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临床试验/NCT05929079
NCT05929079已完成3 期

A Master Protocol to Investigate the Efficacy and Safety of LY3437943 Once Weekly in Participants With Type 2 Diabetes Mellitus Who Have Obesity or Overweight: A Randomized Double-Blind, Placebo-Controlled Trial

Eli Lilly and Company186 个研究点 分布在 3 个国家目标入组 1,152 人开始时间: 2023年7月11日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
入组人数
1,152
试验地点
186
主要终点
Percent Change from Baseline in Body Weight

研究概览

简要总结

The purpose of this study is to is to evaluate the efficacy and safety of retatrutide in participants with type 2 diabetes in participants who have obesity or overweight (J1I-MC-GZBK master protocol) including a subset of participants who have obstructive sleep apnea (OSA) (J1I-MC-GSA2). The study will last about 89 weeks and will include up to 24 visits.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Have a body mass index (BMI) greater than or equal to 27.0 kilogram/square meter (kg/m ²)
  • Have Type 2 Diabetes (T2D)
  • Are on stable treatment for T2D for at least 90 days
  • Have a history of at least one unsuccessful dietary effort to lose body weight.
  • GSA2 Inclusion Criteria
  • Previously diagnosed with OSA
  • Have AHI ≥15 on polysomnography at screening (definition of moderate-to-severe OSA)
  • For participants not on positive airway pressure (PAP) therapy: unable or unwilling to use PAP therapy and have not used PAP for at least 4 weeks prior to screening.
  • If on PAP therapy, have been on PAP therapy for at least 3 consecutive months prior to screening, and willing to temporarily stop using PAP therapy for approximately 7 days prior to each of the sleep study (PSG) visits.

排除标准

  • Have a self-reported or documented change in body weight >5 kg (11 pounds) within 90 days.
  • Have taken weight loss drugs, including over-the-counter medications, within 90 days prior to screening.
  • Have a prior or planned surgical treatment for obesity.
  • Have Type 1 diabetes
  • Have a family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN-2)
  • Have had pancreatitis
  • GSA2 Exclusion Criteria
  • Use stimulants (for example, modafinil, armodafinil, solriamfetol, pitolisant, amphetamine) less than 3 months prior to screening.
  • Use hypnotics, mirtazapine, opioids, trazodone, and zonisamide less than 3 months prior to screening.
  • Use a dental appliance or other device to treat OSA other than PAP therapy.

研究组 & 干预措施

Retatrutide Dose 1

Experimental

Participants will receive retatrutide subcutaneously (SC).

干预措施: Retatrutide (Drug)

Retatrutide Dose 2

Experimental

Participants will receive retatrutide SC.

干预措施: Retatrutide (Drug)

Placebo

Placebo Comparator

Participants will receive placebo.

干预措施: Placebo (Drug)

Retatrutide Dose 3

Experimental

Participants will receive retatrutide SC.

干预措施: Retatrutide (Drug)

结局指标

主要结局

Percent Change from Baseline in Body Weight

时间窗: Baseline, Week 80

Change from Baseline in Apnea-Hypopnea Index (AHI) for GSA2 Subset

时间窗: Baseline, Week 80

次要结局

  • Change from Baseline in Hemoglobin (A1c) HbA1c %(Baseline, Week 80)
  • Change from Baseline in Short Form 36 Version 2 (SF-36v2) Acute Form Physical Functioning Domain Score(Baseline, Week 80)
  • Change from Baseline in Diastolic Blood Pressure (DBP)(Baseline, Week 80)
  • Change from Baseline in Body Mass Index (BMI)(Baseline, Week 80)
  • Pharmacokinetics (PK): Steady State Area Under the Concentration Time Curve (AUC)(Baseline through Week 80)
  • Percentage of Participants with AHI <5 or with AHI 5-14 with Epworth Sleepiness Scale (ESS) ≤10 for GSA2 Subset(Week 80)
  • Percent Change from Baseline in Total Cholesterol(Baseline, Week 80)
  • Percent Change from Baseline in Triglycerides(Baseline, Week 80)
  • Percent Change from Baseline in Apnea-Hypopnea Index (AHI) for GSA2 Subset(Baseline, Week 80)
  • Percentage of Participants with ≥50% AHI Reduction from Baseline for GSA2 Subset(Baseline to Week 80)
  • Change from Baseline in Waist Circumference(Baseline, Week 80)
  • Change from Baseline in Systolic Blood Pressure (SBP)(Baseline, Week 80)
  • Change from Baseline in Fasting Glucose(Baseline, Week 80)
  • A Hierarchical Combination of Functional Outcomes of Sleep Questionnaire (FOSQ) 10 score, FOSQ Vigilance Domain Score, and FOSQ Activity Level Domain Score for GSA2 Subset(Baseline to Week 80)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (186)

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