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A Study of Retatrutide (LY3437943) on Renal Function in Participants With Overweight or Obesity and Chronic Kidney Disease With or Without Type 2 Diabetes

Phase 2
Active, not recruiting
Conditions
Overweight or Obesity
Type 2 Diabetes
CKD
Interventions
Drug: Placebo
Registration Number
NCT05936151
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to investigate the effect of retatrutide on renal function in participants with overweight or obesity and chronic kidney disease (CKD), with or without Type 2 Diabetes (T2D). The study will last around 31 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
146
Inclusion Criteria
  • Have a body mass index (BMI) ≥27 kilogram/square meter (kg/m²)

  • Have either

    • no T2D with an HbA1c < 6.5% or
    • have T2D with an HbA1c ≤ 9.5% and treated with diet and exercise only or with stable doses of up to 3 oral antihyperglycemic medications, with or without basal insulin for at least 90 days before screening.
  • Have been diagnosed with chronic kidney disease (CKD).

Exclusion Criteria
  • Have a self-reported change in body weight >5 kilogram (kg) (11 pounds) within 90 days before screening.
  • Have used in 90 days before the screening any of the following antihyperglycemic class: Dipeptidyl Peptidase IV (DPP4) inhibitors, amylin analogs, glucagon-like peptide-RA (GLP-RA), gastric inhibitory polypeptide (GIP)/GIP-1 RA, and short acting or rapid acting insulins or U500 Insulin
  • Have a prior or planned surgical treatment for obesity
  • Have Type 1 Diabetes (T1D)
  • Have acute or chronic hepatitis
  • Have a history of malignant disease within 5 years before screening.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboParticipants will receive LY3437943
RetatrutideRetatrutideParticipants will receive multiple doses of retatrutide subcutaneously (SC)
Primary Outcome Measures
NameTimeMethod
Change from Baseline in Glomerular Filtration Rate (mGFR)Baseline, Week 24

The GFR in milliliter/minute per1.73 square meter (mL/min/1.73 m²) using iohexol clearance (mGFR-measured glomerular filtration rate)

Secondary Outcome Measures
NameTimeMethod
Change from Baseline in Medulla T1 (ms) (MRI)Baseline, Week 24
Change from Baseline in Urine Albumin-to-Creatinine Ratio (UACR)Baseline, Week 24
Change from Baseline in Creatinine-Corrected Fractional Urinary Sodium Excretion (FENa)Baseline, Week 24
Change from Baseline in Filtration Fraction Estimated from Measured Glomerular Filtration Rate (mGFR)Baseline, Week 24
Change from Baseline in Renal Mean Arterial Flow as Assessed by Magnetic Resonance Imaging (MRI), Corrected by HematocritBaseline, Week 24
Change from Baseline in in Mean Arterial Flow (MAF)Baseline, Week 24
Change from Baseline in Renal Artery Resistive Index (RARI)Baseline, Week 24
Change from Baseline in Renal Blood Flow Velocity Peak Systolic Velocity (PSV) and End-diastolic Velocity (ESV)Baseline, Week 24
Change from Baseline in Global Renal Perfusion (MRI)Baseline, Week 24
Change from Baseline in Total Renal Parenchyma Volume (MRI)Baseline, Week 24
Change from Baseline in Renal Cortex Volume (MRI)Baseline, Week 24
Change from Baseline in Renal Cortex T1 (ms) (MRI)Baseline, Week 24
Change from Baseline in Renal Cortex R2 (BOLD MRI)Baseline, Week 24
Change from Baseline in Body WeightBaseline, Week 24
Change from Baseline in Medulla R2Baseline, Week 24
Change from Baseline in 24-hr Urinary Albumin Excretion (UAE)Baseline, Week 24
Change from Baseline in Change in 24-hour (hr) Urinary Electrolytes (milligrams/24hr (mg/24h))Baseline, Week 24

Trial Locations

Locations (42)

The Institute for Liver Health II dba Arizona Clinical Trials - Mesa

🇺🇸

Chandler, Arizona, United States

Care Access - 801 South Power Road, Mesa

🇺🇸

Mesa, Arizona, United States

Headlands Research - Scottsdale

🇺🇸

Scottsdale, Arizona, United States

Medical Advancement Centers of Arizona

🇺🇸

Tempe, Arizona, United States

Hope Clinical Research, Inc.

🇺🇸

Canoga Park, California, United States

Catalina Research Institute, LLC

🇺🇸

Montclair, California, United States

Peninsula Research Associates

🇺🇸

Rolling Hills Estates, California, United States

University of Colorado Anschutz Medical Campus

🇺🇸

Aurora, Colorado, United States

Teradan Clinical Trials, LLC

🇺🇸

Brandon, Florida, United States

Suncoast Clinical Research, Inc.

🇺🇸

New Port Richey, Florida, United States

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The Institute for Liver Health II dba Arizona Clinical Trials - Mesa
🇺🇸Chandler, Arizona, United States
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