A Study of Tirzepatide Compared With Intensified Conventional Care in Adult Participants With Type 2 Diabetes (SURPASS-EARLY)
A Randomized, Open-Label, Parallel-Group, Two-Arm, Phase 4 Study to Evaluate the Long-Term Efficacy and Safety of Tirzepatide Compared With Intensified Conventional Care in Adults When Initiating Treatment Early in the Course of Type 2 Diabetes
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: There may be multiple sites in this clinical trial. 1-877-CT LILLY (1-877-285-4559) or
- Phone Number: : 1-317-615-4559
- Email: ClinicalTrials.gov@lilly.com
Study Locations
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Buenos Air
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Morón, Buenos Air, Argentina, B1708EPE
- CIAD Moron
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Buenos Aires
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Ciudad Autónoma de Buenos Aire, Buenos Aires, Argentina, 1056
- Centro de Investigaciones Metabolicas (CINME)
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Mar del Plata, Buenos Aires, Argentina, 7600
- Instituto de Investigaciones Clinicas Mar del Plata
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San Nicolás de los Arroyos, Buenos Aires, Argentina, 2900
- Go Centro Medico San Nicolas
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Ciudad Aut
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Buenos Aires, Ciudad Aut, Argentina, C1120AAC
- Centro Medico Viamonte
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British Columbia
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Victoria, British Columbia, Canada, V8V 4A1
- Dr. M.B. Jones Inc.
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Ontario
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Sarnia, Ontario, Canada, N7T 4X3
- Bluewater Clinical Research Group Inc.
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Stouffville, Ontario, Canada, L4A 1H2
- Stouffville Medical Centre
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Quebec
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Montreal, Quebec, Canada, H4N 2W2
- 9109-0126 Quebec Inc.
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Bad Mergentheim, Germany, 97980
- Diabetespraxis Mergentheim
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Gelnhausen, Germany, 63571
- Diabetes Zentrum Dr. Tews
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Hesse
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Frankfurt am Main, Hesse, Germany, 60596
- ClinPhenomics CVC GmbH
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North Rhine-Westphalia
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Bochum, North Rhine-Westphalia, Germany, 44869
- Diabetes- und Stoffwechselpraxis Bochum
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Essen, North Rhine-Westphalia, Germany, 45136
- InnoDiab Forschung GmbH
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Saarland
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Saint Ingbert, Saarland, Germany, 66386
- Zentrum für klinische Studien
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Saxony
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Pirna, Saxony, Germany, 01796
- Arztpraxis Christine Kosch Pirna
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Schleswig-Holstein
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Oldenburg in Holstein, Schleswig-Holstein, Germany, 23758
- Red-Institut GmbH
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Central District
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Holon, Central District, Israel, 5810001
- Edith Wolfson Medical Center
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Petah Tikva, Central District, Israel, 4941492
- Rabin Medical Center
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Ramat Gan, Central District, Israel, 5262100
- Sheba medical center
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Rehovot, Central District, Israel, 7610001
- Kaplan Medical Center
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Jerusalem
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Jerusalem, Jerusalem, Israel, 9112001
- Hadassah Medical Center
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Northern District
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Haifa, Northern District, Israel, 3339419
- Bnai Zion Medical Center
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Sakhnin, Northern District, Israel, 3081000
- Clalit Health Services - Sakhnin Community Clinic
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Southern District
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Atlit, Southern District, Israel
- Clalit Health Services - Atlit
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Ḥeifā
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Haifa, Ḥeifā, Israel, 3515209
- Linn Medical Center
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Catanzaro, Italy, 88100
- AOU Renato Dulbecco
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Apulia
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Bari, Apulia, Italy, 70124
- A.O.U.C. Policlinico di Bari
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Campania
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Napoli, Campania, Italy, 80131
- University of Naples Federico II
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Milano
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Milan, Milano, Italy, 20138
- Centro Cardiologico Monzino
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Piedmont
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Moncalieri, Piedmont, Italy, 10024
- Ospedale Civile Santa Croce Pronto Soccorso
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Sardinia
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Olbia, Sardinia, Italy, 07026
- Ospedale san Giovanni di Dio-Diabetologia
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Sicily
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Palermo, Sicily, Italy, 90129
- A.O.U. Policlinico Paolo Giaccone
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Tuscany
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Pisa, Tuscany, Italy, 56124
- Azienda Ospedaliera Universitaria Pisana
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Chihuahua City, Mexico, 31217
- Investigacion En Salud Y Metabolismo Sc
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Jalisco
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Guadalajara, Jalisco, Mexico, 44670
- Private Practice - Dr. Arechavaleta Granell Maria del Rosario
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Nuevo León
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Monterrey, Nuevo León, Mexico, 66460
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez"
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Dorado, Puerto Rico, 00646
- Dorado Medical Complex
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PR
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Caguas, PR, Puerto Rico, 00725
- San Juan Bautista School of Medicine - Clinical Research Unit
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San Juan, PR, Puerto Rico, 00917
- GCM Medical Group, PSC - Hato Rey Site
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Galați, Romania, 800001
