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NCT03131687

A Study of Tirzepatide (LY3298176) in Participants With Type 2 Diabetes Mellitus

Completed Phase 2 Results posted Last updated 20 August 2019
What this trial tests

Phase 2 trial testing tirzepatide in Type 2 Diabetes Mellitus in 318 participants. Completed in 1 August 2018.

Timeline
24 May 2017
Primary endpoint
1 August 2018
1 August 2018

Quick facts

Lead sponsorEli Lilly and Company
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment318
Start date24 May 2017
Primary completion1 August 2018
Estimated completion1 August 2018
Sites49 locations across Slovakia, Puerto Rico, United States, Poland

Drugs / interventions tested

Conditions studied

Sponsor

Eli Lilly and Company — full company profile →

Who can join

Adults 18 to 75, any sex, with Type 2 Diabetes Mellitus. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline to Week 26 in Hemoglobin A1c (HbA1c) Bayesian Dose Response Primary · Baseline, Week 26

HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.This was a Bayesian dose response analysis of HbA1c (%) change from baseline. At baseline: Mean (SD = Standard Deviation) of baseline HbA1c (%). After baseline: Posterior Mean (SD = Posterior Standard Deviation) of HbA1c (%) change from baseline. The Least Squares Mean is Posterior mean.

GroupValue95% CI
Placebo-0.06± 0.14
1 mg Tirzepatide-1.06± 0.11
5 mg Tirzepatide-1.73± 0.08
10 mg Tirzepatide-1.89± 0.08
15 mg Tirzepatide-1.94± 0.09
1.5 mg Dulaglutide-1.21± 0.14
Change From Baseline to Week 12 in Hemoglobin A1c (HbA1c) Bayesian Dose Response Secondary · Baseline, Week 12

HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. This was a Bayesian dose response analysis of HbA1c (%) change from baseline. At baseline: Mean (SD = Standard Deviation) of baseline HbA1c (%). After baseline: Posterior Mean (SD = Posterior Standard Deviation) of HbA1c (%) change from baseline. The Least Squares Mean is Posterior mean.

GroupValue95% CI
Placebo-0.05± 0.13
1 mg Tirzepatide-0.94± 0.10
5 mg Tirzepatide-1.54± 0.07
10 mg Tirzepatide-1.68± 0.08
15 mg Tirzepatide-1.72± 0.08
1.5 mg Dulaglutide-1.08± 0.13
Change From Baseline to Week 26 in HbA1c Secondary · Baseline, Week 26

HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. The Least Squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included the independent variables: Baseline + Baseline BMI Group + Baseline Metformin Flag + Treatment + Time + Treatment\*Time.

GroupValue95% CI
Placebo0.1± 0.16
1 mg Tirzepatide-0.7± 0.16
5 mg Tirzepatide-1.6± 0.15
10 mg Tirzepatide-2.0± 0.16
15 mg Tirzepatide-2.4± 0.17
1.5 mg Dulaglutide-1.1± 0.15
Change From Baseline to Week 12 in HbA1c Secondary · Baseline, Week 12

HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. The Least Squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included the independent variables: Baseline + Baseline BMI Group + Baseline Metformin Flag + Treatment + Time + Treatment\*Time.

GroupValue95% CI
Placebo-0.1± 0.13
1 mg Tirzepatide-0.9± 0.13
5 mg Tirzepatide-1.7± 0.13
10 mg Tirzepatide-2.0± 0.13
15 mg Tirzepatide-2.1± 0.15
1.5 mg Dulaglutide-1.2± 0.13
Change From Baseline in Body Weight Secondary · Baseline, Week 26

Least Squares (LS) mean was determined by mixed-model repeated measures (MMRM) model with independent variables: Baseline + Baseline HbA1C Group + Baseline BMI Group + Baseline Metformin Flag + Treatment + Time + Treatment\*Time.

GroupValue95% CI
Placebo-0.4± 0.81
1 mg Tirzepatide-0.9± 0.80
5 mg Tirzepatide-4.8± 0.77
10 mg Tirzepatide-8.7± 0.80
15 mg Tirzepatide-11.3± 0.88
1.5 mg Dulaglutide-2.7± 0.78
Percentage of Participants With 5% or Greater Body Weight Loss From Baseline Secondary · Week 26

Percentage of participants with 5% or greater body weight loss from baseline last observation carried forward (LOCF) analyses using Logistic regression model with Baseline value + Baseline HbA1C Group + Baseline BMI Group + Baseline Metformin + Treatment as factors.

