdom

Site Status

Panthera Biopartners - Glasgow

Glasgow, , United Kingdom

Site Status

George Eliot Hospital

Nuneaton, , United Kingdom

Site Status

Panthera Biopartners - Preston

Preston, , United Kingdom

Site Status

Panthera Biopartners - Manchester

Rochdale, , United Kingdom

Site Status

Salford Royal Hospital

Salford, , United Kingdom

Site Status

Lister Hospital

Stevenage, , United Kingdom

Site Status

The Royal Cornwall Hospital

Truro, , United Kingdom

Site Status

Countries

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United States Argentina Brazil Israel Mexico Puerto Rico United Kingdom

Related Links

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https://trials.lilly.com/en-US/trial/466881

Effect of Retatrutide Compared With Placebo in Participants With Type 2 Diabetes and Moderate or Severe Renal Impairment, With Inadequate Glycemic Control on Basal Insulin, With or Without Metformin and/or SGLT2 Inhibitor (TRANSCEND-T2D-3)

Other Identifiers

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J1I-MC-GZQA

Identifier Type: OTHER

Identifier Source: secondary_id

18806

Identifier Type: -

Identifier Source: org_study_id