- Milena Sante
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Satu Mare, Romania, 440055
- Clinica Korall
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Bihor County
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Oradea, Bihor County, Romania, 410147
- Diabdana
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Brașov County
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Brasov, Brașov County, Romania, 500283
- C.M.D.T.A. Neomed
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București
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Bucharest, București, Romania, 013764
- Centrul Medical NutriLife
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Constanța County
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Mangalia, Constanța County, Romania, 905500
- Gama Diamed
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Prahova
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Ploieşti, Prahova, Romania, 100179
- Diabmed Dr. Popescu Alexandrina
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Piešťany, Slovakia, 921 01
- MEDIKALS
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Považská Bystrica, Slovakia, 017 01
- ProDia s.r.o.
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Trnava, Slovakia, 917 01
- JAL
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Žilina Region
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Vrútky, Žilina Region, Slovakia, 038 61
- IRIDIA
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Rotherham, United Kingdom, S65 1DA
- Wickersley Health Centre - Clifton Medical Centre
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Aberdeen City
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Aberdeen, Aberdeen City, United Kingdom, AB25 2ZN
- Aberdeen Royal Infirmary
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Angus
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Dundee, Angus, United Kingdom, DD1 9SY
- Ninewells Hospital and Medical School
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Cambridgeshire
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Ely, Cambridgeshire, United Kingdom, CB7 5JD
- Staploe Medical Centre
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Devon
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Plymouth, Devon, United Kingdom, PL5 3JB
- Knowle House Surgery
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Kingston Upon Hull
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Hull, Kingston Upon Hull, United Kingdom, HU3 2JZ
- Hull Royal Infirmary
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Leicestershire
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Leicester, Leicestershire, United Kingdom, LE5 4PW
- Leicester General Hospital
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Alabama
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Birmingham, Alabama, United States, 35235
- Cahaba Research - Trussville
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California
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Canoga Park, California, United States, 91304
- San Fernando Valley Health Institute
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Huntington Park, California, United States, 90255
- Velocity Clinical Research, Huntington Park
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La Mesa, California, United States, 91942
- Velocity Clinical Research, San Diego
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Lincoln, California, United States, 95648
- Clinical Trials Research
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Los Angeles, California, United States, 90057
- Velocity Clinical Research, Westlake
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Montclair, California, United States, 91763
- Catalina Research Institute, LLC
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North Hollywood, California, United States, 91606
- Velocity Clinical Research, North Hollywood
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Panorama City, California, United States, 91402
- Velocity Clinical Research, Panorama City
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Pomona, California, United States, 91766
- Western University of Health Sciences
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Santa Ana, California, United States, 92704
- Velocity Clinical Research, Santa Ana
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Connecticut
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Bridgeport, Connecticut, United States, 06606
- New England Research Associates, LLC
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Florida
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Boca Raton, Florida, United States, 33434
- Excel Medical Clinical Trials
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Coral Gables, Florida, United States, 33134
- Alliance for Multispecialty Research, LLC
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Margate, Florida, United States, 33063
- South Florida Clinical Research Institute
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Georgia
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Atlanta, Georgia, United States, 30303
- Emory University School of Medicine- Grady Campus
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Gainesville, Georgia, United States, 30501
- Center for Advanced Research & Education
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Indiana
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Evansville, Indiana, United States, 47715
- Qualmedica Research, LLC
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Iowa
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West Des Moines, Iowa, United States, 50265
- Iowa Diabetes and Endocrinology Research Center
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Kentucky
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Bowling Green, Kentucky, United States, 42101
- Qualmedica Research
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Massachusetts
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Fall River, Massachusetts, United States, 02721
- NECCR PrimaCare Research
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Mississippi
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Ridgeland, Mississippi, United States, 39157
- SKY Integrative Medical Center/SKYCRNG
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Missouri
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City of Saint Peters, Missouri, United States, 63303
- StudyMetrix Research
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Springfield, Missouri, United States, 65807
- Clinvest Research LLC
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New York
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Buffalo, New York, United States, 14221
- Research Foundation of SUNY - University of Buffalo
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North Carolina
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Morehead City, North Carolina, United States, 28557
- Lucas Research, Inc
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Oregon
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Corvallis, Oregon, United States, 97330
- The Corvallis Clinic, P.C.
