Badanie mające na celu zbadanie skuteczności dziełpatydu po rozpoczęciu ixekizumabu u uczestników z aktywnym łuszczycowym zapaleniem stawów i nadwagą lub otyłością w praktyce klinicznej
Badanie fazy 4, prospektywne, otwarte, jednoramienne badanie w celu oceny skuteczności tirzepatydu po rozpoczęciu ixekizumabu u dorosłych uczestników z aktywnym łuszczycowym zapaleniem stawów i nadwagą lub otyłością w praktyce klinicznej.
The main purpose of this study is to assess the effectiveness of adding tirzepatide to ixekizumab therapy in standard clinical practice in participants with active PsA and obesity or overweight with at least 1 weight-related comorbidity.
The study will last up to 12 months.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 4
Kontakty i lokalizacje
Lokalizacje studiów
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Guaynabo, Portoryko, 00968
- Reuviva Research Center
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San Juan, Portoryko, 00918
- CMRC Headlands, LLC
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Arizona
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Avondale, Arizona, Stany Zjednoczone, 85392
- AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Avondale
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Chandler, Arizona, Stany Zjednoczone, 85225
- AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Chandler
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Flagstaff, Arizona, Stany Zjednoczone, 86001
- AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Flagstaff
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Gilbert, Arizona, Stany Zjednoczone, 85297
- AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Gilbert
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Glendale, Arizona, Stany Zjednoczone, 85306
- AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Glendale
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Mesa, Arizona, Stany Zjednoczone, 85210
- AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Mesa
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Phoenix, Arizona, Stany Zjednoczone, 85032
- AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Phoenix PV
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Sun City, Arizona, Stany Zjednoczone, 85351
- AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Sun City
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Tucson, Arizona, Stany Zjednoczone, 85748
- AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Tucson Southeast
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Tucson, Arizona, Stany Zjednoczone, 85704
- AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Tucson
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California
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Apple Valley, California, Stany Zjednoczone, 92307
- Medvin Clinical Research - Apple Valley
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Covina, California, Stany Zjednoczone, 91722
- Medvin Clinical Research - Covina
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Huntington Beach, California, Stany Zjednoczone, 92648
- Newport Huntington Medical Group
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La Mesa, California, Stany Zjednoczone, 91942
- Purushotham & Akther Kotha MD, Inc
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Riverside, California, Stany Zjednoczone, 92508
- Medvin Clinical Research - Riverside
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San Diego, California, Stany Zjednoczone, 92128
- Rheumatology Center of San Diego
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Santa Monica, California, Stany Zjednoczone, 90404
- Providence Saint John's Medical Foundation
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Temecula, California, Stany Zjednoczone, 92592
- Medvin Clinical Research - Temecula
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Tujunga, California, Stany Zjednoczone, 91042
- Medvin Clinical Research - Tujunga
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Whittier, California, Stany Zjednoczone, 90602
- Medvin Clinical Research - Whittier
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Florida
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Kissimmee, Florida, Stany Zjednoczone, 34741
- Vida Clinical Research
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Margate, Florida, Stany Zjednoczone, 33063
- Life Clinical Trials
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Miami Beach, Florida, Stany Zjednoczone, 33140
- CZ Rheumatology
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Palm Beach Gardens, Florida, Stany Zjednoczone, 33410
- Vitalia Medical Research
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Tampa, Florida, Stany Zjednoczone, 33614
- International Center for Research
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Georgia
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Marietta, Georgia, Stany Zjednoczone, 30060
- Atlanta Research Center for Rheumatology
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Waycross, Georgia, Stany Zjednoczone, 31501
- Satilla Rheumatology & Internal Medicine
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Illinois
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Chicago, Illinois, Stany Zjednoczone, 60640
- Great Lakes Clinical Trials - Ravenswood
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Schaumburg, Illinois, Stany Zjednoczone, 60195
- Greater Chicago Specialty Physicians
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Skokie, Illinois, Stany Zjednoczone, 60076
- Arnold Arthritis & Rheumatology
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Willowbrook, Illinois, Stany Zjednoczone, 60527
- Willow Rheumatology and Wellness PLLC
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Indiana
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New Albany, Indiana, Stany Zjednoczone, 47150
- Lake Cumberland Rheumatology
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Louisiana
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Lake Charles, Louisiana, Stany Zjednoczone, 70605
- Accurate Clinical Research, Inc
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Maryland
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Cumberland, Maryland, Stany Zjednoczone, 21502
- Klein & Associates, M.D., P.A.
