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Phase 3 Completed N=443 Randomized Treatment

A Long-term Safety Study of Tirzepatide (LY3298176) in Participants With Type 2 Diabetes

Source: ClinicalTrials.gov NCT03861039 ↗
Enrolled (actual)
443
Serious AEs
5.4%
Results posted
Feb 2022
Primary outcomePrimary: Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration — 0; 1; 1 Participants
◆ Published Evidence
Highly cited
121citations · ~30 / year
Safety and efficacy of tirzepatide as an add-on to single oral antihyperglycaemic medication in patients with type 2 diabetes in Japan (SURPASS J-combo): a multicentre, randomised, open-label, parallel-group, phase 3 trial.
The lancet. Diabetes & endocrinology · 2022 · Likely link

Summary

The purpose of this study is to determine the long-term safety of the study drug tirzepatide in combination with oral antihyperglycemic medications in participants with type 2 diabetes.

Linked Publications (2)

  • Safety and efficacy of tirzepatide as an add-on to single oral antihyperglycaemic medication in patients with type 2 diabetes in Japan (SURPASS J-combo): a multicentre, randomised, open-label, parallel-group, phase 3 trial.
    The lancet. Diabetes & endocrinology · 2022 · 121 citations · Likely link
  • Association Between Early Weight Loss and Metabolic Outcomes with Tirzepatide in Japanese Patients with Type 2 Diabetes: A SURPASS J Post Hoc Analysis.
    Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025 · 0 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
0; 1; 1
SECONDARY
Change From Baseline in Hemoglobin A1c (HbA1c)
-2.57; -2.98; -3.02
SECONDARY
Percentage of Participants Who Achieve HbA1c <7%
92.57; 97.95; 96.55
SECONDARY
Change From Baseline in Fasting Serum Glucose
-58.6; -71.2; -74.4
SECONDARY
Mean Change From Baseline in Daily Average 7-Point Self-Monitored Blood Glucose (SMBG) Values
-80.0; -94.1; -96.3
SECONDARY
Change From Baseline in Body Weight
-3.8; -7.5; -10.2
SECONDARY
Percentage of Participants Who Achieve Weight Loss of ≥5% From Baseline
43.92; 70.55; 84.14
SECONDARY
Change From Baseline in Fasting Insulin
6.2; -4.8; -7.7
SECONDARY
Change From Baseline in Fasting C-Peptide
-0.12; -0.28; -0.34
SECONDARY
Change From Baseline in Homeostasis Model Assessment B (HOMA-2B) (Insulin)
39.7; 44.9; 49.2
SECONDARY
Change From Baseline in HOMA-2S (Insulin)
-0.1; 16.7; 24.1
SECONDARY
Number of Participants With Hypoglycemia Incidence and Rate With Blood Glucose <54 mg/dL or Severe Hypoglycemia, Exclude Hypoglycemic Events Occurring After Initiation of a New Antihyperglycemic Therapy
1; 1; 3
SECONDARY
Number of Participants With Anti-Tirzepatide Antibodies
87; 82; 88

Eligibility Criteria

Inclusion Criteria

Participant must:

  • Have been diagnosed with type 2 diabetes mellitus based on the World Health Organization classification before the screening visit.
  • Have HbA1c ≥7.0% to 3.0 times the upper limit of normal (ULN) for the reference range, as determined by the central laboratory. Participants with nonalcoholic fatty liver disease (NAFLD) are eligible for participation in this trial only if there ALT level is ≤3.0 the ULN for the reference range.
  • Have had a heart attack, stroke, or hospitalization for congestive heart failure in the past 2 months.
  • Have a personal or family history of medullary thyroid carcinoma or personal history of multiple endocrine neoplasia syndrome type 2.
  • Have been taking weight loss drugs, including over-the-counter medications during the last 3 months.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03861039) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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