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19114
- Clinical Research of Philadelphia
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Uniontown, Pennsylvania, United States, 15401
- Preferred Primary Care Physicians
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South Carolina
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Greenville, South Carolina, United States, 29607
- Tribe Clinical Research, LLC
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Spartanburg, South Carolina, United States, 29303
- Velocity Clinical Research, Spartanburg
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Texas
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Dallas, Texas, United States, 75230
- Dallas Diabetes Research Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Tirzepatide
Participants will receive tirzepatide at the maximum tolerated dose subcutaneously (SC)
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Administered SC
Other Names:
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Active Comparator: Intensified Conventional Care Dose
Participants will receive an antihyperglycemic medication
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As prescribed
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from Baseline in Hemoglobin A1c (HbA1c)
Time Frame: Baseline, Week 104
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Baseline, Week 104
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from Baseline in HbA1c
Time Frame: Baseline, Week 208
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Baseline, Week 208
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Change from Baseline in Weight
Time Frame: Baseline, Week 104
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Baseline, Week 104
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Change from Baseline in Weight
Time Frame: Baseline, Week 208
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Baseline, Week 208
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Change from Baseline in Waist Circumference
Time Frame: Baseline, Week 104
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Baseline, Week 104
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Change from Baseline in Waist Circumference
Time Frame: Baseline, Week 208
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Baseline, Week 208
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Change from Baseline in Fasting Serum Glucose (FSG)
Time Frame: Baseline, Week 104
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Baseline, Week 104
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Change from Baseline in FSG
Time Frame: Baseline, Week 208
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Baseline, Week 208
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Change from Baseline in Lipids
Time Frame: Baseline, Week 104
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Baseline, Week 104
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Change from Baseline in Lipids
Time Frame: Baseline, Week 208
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Baseline, Week 208
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Percentage of Participants Achieving HbA1c <7.0%
Time Frame: Week 104
|
Week 104
|
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Percentage of Participants Achieving HbA1c ≤6.5%
Time Frame: Week 104
|
Week 104
|
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Percentage of Participants Achieving HbA1c <5.7%
Time Frame: Week 104
|
Week 104
|
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Percentage of Participants Achieving HbA1c <7.0%
Time Frame: Week 208
|
Week 208
|
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Percentage of Participants Achieving HbA1c ≤6.5%
Time Frame: Week 208
|
Week 208
|
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Percentage of Participants Achieving HbA1c <5.7%
Time Frame: Week 208
|
Week 208
|
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Change from Baseline in Weight loss of ≥5%,
Time Frame: Baseline, Week 104
|
Baseline, Week 104
|
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Change from Baseline in Weight loss of ≥10%
Time Frame: Baseline, Week 104
|
Baseline, Week 104
|
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Change from Baseline in Weight loss of ≥15%
Time Frame: Baseline, Week 104
