MedPath

Tirzepatide

Generic Name
Tirzepatide
Brand Names
Mounjaro
Drug Type
Biotech
Chemical Formula
-
CAS Number
2023788-19-2
Unique Ingredient Identifier
OYN3CCI6QE
Background

Tirzepatide is a novel dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist. Dual GIP/GLP-1 agonists gained increasing attention as new therapeutic agents for glycemic and weight control as they demonstrated better glucose control and weight loss compared to selective GLP-1 receptor agonists in preclinical and clinical trials.

Tirzepatide comprises a 39 amino acid linear synthetic peptide conjugated to a C20 fatty diacid moiety. Its protein sequence was based on the sequence of endogenous GIP, and its pharmacological action on GLP-1 receptors is comparable to endogenous GIP; however, the long half-life of tirzepatide allows for once-weekly dosing. Tirzepatide was approved by the FDA on May 13, 2022, for the treatment of adults with type 2 diabetes, making it the first and only GIP and GLP-1 receptor agonist for this indication. On September 15, 2022, tirzepatide was also approved by the European Commission.

Indication

Tirzepatide is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. In Europe, it may be used as monotherapy or in combination with other drugs used to treat diabetes.

This drug has not been studied in patients with a history of pancreatitis. Tirzepatide is not indicated for use in patients with type 1 diabetes mellitus.

Associated Conditions
Type 2 Diabetes Mellitus
Associated Therapies
-

Normal-weight Diabetes: Adipocyte-directed Therapy with Pioglitazone or Tirzepatide

Phase 4
Not yet recruiting
Conditions
Diabetes Mellitus, Type 2
Interventions
Procedure: Insulin resistance testing
Procedure: OGTT
Procedure: Fat biopsy
Radiation: DXA scan
Procedure: MRI
Procedure: 1H-MRS
Drug: Tirzepatide
Drug: Pioglitazone
First Posted Date
2024-10-24
Last Posted Date
2024-10-24
Lead Sponsor
Stanford University
Target Recruit Count
104
Registration Number
NCT06657209
Locations
🇺🇸

Stanford University, Clinical and Translational Research Unit (CTRU), Stanford, California, United States

Evaluation of Tirzepatide As an Adjunct to Buprenorphine for the Treatment of Opioid Use Disorder

Phase 2
Not yet recruiting
Conditions
Opioid Use Disorder
Opioid Use Disorder, Moderate
Opioid Use Disorder, Severe
Interventions
Drug: Tirzepatide
Other: Placebo
First Posted Date
2024-10-21
Last Posted Date
2024-10-21
Lead Sponsor
T. John Winhusen, PhD
Target Recruit Count
310
Registration Number
NCT06651177

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
First Posted Date
2024-10-16
Last Posted Date
2025-01-06
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
140
Registration Number
NCT06643728
Locations
🇺🇸

Pinnacle Research Group, LLC, Anniston, Alabama, United States

🇺🇸

Central Research Associates, Birmingham, Alabama, United States

🇺🇸

Clinical Neuroscience Solutions, Inc. dba CNS Healthcare, Jacksonville, Florida, United States

and more 7 locations

A Study of Tirzepatide (LY3298176) in Participants With Type 2 Diabetes During Ramadan

Phase 4
Not yet recruiting
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2024-10-10
Last Posted Date
2024-10-10
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
180
Registration Number
NCT06635057
Locations
🇸🇦

Al Moosa Hospital, Al Mubarraz, Al-Ahsa, Saudi Arabia

GIP/GLP-1RA as Adjunctive to Automated Insulin Delivery in Adults With Type 1 Diabetes

Phase 3
Not yet recruiting
Conditions
Type 1 Diabetes (T1D)
Interventions
First Posted Date
2024-10-08
Last Posted Date
2024-10-18
Lead Sponsor
University of Bern
Target Recruit Count
42
Registration Number
NCT06630585
Locations
🇨🇭

Kantonsspital Olten, Olten, Solothurn, Switzerland

The Effects of Tirzepatide in People with Overweight/obesity and Coronary Artery Disease

Phase 4
Recruiting
Conditions
Coronary Artery Disease
Coronary Microvascular Dysfunction
Overweight or Obesity
Stable Angina Pectoris
Chronic Coronary Artery Disease
Atherosclerosis Cardiovascular Disease
Interventions
Drug: Tirzepatide
Drug: Placebo
First Posted Date
2024-09-23
Last Posted Date
2024-09-23
Lead Sponsor
Tina Vilsbøll
Target Recruit Count
124
Registration Number
NCT06606821
Locations
🇩🇰

Rigshospitalet, Copenhagen, Denmark

🇩🇰

Gentofte Hospital, Gentofte, Denmark

🇩🇰

Steno Diabetes Center Copenhagen, Herlev, Denmark

A Study to Investigate Weight Management With LY3841136 and Tirzepatide (LY3298176), Alone or in Combination, in Adult Participants With Obesity or Overweight With Type 2 Diabetes

Phase 2
Recruiting
Conditions
Obesity
Overweight
Interventions
Drug: LY3841136
Drug: Tirzepatide
Drug: Placebo
First Posted Date
2024-09-19
Last Posted Date
2024-12-09
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
350
Registration Number
NCT06603571
Locations
🇺🇸

Diablo Clinical Research, Inc., Walnut Creek, California, United States

🇦🇷

Centro Médico Viamonte, Buenos Aires, Ciudad Autónoma De Buenos Aires, Argentina

🇦🇷

Centro Medico Dra. Laura Maffei- Investigacion Clinica Aplicada, Ciudad Autonoma de Buenos Aires, Ciudad Autónoma De Buenos Aires, Argentina

and more 48 locations

Ixekizumab Concomitantly Administered With Tirzepatide in Adults With Psoriatic Arthritis and Obesity or Overweight

Phase 3
Recruiting
Conditions
Psoriatic Arthritis
Obesity
Interventions
First Posted Date
2024-09-19
Last Posted Date
2024-12-19
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
250
Registration Number
NCT06588296
Locations
🇺🇸

Willow Rheumatology and Wellness PLLC, Willowbrook, Illinois, United States

🇺🇸

Research Physicians Network, LLC, Houston, Texas, United States

🇺🇸

Biopharma Informatic, LLC, Katy, Texas, United States

and more 84 locations

Ixekizumab Concomitantly Administered With Tirzepatide in Adults With Moderate-to-Severe Plaque Psoriasis and Obesity or Overweight

Phase 3
Recruiting
Conditions
Psoriasis
Obesity
Interventions
First Posted Date
2024-09-19
Last Posted Date
2024-12-19
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
250
Registration Number
NCT06588283
Locations
🇺🇸

NeoClinical Research, Hialeah, Florida, United States

🇺🇸

Skin Care Research, Hollywood, Florida, United States

🇺🇸

Encore Medical Research, Hollywood, Florida, United States

and more 71 locations

A Phase 2 Study Evaluating the Co-Administration of Bremelanotide with Tirzepatide for the Treatment of Obesity

Phase 2
Active, not recruiting
Conditions
Obesity
Interventions
First Posted Date
2024-08-22
Last Posted Date
2025-01-08
Lead Sponsor
Palatin Technologies, Inc
Target Recruit Count
108
Registration Number
NCT06565611
Locations
🇺🇸

University Clinical Research-DeLand LLC, d/b/a Accel Research, DeLand, Florida, United States

🇺🇸

Lynn Health Science Institute, Oklahoma City, Oklahoma, United States

🇺🇸

Coastal Carolina Research Center, North Charleston, South Carolina, United States

and more 1 locations
© Copyright 2025. All Rights Reserved by MedPath