GroupValue95% CI
Placebo0
1 mg Tirzepatide13.5
5 mg Tirzepatide47.3
10 mg Tirzepatide70.6
15 mg Tirzepatide62.3
1.5 mg Dulaglutide22.2
Percentage of Participants With 10% or Greater Body Weight Loss From Baseline Secondary · Week 26

Percentage of participants with 10% or greater body weight loss from baseline LOCF analyses using Logistic regression model with Baseline value + Baseline HbA1C Group + Baseline BMI Group + Baseline Metformin + Treatment as factors.

GroupValue95% CI
Placebo0
1 mg Tirzepatide5.8
5 mg Tirzepatide16.4
10 mg Tirzepatide39.2
15 mg Tirzepatide37.7
1.5 mg Dulaglutide9.3
Percentage of Participants Reaching the HbA1c Target of ≤6.5% Secondary · Week 26

Percentage of participants with HbA1c ≤6.5% at Week 26 using a logistic regression model for endpoint used last observation carried forward (LOCF) method including baseline value, baseline BMI Group, baseline Metformin and treatment as factors.

GroupValue95% CI
Placebo2.0
1 mg Tirzepatide15.4
5 mg Tirzepatide63.6
10 mg Tirzepatide82.0
15 mg Tirzepatide58.5
1.5 mg Dulaglutide38.9
Percentage of Participants Reaching the HbA1c Target of <7.0% Secondary · Week 26

Percentage of participants with HbA1c \<7.0% at Week 26 using a logistic regression model for endpoint used last observation carried forward (LOCF) method including baseline value, baseline BMI Group, baseline Metformin and treatment as factors.

GroupValue95% CI
Placebo11.8
1 mg Tirzepatide32.7
5 mg Tirzepatide69.1
10 mg Tirzepatide90.0
15 mg Tirzepatide77.4
1.5 mg Dulaglutide51.9
Change From Baseline in Fasting Blood Glucose Secondary · Baseline, Week 26

Least Squares (LS) mean was determined by mixed-model repeated measures (MMRM) model with covariates: Baseline + Baseline HbA1C Group + Baseline BMI Group + Baseline Metformin Flag + Treatment + Time + Treatment\*Time.

GroupValue95% CI
Placebo15.5± 6.66
1 mg Tirzepatide-6.8± 6.43
5 mg Tirzepatide-40.7± 6.23
10 mg Tirzepatide-60.7± 6.36
15 mg Tirzepatide-57.5± 7.10
1.5 mg Dulaglutide-21.2± 6.40
Change From Baseline in High-Density Lipoprotein Cholesterol (HDL-C) Secondary · Baseline, Week 26

LS means were calculated using MMRM model with independent variables: Baseline, Baseline HbA1C Group, Baseline BMI Group, Baseline Metformin Flag,Treatment, time, treatment\*time.

GroupValue95% CI
Placebo0.0± 0.03
1 mg Tirzepatide-0.0± 0.03
5 mg Tirzepatide0.0± 0.03
10 mg Tirzepatide0.0± 0.03
15 mg Tirzepatide0.1± 0.03
1.5 mg Dulaglutide0.0± 0.03
Change From Baseline in Total Cholesterol Secondary · Baseline, Week 26

LS means were calculated using MMRM model with independent variables: Baseline, Baseline HbA1C Group, Baseline BMI Group, Baseline Metformin Flag, Treatment, Time, Treatment\*Time.

GroupValue95% CI
Placebo0.3± 0.13
1 mg Tirzepatide0.2± 0.13
5 mg Tirzepatide-0.1± 0.12
10 mg Tirzepatide-0.3± 0.12
15 mg Tirzepatide-0.3± 0.13
1.5 mg Dulaglutide-0.2± 0.12

Adverse events — posted to ClinicalTrials.gov

Time frame: Up To 34 Weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 2/51 (4%)
Deaths: 0/51
1 mg Tirzepatide
Serious: 2/52 (4%)
Deaths: 1/52
5 mg Tirzepatide
Serious: 1/55 (2%)
Deaths: 0/55
10 mg Tirzepatide
Serious: 3/51 (6%)
Deaths: 0/51
15 mg Tirzepatide + Placebo
Serious: 2/53 (4%)
Deaths: 0/53
1.5 mg Dulaglutide
Serious: 3/54 (6%)
Deaths: 0/54

Serious adverse events (21 terms)

