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A Study of Tirzepatide (LY3298176) in Adults With Type 2 Diabetes Switching From a GLP-1 RA (SURPASS-SWITCH-2)

Phase 4
Completed
Conditions
Diabetes Mellitus, Type 2
Type 2 Diabetes
Interventions
Registration Number
NCT05706506
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to investigate the effects of switching from glucagon-like peptide-1 receptor agonist (GLP-1 RA) therapy to tirzepatide glucose-dependent insulinotropic polypeptide (GIP) GLP-1 RA agonist in participants with type 2 diabetes (T2D).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
152
Inclusion Criteria
  • Have Type 2 diabetes (T2D)
  • Have an HbA1c c ≥6.5% (≥48 mmol/mol) to ≤9.0% (≤75 mmol/mol)
  • Have a body mass index (BMI) ≥25 kilogram per square meter (kg/m²) at screening
  • Have been on a stable treatment dose of 1 of the listed GLP-1 RAs for ≥3 months
  • No treatment with oral antidiabetic medicine (OAM) or on stable doses (for at least 3 months before screening) of up to 3 OAM. The OAM may include metformin, sodium-glucose linked transporter-2 inhibitor (SGLT-2i), thiazolidinediones, or α-glucosidase inhibitors.
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Exclusion Criteria
  • Have Type 1 Diabetes (T1D)

  • Have a clinical history of

    • proliferative diabetic retinopathy
    • diabetic maculopathy, or
    • non-proliferative diabetic retinopathy that requires acute treatment
  • Are at high risk for cardiovascular disease or have a history of

    • myocardial infarction
    • percutaneous coronary revascularization procedure
    • carotid stenting or surgical revascularization
    • nontraumatic amputation
    • peripheral vascular procedure
    • cerebrovascular accident
    • or hospitalization for congestive heart failure
  • Have New York Heart Association (NYHA) Functional Classification Class IV congestive heart failure

  • Have a history of ketoacidosis or hyperosmolar state or coma

  • Have a history of severe hypoglycemia or hypoglycemia unawareness within the 6 months.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
5 milligrams (mg) TirzepatideTirzepatideParticipants received 5 mg tirzepatide subcutaneously administered once weekly for 12 weeks.
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Hemoglobin A1c (HbA1c)Baseline, Week 12

HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Percentage of Time Per Day That Continuous Glucose Monitoring (CGM)-Derived Values Were >180 Milligram/Deciliter (mg/dl) (10 Millimole/Liter (mmol/L))Baseline, Week 4

Change from Baseline in Percentage of Time per Day that CGM-derived Values were \>180 mg/dl (10 mmol/L) was assessed.

Change From Baseline in Percentage of Time Per Day That CGM-derived Values Were >180 mg/dl (10 mmol/L)Baseline, Week 12

Change from Baseline in Percentage of Time per Day that CGM-derived Values were \>180 mg/dl (10 mmol/L) was assessed.

Change From Baseline in Duration of Time in Minutes Per Day That CGM Derived Values Were >180 mg/dl (10 mmol/L)Baseline, Week 12

Change from Baseline in Duration of Time in Minutes per Day that CGM derived Values were \>180 mg/dl (10 mmol/L) was assessed.

Change From Baseline in Fasting Serum Glucose (FSG)Baseline, Week 12

Change from Baseline in FSG was assessed.

Change From Baseline in WeightBaseline, Week 12

Change from Baseline in Weight was assessed.

Trial Locations

Locations (31)

Velocity Clinical Research, Huntington Park

🇺🇸

Los Angeles, California, United States

Versailles Family Medicine

🇺🇸

Versailles, Kentucky, United States

Texas Diabetes & Endocrinology, P.A.

🇺🇸

Austin, Texas, United States

Advanced Medical Research

🇺🇸

Maumee, Ohio, United States

Dream Team Clinical Research

🇺🇸

Pomona, California, United States

Consano Clinical Research, LLC

🇺🇸

Shavano Park, Texas, United States

North Texas Endocrine Center

🇺🇸

Dallas, Texas, United States

Memorial City Endocrine Consultants

🇺🇸

Houston, Texas, United States

Iowa Diabetes and Endocrinology Research Center

🇺🇸

West Des Moines, Iowa, United States

Metabolic Institute of America

🇺🇸

Tarzana, California, United States

Mountain View Clinical Research, Inc.

🇺🇸

Greenville, South Carolina, United States

Endocrine and Metabolic Consultants

🇺🇸

Rockville, Maryland, United States

Conrad Clinical Research

🇺🇸

Edmond, Oklahoma, United States

Clinical Research Professionals

🇺🇸

Chesterfield, Missouri, United States

Endocrine Research Solutions, Inc.

🇺🇸

Roswell, Georgia, United States

Scripps Whittier Diabetes Institute

🇺🇸

San Diego, California, United States

Clinical Research of South Nevada

🇺🇸

Las Vegas, Nevada, United States

Palm Research Center Tenaya

🇺🇸

Las Vegas, Nevada, United States

New Hope Research Development

🇺🇸

Corona, California, United States

Fiel Family and Sports Medicine PC

🇺🇸

Tempe, Arizona, United States

Velocity Clinical Research, Gardena

🇺🇸

Gardena, California, United States

Valley Clinical Trials, Inc.

🇺🇸

Northridge, California, United States

CMR of Greater New Haven, LLC

🇺🇸

Waterbury, Connecticut, United States

East Coast Institute for Research, LLC

🇺🇸

Jacksonville, Florida, United States

Velocity Clinical Research, Hallandale Beach

🇺🇸

Hallandale Beach, Florida, United States

Georgia Clinical Research

🇺🇸

Lawrenceville, Georgia, United States

Cotton O'Neil Clinic

🇺🇸

Topeka, Kansas, United States

ClinPoint Trials

🇺🇸

Waxahachie, Texas, United States

Florida Institute For Clinical Research, LLC

🇺🇸

Orlando, Florida, United States

New Tampa Health

🇺🇸

Tampa, Florida, United States

Velocity Clinical Research, Valparaiso

🇺🇸

Valparaiso, Indiana, United States

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