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Hagerstown, Maryland, Stany Zjednoczone, 21740
- Klein & Associates, M.D., P.A.
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Michigan
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Saint Clair Shores, Michigan, Stany Zjednoczone, 48081
- Clinical Research Institute of Michigan, LLC
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Montana
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Kalispell, Montana, Stany Zjednoczone, 59901
- Logan Health Rheumatology
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New York
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Rochester, New York, Stany Zjednoczone, 14642
- University of Rochester Medical Center
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North Carolina
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Salisbury, North Carolina, Stany Zjednoczone, 28144
- Onsite Clinical Solutions, LLC - Brenner Ave
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Ohio
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Middleburg Heights, Ohio, Stany Zjednoczone, 44130
- Paramount Medical Research & Consulting, LLC
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Oklahoma
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Tulsa, Oklahoma, Stany Zjednoczone, 74137
- Essential Medical Research
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Tennessee
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Jackson, Tennessee, Stany Zjednoczone, 38305
- West Tennessee Research Institute
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Murfreesboro, Tennessee, Stany Zjednoczone, 37128
- AARA Clinical Research - Murfreesboro Medical Clinic
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Texas
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Colleyville, Texas, Stany Zjednoczone, 76034
- Precision Comprehensive Clinical Research Solutions - Colleyville
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Fort Worth, Texas, Stany Zjednoczone, 76109
- AARA Clinical Research - Lone Star Arthritis and Rheumatology Associates - Fort Worth
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Houston, Texas, Stany Zjednoczone, 77089
- Research Physicians Network, LLC
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Houston, Texas, Stany Zjednoczone, 77089
- Accurate Clinical Research, Inc
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Irving, Texas, Stany Zjednoczone, 75039
- AARA Clinical Research - Lone Star Arthritis and Rheumatology Associates - Irving
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Katy, Texas, Stany Zjednoczone, 77494
- Biopharma Informatic, LLC
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The Woodlands, Texas, Stany Zjednoczone, 77382
- Advanced Rheumatology of Houston - Woodlands
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Tomball, Texas, Stany Zjednoczone, 77375
- DM Clinical Research - TRA
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Washington
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Seattle, Washington, Stany Zjednoczone, 98104
- Seattle Rheumatology Associates PLLC
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Spokane Valley, Washington, Stany Zjednoczone, 99216
- Arthritis Northwest, PLLC
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Have a diagnosis of active psoriatic arthritis (PsA) as defined by a rheumatologist or other healthcare professional (HCP) experienced in treating PsA.
- Body Mass Index (BMI) of 30 kilograms per meter squared (kg/m²) or greater (obesity) or 27 kg/m2 to <30 kg/m² (overweight) in the presence of at least 1 weight-related comorbid condition (hypertension, dyslipidemia, type 2 diabetes, obstructive sleep apnea, or cardiovascular disease).
- Who have been treated with ixekizumab for approximately 3 months (±1 month) prior to decision to add tirzepatide.
- Must be able to initiate tirzepatide (Day 0) within 30 days of treatment decision (baseline or screening).
Exclusion Criteria:
- Have currently received ixekizumab for more than 4 months or less than 2 months.
- Had any exposure to tirzepatide or other glucagon-like peptide-1 (GLP-1) receptor agonist (for example, dulaglutide, liraglutide, or semaglutide).
- Are currently enrolled in any other clinical study.
- Have a known hypersensitivity to any component of tirzepatide.
- Have a personal or family history of medullary thyroid cancer.
- Have multiple endocrine neoplasia type 2.
- Have type 1 diabetes mellitus.
- Have a history of chronic or acute pancreatitis at any time before screening.
- Have a history of proliferative diabetic retinopathy, diabetic maculopathy, or nonproliferative diabetic retinopathy that requires acute treatment.
- Have a history of ketoacidosis or hyperosmolar state/coma.