ReactionSystemPlacebo1 mg Tirzepatide5 mg Tirzepatide10 mg Tirzepatide15 mg Tirzepatide + Placebo1.5 mg Dulaglutide
PneumoniaInfections and infestations
Coronary artery diseaseCardiac disorders
Coronary artery occlusionCardiac disorders
Torsade de pointesCardiac disorders
Ventricular fibrillationCardiac disorders
EnteritisGastrointestinal disorders
Mesenteric vein thrombosisGastrointestinal disorders
Pancreatitis acuteGastrointestinal disorders
CholecystitisHepatobiliary disorders
Cholecystitis acuteHepatobiliary disorders
Perirectal abscessInfections and infestations
UrosepsisInfections and infestations
Lactic acidosisMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Pathological fractureMusculoskeletal and connective tissue disorders
Lung adenocarcinoma stage ivNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cluster headacheNervous system disorders
Transient ischaemic attackNervous system disorders
Vertebrobasilar insufficiencyNervous system disorders
Acute kidney injuryRenal and urinary disorders
Accelerated hypertensionVascular disorders
Other adverse events (22 terms — click to expand)

ReactionSystemPlacebo1 mg Tirzepatide5 mg Tirzepatide10 mg Tirzepatide15 mg Tirzepatide + Placebo1.5 mg Dulaglutide
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
DyspepsiaGastrointestinal disorders
NasopharyngitisInfections and infestations
Abdominal distensionGastrointestinal disorders
Weight decreasedInvestigations
DizzinessNervous system disorders
HeadacheNervous system disorders
Abdominal discomfortGastrointestinal disorders
InfluenzaInfections and infestations
Upper respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
Amylase increasedInvestigations
Lipase increasedInvestigations
Abdominal pain upperGastrointestinal disorders
BronchitisInfections and infestations
ContusionInjury, poisoning and procedural complications
CoughRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders

Most-reported serious reactions: Pneumonia, Coronary artery disease, Coronary artery occlusion, Torsade de pointes, Ventricular fibrillation, Enteritis, Mesenteric vein thrombosis, Pancreatitis acute.

Data from ClinicalTrials.gov NCT03131687 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the efficacy of the study drug tirzepatide in participants with type 2 diabetes mellitus.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. LY3298176, a novel dual GIP and GLP-1 receptor agonist for the treatment of type 2 diabetes mellitus: From discovery to clinical proof of concept.
    Coskun T, Sloop KW, Loghin C, Alsina-Fernandez J, et al · · 2018 · cited 582× · PMID 30473097 · DOI 10.1016/j.molmet.2018.09.009
  2. Efficacy and safety of LY3298176, a novel dual GIP and GLP-1 receptor agonist, in patients with type 2 diabetes: a randomised, placebo-controlled and active comparator-controlled phase 2 trial.
    Frias JP, Nauck MA, Van J, Kutner ME, et al · · 2018 · cited 573× · PMID 30293770 · DOI 10.1016/s0140-6736(18)32260-8
  3. Targeting fibrosis, mechanisms and cilinical trials.
    Zhao M, Wang L, Wang M, Zhou S, et al · · 2022 · cited 352× · PMID 35773269 · DOI 10.1038/s41392-022-01070-3
  4. Dual GIP and GLP-1 Receptor Agonist Tirzepatide Improves Beta-cell Function and Insulin Sensitivity in Type 2 Diabetes.
    Thomas MK, Nikooienejad A, Bray R, Cui X, et al · · 2021 · cited 251× · PMID 33236115 · DOI 10.1210/clinem/dgaa863
  5. Effects of Novel Dual GIP and GLP-1 Receptor Agonist Tirzepatide on Biomarkers of Nonalcoholic Steatohepatitis in Patients With Type 2 Diabetes.
    Hartman ML, Sanyal AJ, Loomba R, Wilson JM, et al · · 2020 · cited 248× · PMID 32291277 · DOI 10.2337/dc19-1892
  6. Tirzepatide cardiovascular event risk assessment: a pre-specified meta-analysis.
    Sattar N, McGuire DK, Pavo I, Weerakkody GJ, et al · · 2022 · cited 239× · PMID 35210595 · DOI 10.1038/s41591-022-01707-4
  7. Targeted therapeutics and novel signaling pathways in non-alcohol-associated fatty liver/steatohepatitis (NAFL/NASH).
    Xu X, Poulsen KL, Wu L, Liu S, et al · · 2022 · cited 235× · PMID 35963848 · DOI 10.1038/s41392-022-01119-3
  8. Management of type 2 diabetes with the dual GIP/GLP-1 receptor agonist tirzepatide: a systematic review and meta-analysis.
    Karagiannis T, Avgerinos I, Liakos A, Del Prato S, et al · · 2022 · cited 179× · PMID 35579691 · DOI 10.1007/s00125-022-05715-4

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Trials testing the same drug.

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Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03131687.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing