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A Study to Investigate Weight Management With Bimagrumab (LY3985863) and Tirzepatide (LY3298176), Alone or in Combination, in Adults With Obesity or Overweight

Phase 2
Recruiting
Conditions
Obesity
Overweight
Interventions
Registration Number
NCT06643728
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to evaluate the efficacy and safety of Bimagrumab and Tirzepatide, alone or in combination, in adults with obesity or overweight, with at least one obesity related comorbidity, without Type 2 Diabetes. The study will last about 70 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
240
Inclusion Criteria
  • Have a BMI of

    • ≥30 kilograms per square meter (kg/m2) or

    • ≥27 kg/m2 and <30 kg/m2, with at least one of the following weight-related comorbidities:

      • Hypertension
      • Dyslipidemia
      • Cardiovascular disease
      • Obstructive sleep apnea
  • Have had a stable body weight for the 3 months prior to randomization (<5% body weight gain and/or loss)

Exclusion Criteria
  • Have a prior or planned surgical treatment for obesity

  • Have at least one laboratory value suggestive of diabetes during screening

  • Use of metformin, or any other glucose-lowering medications

  • Have Type 1 Diabetes, latent autoimmune diabetes, been diagnosed with any form of diabetes mellitus except for a prior diagnosis of gestational diabetes mellitus, or history of ketoacidosis or hyperosmolar coma

  • Have poorly controlled hypertension

  • Have any of the following cardiovascular conditions within 3 months prior to screening:

    • acute myocardial infarction
    • cerebrovascular accident (stroke)
    • unstable angina, or
    • hospitalization due to congestive heart failure
  • Have ongoing or a history of frequent intermittent or chronic tachyarrhythmia syndromes

  • Have ongoing or a history of bradyarrhythmias other than sinus bradycardia

  • Have a history of New York Heart Association (NYHA) Functional Classification III or IV congestive heart failure

  • Have a history of symptomatic gallbladder disease within the past 2 years

  • Have signs and symptoms of any liver disease

  • Have a disease or condition known to cause gastrointestinal malabsorption or a known clinically significant gastric emptying abnormality

  • Have a history of acute or chronic pancreatitis

  • Have renal impairment, measured as estimated glomerular filtration rate <30 mL/minute/1.73 m2