- Have a history of severe hypoglycemia unawareness within the 6 months before screening.
- Have a history of severe gastrointestinal complications, including gastroparesis, gastroesophageal reflux disease, dyspepsia, chronic nausea/vomiting.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
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Eksperymentalny: Tirzepatide
Participants will continue on ixekizumab and take tirzepatide administered subcutaneously (SC) as per label. |
Administered SC
Inne nazwy:
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Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Percentage of Participants Achieving Normalized Functioning Health Assessment Questionnaire - Disability Index (HAQ-DI) ≤0.5 at 12 Months of Therapy
Ramy czasowe: 12 Months
|
The HAQ-DI is a patient-reported outcome questionnaire that is used to measure disease associated disability as an assessment of physical function. It consists of 20 questions referring to 8 domains of functioning. Participants assess their degree of difficulty when performing the activities over the past week on a 4-item ordinal scale, ranging from 0, "without any difficulty," to 3, "unable to do." The scores of each of the 8 domains are summed and divided by 8. Higher scores indicate more limitations in physical function. |
12 Months
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Percentage of Participants Achieving at Least a 10% Weight Loss at 12 Months of Therapy
Ramy czasowe: 12 Months
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Percentage of participants achieving at least a 10% weight loss at 12 months of therapy. |
12 Months
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Percentage of Participants Achieving Tender Joint Count (TJC) ≤1
Ramy czasowe: Month 6 and Month 12
|
Percentage of participants achieving TJC ≤1. |
Month 6 and Month 12
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Percentage of Participants Achieving Swollen Joint Count (SJC) ≤1
Ramy czasowe: Month 6 and Month 12
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Percentage of participants achieving SJC ≤1. |
Month 6 and Month 12
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Percentage of Participants Achieving Body Surface Area (BSA) ≤3%
Ramy czasowe: Month 6 and Month 12
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Percentage of participants achieving BSA ≤3%. |
Month 6 and Month 12
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Percentage of Participants Achieving Patient Global Assessment of Disease Activity Numeric Rating Score (PaGADA NRS) of ≤2
Ramy czasowe: Month 6 and Month 12
|
The PaGADA NRS is an 11-point scale from 0 to 10 that is anchored by 2 verbal descriptors, "very well" and "very poor." Higher scores represent a higher level of disease activity. |
Month 6 and Month 12
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Percentage of Participants Achieving Patient Pain Visual Analogue Scale (VAS) ≤15
Ramy czasowe: Month 6 and Month 12
|
The Patient's Assessment of Arthritis Pain is a single-item, patient-reported outcome instrument, used to access the current severity of participants' joint pain in relation to their PsA on a horizontal VAS of 0 to 100 mm. The Patient's Assessment of Arthritis Pain is anchored by 2 verbal descriptors, "no pain" and "as severe as can imagine." |
Month 6 and Month 12
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Percentage of Participants Achieving Physician Global Assessment of Disease Activity (PhGADA) NRS ≤2
Ramy czasowe: Month 6 and Month 12
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The PhGADA NRS is an 11-point scale anchored by 2 verbal descriptors, "none" and "extremely active disease." |
Month 6 and Month 12
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Percentage of Participants Achieving HAQ-DI Sore ≤0.5 and at Least a 10% Weight Loss
Ramy czasowe: Month 6 and Month 12
|
The HAQ-DI is a patient-reported outcome questionnaire that is used to measure disease associated disability as an assessment of physical function. It consists of 20 questions referring to 8 domains of functioning. Participants assess their degree of difficulty when performing the activities over the past week on a 4-item ordinal scale, ranging from 0, "without any difficulty," to 3, "unable to do." The scores of each of the 8 domains are summed and divided by 8. Higher scores indicate more limitations in physical function. |
Month 6 and Month 12
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Percentage of Participants With a Functional Assessment of Chronic Illness Therapy (FACIT) -Fatigue With ≥4-point Increase from Baseline
Ramy czasowe: Month 6 and Month 12
