Efficacy and Safety of Oral Azelaprag Plus Once Weekly Tirzepatide Compared with Tirzepatide Alone in Participants with Obesity Aged 55 Years and Over

NCT ID: NCT06515418

Last Updated: 2025-03-13

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

204 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-27

Study Completion Date

2025-02-12

Brief Summary

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This study aims to find out how well a combination of oral azelaprag taken once a day (QD) or twice a day (BID), along with a weekly injection of tirzepatide, works for weight management in adults 55 years and older. The researchers are also looking at safety.

Estimated Study Length:

* with the optional prescreening, the study duration may be up to 48 weeks.
* the treatment duration will be 24 weeks followed by 12 weeks follow-up.
* the visit frequency will be every 2 weeks for the first 8 weeks of the treatment period and every 4 weeks thereafter.

Detailed Description

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Clinical trial BGE-105-005 will determine if the addition of oral azelaprag to tirzepatide treatment will amplify overall weight loss in participants with obesity aged 55 years and older. BGE-105-005 is a randomized, double-blind, placebo-controlled, parallel-arm, multi-center study in approximately 220 adults ≥55 years old with body mass index (BMI) between 30 and 40 kg/m2 inclusive, at the time of screening. Participants will be randomly assigned to 1 of the 4 study arms (A-tirzepatide monotherapy, B-azelaprag 300 mg QD plus tirzepatide, C-azelaprag 300 mg BID plus tirzepatide, D-azelaprag 300 mg BID monotherapy). The primary endpoint will be the effect on body weight reduction as measured by mean percent change in body weight at 24 weeks in participants that received azelaprag plus tirzepatide versus tirzepatide alone. The study is intended to gather safety and efficacy data in the defined participant population.

Conditions

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Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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A: Tirzepatide Monotherapy

* Azelaprag placebo every morning
* Azelaprag placebo every evening
* Tirzepatide 5mg once weekly

Group Type ACTIVE_COMPARATOR

Oral Placebo for Azelaprag (BGE-105)

Intervention Type DRUG

Capsules

Tirzepatide

Intervention Type DRUG

Subcutaneous Injection

B: Azelaprag once daily plus Tirzepatide

* Azelaprag 300mg every morning
* Azelaprag placebo every evening
* Tirzepatide 5mg once weekly

Group Type EXPERIMENTAL

Oral Azelaprag (BGE-105)

Intervention Type DRUG

Capsules

Oral Placebo for Azelaprag (BGE-105)

Intervention Type DRUG

Capsules

Tirzepatide

Intervention Type DRUG

Subcutaneous Injection

C: Azelaprag twice daily plus Tirzepatide

* Azelaprag 300mg every morning
* Azelaprag 300mg every evening
* Tirzepatide 5mg once weekly

Group Type EXPERIMENTAL

Oral Azelaprag (BGE-105)

Intervention Type DRUG

Capsules

Tirzepatide

Intervention Type DRUG

Subcutaneous Injection

D: Azelaprag Monotherapy

* Azelaprag 300mg every morning
* Azelaprag 300mg every evening
* Tirzepatide placebo once weekly

Group Type EXPERIMENTAL

Oral Azelaprag (BGE-105)

Intervention Type DRUG

Capsules

Tirzepatide Placebo

Intervention Type DRUG

Subcutaneous Injection

Interventions

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Oral Azelaprag (BGE-105)

Capsules

Intervention Type DRUG

Oral Placebo for Azelaprag (BGE-105)

Capsules

Intervention Type DRUG

Tirzepatide

Subcutaneous Injection

Intervention Type DRUG

Tirzepatide Placebo

Subcutaneous Injection

Intervention Type DRUG

Other Intervention Names

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BGE-105 Placebo

Eligibility Criteria

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Inclusion Criteria

1. Male or female, 55 years of age or older at the time of signing the informed consent.
2. Have a BMI between 30 and 40 kg/m2 inclusive at the time of screening.
3. Have a history of at least 1 self-reported unsuccessful dietary effort to lose body weight.

Exclusion Criteria

1. Have diagnosis of type 1 diabetes (T1D) or Type 2 diabetes (T2D) mellitus.
2. Have a self-reported change in body weight greater than 5 kg (11 lbs) within 90 days prior to screening.
3. Have a prior or planned surgical treatment or device-based therapy for obesity.
4. Have a family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN-2).
5. Have an uncontrolled thyroid disease.
6. Have obesity induced by endocrinological disorders.
7. Have biopsy-confirmed nonalcoholic steatohepatitis (NASH), also known as metabolic dysfunction-associated steatohepatitis (MASH).
8. Have a known history or presence of severe active acute or chronic livers disease or acute or chronic pancreatitis, or exocrine pancreatic insufficiency.
9. Have a known history or presence of symptomatic gallbladder disease within the past 2 years.
10. Have a medically significant cardiovascular condition.
11. Have a history of active or untreated malignancy within the last 5 years.
12. Have a history of significant active or unstable major depressive disorder or other severe psychiatric disorder within the last 2 years.
13. Have any lifetime history of a suicide attempt.
14. Have a known clinically significant gastric emptying abnormality.
15. Have had previous or are currently on treatment with a GLP-1R agonist or tirzepatide (a dual agonist of GLP-1 and GIP receptors).
16. Are currently using warfarin.
17. Have used any weight loss drugs, including herbal or nutritional supplements, within 90 days of screening.
18. Have current or history of treatment with medications that may cause significant weight gain within 90 days of screening.
Minimum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

BioAge Labs, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Site 110

Mesa, Arizona, United States

Site Status

Site 107

Los Angeles, California, United States

Site Status

Site 103

Montclair, California, United States

Site Status

Site 105

Spring Valley, California, United States

Site Status

Site 100

Louisville, Kentucky, United States

Site Status

Site 101

Marrero, Louisiana, United States

Site Status

Site 112

Boston, Massachusetts, United States

Site Status

Site 111

Troy, Michigan, United States

Site Status

Site 113

City of Saint Peters, Missouri, United States

Site Status

Site 106

Butte, Montana, United States

Site Status

Site 109

Fargo, North Dakota, United States

Site Status

Site 108

Beachwood, Ohio, United States

Site Status

Site 102

Dallas, Texas, United States

Site Status

Site 104

St. George, Utah, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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BGE-105-005

Identifier Type: -

Identifier Source: org_study_id

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