  • Currently taking or have taken medications that may cause significant weight gain or promote weight loss within 3 months prior to screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part A: Bimagrumab Dose 2 + Tirzepatide PlaceboBimagrumabParticipants will receive bimagrumab subcutaneously (SC) and tirzepatide placebo SC
Part A: Bimagrumab Dose 2 + Tirzepatide PlaceboTirzepatide PlaceboParticipants will receive bimagrumab subcutaneously (SC) and tirzepatide placebo SC
Part A: Bimagrumab Placebo + Tirzepatide Dose 1TirzepatideParticipants will receive bimagrumab placebo SC and tirzepatide SC
Part A: Bimagrumab Placebo + Tirzepatide Dose 1Bimagrumab PlaceboParticipants will receive bimagrumab placebo SC and tirzepatide SC
Part A: Bimagrumab Placebo + Tirzepatide Dose 2TirzepatideParticipants will receive bimagrumab placebo SC and tirzepatide SC
Part A: Bimagrumab Placebo + Tirzepatide Dose 2Bimagrumab PlaceboParticipants will receive bimagrumab placebo SC and tirzepatide SC
Part A: Bimagrumab Dose 1 + Tirzepatide Dose 1BimagrumabParticipants will receive bimagrumab SC and tirzepatide SC
Part A: Bimagrumab Dose 1 + Tirzepatide Dose 1TirzepatideParticipants will receive bimagrumab SC and tirzepatide SC
Part A: Bimagrumab Dose 1 + Tirzepatide Dose 2BimagrumabParticipants will receive bimagrumab SC and tirzepatide SC
Part A: Bimagrumab Dose 1 + Tirzepatide Dose 2TirzepatideParticipants will receive bimagrumab SC and tirzepatide SC
Part A: Bimagrumab Dose 2 + Tirzepatide Dose 2BimagrumabParticipants will receive bimagrumab SC and tirzepatide SC
Part A: Bimagrumab Dose 2 + Tirzepatide Dose 2TirzepatideParticipants will receive bimagrumab SC and tirzepatide SC
Part A: Bimagrumab Placebo + Tirzepatide PlaceboBimagrumab PlaceboParticipants will receive bimagrumab placebo SC and tirzepatide placebo SC
Part A: Bimagrumab Placebo + Tirzepatide PlaceboTirzepatide PlaceboParticipants will receive bimagrumab placebo SC and tirzepatide placebo SC
Part B: Bimagrumab Dose 2 (no titration) + Tirzepatide Dose 1BimagrumabParticipants will receive bimagrumab SC and tirzepatide SC
Part B: Bimagrumab Dose 2 (no titration) + Tirzepatide Dose 1TirzepatideParticipants will receive bimagrumab SC and tirzepatide SC
Part B: Bimagrumab Dose 2 (fast titration) + Tirzepatide Dose 1BimagrumabParticipants will receive bimagrumab SC and tirzepatide SC
Part B: Bimagrumab Dose 2 (fast titration) + Tirzepatide Dose 1TirzepatideParticipants will receive bimagrumab SC and tirzepatide SC
Part B: Bimagrumab Dose 2 (slow titration) + Tirzepatide Dose 1BimagrumabParticipants will receive bimagrumab SC and tirzepatide SC
Part B: Bimagrumab Dose 2 (slow titration) + Tirzepatide Dose 1TirzepatideParticipants will receive bimagrumab SC and tirzepatide SC
Part B: Bimagrumab Dose 1 + Tirzepatide PlaceboBimagrumabParticipants will receive bimagrumab SC and tirzepatide placebo SC
Part B: Bimagrumab Dose 1 + Tirzepatide PlaceboTirzepatide PlaceboParticipants will receive bimagrumab SC and tirzepatide placebo SC
Part B: Bimagrumab Placebo + Tirzepatide PlaceboBimagrumab PlaceboParticipants will receive bimagrumab placebo SC and tirzepatide placebo SC
Part B: Bimagrumab Placebo + Tirzepatide PlaceboTirzepatide PlaceboParticipants will receive bimagrumab placebo SC and tirzepatide placebo SC
Primary Outcome Measures
NameTimeMethod
Percent Change from Baseline in Body WeightBaseline, Week 24
Secondary Outcome Measures
NameTimeMethod
Percent Change from Baseline in Total Body Fat Mass by Dual-Energy X-Ray Absorptiometry (DXA)Baseline, Week 24, Week 48
Change from Baseline in Body WeightBaseline, Week 24, Week 48
Percentage of Participants Achieving ≥5% Body Weight ReductionBaseline, Week 24, Week 48
Percentage of Participants Achieving ≥10% Body Weight ReductionBaseline, Week 24, Week 48
Percentage of Participants Achieving ≥15% Body Weight ReductionBaseline, Week 24, Week 48
Change from Baseline in Waist CircumferenceBaseline, Week 24, Week 48
Change from Baseline in Body Mass Index (BMI)Baseline, Week 24, Week 48
Change from Baseline in Waist-to-Height Ratio (WHtR)Baseline, Week 24, Week 48
Percent Change from Baseline in Visceral Adipose Tissue (VAT)Baseline, Week 24, Week 48
Percent Change from Baseline in Total Body Lean Mass by DXABaseline, Week 24, Week 48

Trial Locations

Locations (12)

Pinnacle Research Group, LLC

🇺🇸

Anniston, Alabama, United States

Great Lakes Clinical Trials - Ravenswood

🇺🇸

Chicago, Illinois, United States

SKY Integrative Medical Center/SKYCRNG

🇺🇸

Ridgeland, Mississippi, United States

Keystone Clinical Studies

🇺🇸

Plymouth Meeting, Pennsylvania, United States

Eastside Research Associates

🇺🇸

Redmond, Washington, United States

Rainier Clinical Research Center

🇺🇸

Renton, Washington, United States

Central Research Associates

🇺🇸

Birmingham, Alabama, United States

Clinical Neuroscience Solutions, Inc. dba CNS Healthcare

🇺🇸

Jacksonville, Florida, United States

Altus Research

🇺🇸

Lake Worth, Florida, United States

Diablo Clinical Research, Inc.

🇺🇸

Walnut Creek, California, United States

Suncoast Research Group

🇺🇸

Miami, Florida, United States

East-West Medical Research Institute

🇺🇸

Honolulu, Hawaii, United States

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