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FACIT-F is a patient-reported, 13-item questionnaire that specifically assess the self-reported severity of fatigue and its impact upon daily activities and functioning. The FACIT-F uses 0 ("not at all") to 4 ("very much") Likert scale to assess fatigue and its impact in the past 7 days. Total score ranges from 0 to 52, based on a rating of 5-point Likert scale. Scores for negatively worded items are reversed, such that higher scores are better (that is, less fatigue). |
Month 6 and Month 12
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Percentage of Participants With a Short-Form 36 (SF36) Physical Component Score (PCS) Minimum Clinically Important Difference (MCID)
Ramy czasowe: Month 6 and Month 12
|
The SF-36v2 acute form is a 36-item, generic, patient-completed measure designed to assess health-related quality of life with 8 health domains. Items are rated on 3-, 5-, or 6-point Likert scales. Each domain is individually scored by summing item responses and transforming them to a 0-100 scale. The eight domains are aggregated into two summary scores: Physical and Mental Component Summaries. Each summary score is norm based and presented in the form of T-scores, with a mean of 50 and a standard deviation of 10, with higher scores indicating better health status or functioning. |
Month 6 and Month 12
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Percentage of Participants With a Short-Form 36 (SF36) Mental Component Score (MCS) MCID
Ramy czasowe: Month 6 and Month 12
|
The SF-36v2 acute form is a 36-item, generic, patient-completed measure designed to assess health-related quality of life with 8 health domains. Items are rated on 3-, 5-, or 6-point Likert scales. Each domain is individually scored by summing item responses and transforming them to a 0-100 scale. The eight domains are aggregated into two summary scores: Physical and Mental Component Summaries. Each summary score is norm based and presented in the form of T-scores, with a mean of 50 and a standard deviation of 10, with higher scores indicating better health status or functioning. |
Month 6 and Month 12
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Percentage of Participants Achieving a HAQ-DI score ≤0.5
Ramy czasowe: Month 6
|
The HAQ-DI is a patient-reported outcome questionnaire that is used to measure disease associated disability as an assessment of physical function. It consists of 20 questions referring to 8 domains of functioning. Participants assess their degree of difficulty when performing the activities over the past week on a 4-item ordinal scale, ranging from 0, "without any difficulty," to 3, "unable to do." The scores of each of the 8 domains are summed and divided by 8. Higher scores indicate more limitations in physical function. |
Month 6
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Percentage of Participants with ≥10% Weight Loss at Month 6
Ramy czasowe: Month 6
|
Percentage of participants with ≥10% weight loss at month 6. |
Month 6
|
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Mean Percent Change of Weight from Baseline
Ramy czasowe: Baseline, Month 6 and Baseline, Month 12
|
Mean percent change of weight from baseline. |
Baseline, Month 6 and Baseline, Month 12
|
Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Dyrektor Studium: 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), Eli Lilly and Company
Publikacje i pomocne linki
Przydatne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
- Choroby kości
- Choroby układu mięśniowo-szkieletowego
- Zaburzenia odżywiania
- Artretyzm
- Choroby stawów
- Przekarmienie
- Masy ciała
- Choroby kręgosłupa
- Spondylartropatie
- Choroby skóry, grudkowo-łuskowate
- Choroby skórne
- Zapalenie stawów kręgosłupa
- Zapalenie stawów kręgosłupa
- Łuszczyca
- Stany patologiczne, oznaki i objawy
- Choroby żywieniowe i metaboliczne
- Choroby skóry i tkanki łącznej
- Objawy i symptomy
- Nadwaga
- Otyłość
- Zapalenie stawów, łuszczyca
- Aminokwasy, peptydy i białka
- Białka
- Receptor peptyd-1 podobny do glukagonu
- Glukagonowe receptory peptydowe
- Receptory, sprzężone z białkiem G.
- Receptory, powierzchnia komórkowa
- Białka błony
- Receptory, hormon przewodu pokarmowego
- Receptory, peptyd
- Tirzepatide
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- 27350
- I1F-MC-RHDE (Inny identyfikator: Eli Lilly and Company)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Plan Description: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Ramy czasowe udostępniania IPD
Time Frame: Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Kryteria dostępu do udostępniania IPD
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Typ informacji pomocniczych dotyczących udostępniania IPD
- PROTOKÓŁ BADANIA
- SOK ROŚLINNY
- CSR
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
produkt wyprodukowany i wyeksportowany z USA
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .