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Phase 1 N=117 Randomized Double-blind Basic Science

A Study of Tirzepatide in Participants With Type 2 Diabetes Mellitus (T2DM)

Diabetes Mellitus, Type 2

Enrolled (actual)
117
Serious AEs
2.6%
Results posted
Mar 2023
Primary outcome: Primary: Change From Baseline in Total Clamp Disposition Index (cDI) — 1.9; 1.1; 0.0 pmol*m-2*L*min-2*kg-1 — p=<0.001

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Tirzepatide (Drug); Semaglutide (Drug); Placebo (Drug)
Age
Adult, Older Adult · 20+ yrs
Sex
All
Sponsor
Eli Lilly and Company
Primary completion
Apr 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Total Clamp Disposition Index (cDI)
1.9; 1.1; 0.0 <0.001 sig
SECONDARY
Change From Baseline in Fasting Glucose
-51.4; -42.4; -4.3 <0.001 sig
SECONDARY
Change From Baseline in Postmeal Glucose
-17414.0; 14236.9; 459.2 <0.001 sig
SECONDARY
Change From Baseline in Hemoglobin A1c (HbA1c)
2.05; -1.64; 0.29 <0.001 sig
SECONDARY
Change From Baseline in Total Insulin Secretion Rate During the 120-Minute Hyperglycemic Clamp (ISR0-120min)
388.6; 286.6; 7.4 <0.001 sig
SECONDARY
Change From Baseline in Hyperinsulinemic Euglycemic Clamp M-value
19.2; 10.7; -0.6 <0.001 sig
SECONDARY
Change From Baseline in Glucagon Concentration at Fasting
-3.6; -2.8; 0.8 <0.001 sig
SECONDARY
Change From Baseline in Glucagon Concentration at Postmeal
-843.6; -502.0; -205.9 0.044 sig
SECONDARY
Change From Baseline in Food Intake During Ad Libitum Meal
-348.4; -284.1; -38.6 <0.001 sig

Summary

This is a study for participants with type 2 diabetes mellitus. The main purpose of this study is to learn more about how tirzepatide, semaglutide and placebo affect the body's ability to respond to blood sugar levels after a meal. The study will last up to 40 weeks, including a 28-week treatment period.

Eligibility Criteria

Inclusion Criteria

  • Have T2DM for at least 6 months
  • Treated with diet and exercise and stable dose(s) of metformin, with or without 1 additional stable dose of oral antihyperglycemia medication other than metformin, 3 months prior to study entry
  • Have a hemoglobin A1c (HbA1c) value at screening of ≥7% and ≤ 9.5 % if on metformin only; or ≥6.5% and ≤9.0% if on metformin in combination with oral antihyperglycemia medications other than metformin
  • Have a body mass index (BMI) between 25 and 45 kilograms per square meter (kg/m² ) inclusive, at screening; are of stable weight (±5%) >3 months prior to screening

Exclusion Criteria

  • Have a history of proliferative retinopathy or maculopathy as determined by the investigator based on a recent (<1.5 years) ophthalmologic examination
  • Impaired renal estimated glomerular filtration rate (eGFR) <45 milliliters per minute per 1.73 square meters (mL/min/1.73 m²) calculated by Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)
  • Have a history or current cardiovascular, respiratory, hepatic, renal, GI,endocrine, hematological or neurological disorders capable of significantly altering the absorption, metabolism or elimination of drugs; of constituting a risk when taking the study drug; or of interfering with the interpretation of data
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03951753). 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.

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