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Baseline, Week 104
|
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Change from Baseline in Weight loss of ≥5%
Time Frame: Baseline, Week 208
|
Baseline, Week 208
|
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Change from Baseline in Weight loss of ≥10%
Time Frame: Baseline, Week 208
|
Baseline, Week 208
|
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Change from Baseline in Weight loss of ≥15%
Time Frame: Baseline, Week 208
|
Baseline, Week 208
|
|
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A Composite Endpoint of HbA1c, Weight loss and Hypoglycemia
Time Frame: Week 104
|
A composite endpoint defined as HbA1c ≤ 6.5%, weight loss ≥10%, no hypoglycemia, defined as blood glucose (BG) <54 milligram/deciliter (mg/dL) <3.0 millimole/liter (mmol/L) and/or severe hypoglycemia
|
Week 104
|
|
A Composite Endpoint of HbA1c, Weight loss and Hypoglycemia
Time Frame: Week 208
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A composite endpoint defined as HbA1c ≤ 6.5%, weight loss ≥10%, no hypoglycemia, defined as BG <54 mg/dL (<3.0 mmol/L) and/or severe hypoglycemia
|
Week 208
|
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Change from Baseline in β-cell Glucose Sensitivity
Time Frame: Baseline, Week 104
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β-cell Glucose Sensitivity assessed by Oral Glucose Tolerance Test (OGTT)
|
Baseline, Week 104
|
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Change from Baseline in β-cell glucose sensitivity
Time Frame: Baseline, Week 208
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Change from baseline in β-cell glucose sensitivity assessed by OGTT
|
Baseline, Week 208
|
|
Change from Baseline in Insulin Secretion Rate at a Fixed Glucose Concentration
Time Frame: Baseline, Week 104
|
Insulin Secretion Rate assessed by OGTT
|
Baseline, Week 104
|
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Change from Baseline in Insulin Secretion Rate at a Fixed Glucose Concentration
Time Frame: Baseline, Week 208
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Insulin Secretion Rate assessed by OGTT
|
Baseline, Week 208
|
|
Change from Baseline in Postprandial Insulin Sensitivity Indices
Time Frame: Baseline, Week 104
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Postprandial Insulin Sensitivity Indices assessed by OGTT
|
Baseline, Week 104
|
|
Change from Baseline in Postprandial Insulin Sensitivity Indices
Time Frame: Baseline, Week 208
|
Postprandial Insulin Sensitivity Indices assessed by OGTT
|
Baseline, Week 208
|
|
Change from Baseline in Fasting and Post-challenge Glucose [total and incremental AUC(₀-₂₄₀min)]
Time Frame: Baseline through Week 104
|
Fasting and Post-challenge Glucose [total and incremental AUC(₀-₂₄₀min)] assessed by OGTT
|
Baseline through Week 104
|
|
Change from Baseline in Fasting and Post-challenge Glucose [total and incremental (AUC₀-₂₄₀min)]
Time Frame: Baseline through Week 208
|
Fasting and Post-challenge Glucose [total and incremental AUC(₀-₂₄₀min)] assessed by OGTT
|
Baseline through Week 208
|
|
Change from Baseline in the Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) - Physical Functioning Domain
Time Frame: Baseline, Week 104
|
Baseline, Week 104
|
|
|
Change from Baseline in the IWQOL-Lite-CT - Physical Functioning Domain
Time Frame: Baseline, Week 208
|
Baseline, Week 208
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: 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), Eli Lilly and Company
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Endocrine System Diseases
- Metabolic Diseases
- Glucose Metabolism Disorders
- Nutritional and Metabolic Diseases
- Diabetes Mellitus, Type 2
- Diabetes Mellitus
- Amino Acids, Peptides, and Proteins
- Proteins
- Glucagon-Like Peptide-1 Receptor
- Glucagon-Like Peptide Receptors
- Receptors, G-Protein-Coupled
- Receptors, Cell Surface
- Membrane Proteins
- Receptors, Gastrointestinal Hormone
- Receptors, Peptide
- Tirzepatide
Other Study ID Numbers
Other Study ID Numbers
- 17205 (UIUC)
- I8F-MC-GPHE (Other Identifier: Eli Lilly and Company)
- 2022-000130-42 (EudraCT Number)
- 2022-5010733-40-00 (Other Identifier: EU Trial Number)
- U1111-1282-0263 (Registry Identifier: World Health Organization)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.