Overview
Sponsor-declared trial summary
Type 2 Diabetes
To demonstrate that switching from once weekly dulaglutide to once weekly tirzepatide is superior to continuing and escalating dulaglutide for HbA1c change from baseline to Week 40
Key facts
- Sponsor
- Eli Lilly Cork Limited
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Hormonal diseases [C19]
- Trial duration
- 7 Jun 2023 → 12 Aug 2024
- Decision date (initial)
- 2023-02-14
- Transition trial
- No
- Low-intervention
- Yes
- Rare-disease indication
- No
- Vulnerable population
- Yes
External identifiers
- EU CT number
- 2022-500101-41-00
- WHO UTN
- U1111-1282-3333
- ClinicalTrials.gov
- NCT05564039
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety
To demonstrate that switching from once weekly dulaglutide to once weekly tirzepatide is superior to continuing and escalating dulaglutide for HbA1c change from baseline to Week 40
Secondary objectives 1
- To demonstrate that switching from once weekly dulaglutide to once weekly tirzepatide is superior to continuing and escalating dulaglutide for weight change from baseline to Week 40.
Conditions and MedDRA coding
Type 2 Diabetes
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Parallel Assignment N/A
|
Randomised Controlled | None | Experimental: Participants will receive tirzepatide subcutaneously (SC) Active Comparator: Participants will escalate their dulaglutide dose SC |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Have type 2 diabetes
- Have HbA1c ≥7.0% (≥53 mmol/mol) to ≤9.5% (≤80 mmol/mol)
- Are currently on a stable dose of dulaglutide weekly (0.75 mg or 1.5 mg) for at least 6 months prior to screening
- No treatment with oral antihyperglycemic medication (OAM), or on a stable dose of up to 3 OAMs, which may include metformin, SGLT-2i, and/or sulfonylurea, for at least 3 months before screening
- Have stable body weight (±5%) during the 90 days preceding screening
- Have BMI ≥25 kilogram/square meter (kg/m²)
Exclusion criteria 10
- Have type 1 diabetes
- Have a history of chronic or acute pancreatitis
- Have a history of proliferative diabetic retinopathy, diabetic maculopathy, or Nonproliferative diabetic retinopathy requiring acute treatment
- Have NYHA Functional Classification Class IV CHF
- Have family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN2).
- Have within 90 days prior to screening received treatment with medications intended to promote weight loss. This includes prescribed, over-the-counter, or alternative remedies
- Have an estimated glomerular filtration rate (eGFR) <30 mL/minute/1.73 m2 (or lower than the country-specific threshold for discontinuing metformin therapy per local label)
- Have a history of reduction of dose of dulaglutide, due to intolerability, without successful reescalation
- Have any of these cardiovascular conditions within 60 days prior to screening: acute myocardial infarction, cerebrovascular accident (stroke), or hospitalization due to congestive heart failure (CHF)
- Have been treated with insulin prior to screening. Exception: use of insulin for gestational diabetes or short-term use (<14 days) for acute conditions such as acute illness, hospitalization, or elective surgery.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Change from baseline in Hemoglobin A1c (HbA1c)
Secondary endpoints 12
- Change from Baseline in Weight
- Percentage of Participants Who Achieve HbA1c <7%
- Percentage of Participants Who Achieve HbA1c ≤6.5%
- Percentage of Participants Who Achieve HbA1c <5.7%
- Percentage of Participants Who Achieve Weight loss from Baseline of ≥5%
- Percentage of Participants Who Achieve Weight loss from Baseline of ≥10%
- Percentage of Participants Who Achieve Weight loss from Baseline of ≥15%
- A Composite Endpoint of HbA1c, Weight loss and Hypoglycemia A composite endpoint defined as HbA1c ≤6.5%, weight loss ≥10%, and no hypoglycemia, defined as blood glucose <54 milligram/deciliter (mg/dL) (<3.0 millimole/liter [mmol/L]) and/or severe hypoglycemia
- Change from Baseline in Fasting Serum Glucose
- Change from Baseline in Waist Circumference
- Change from Baseline in Body Mass Index (BMI)
- Change from Baseline in Impact of Weight on Quality of Life-Clinical Trials Version (IWQOL-Lite-CT) - Physical Functioning Score
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 6
PRD7107375 · Product
- Active substance
- Tirzepatide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 15 mg milligram(s)
- Max total dose
- 450 mg milligram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY
- Paediatric formulation
- No
- Orphan designation
- No
PRD7107379 · Product
- Active substance
- Tirzepatide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 15 mg milligram(s)
- Max total dose
- 450 mg milligram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY
- Paediatric formulation
- No
- Orphan designation
- No
PRD7107377 · Product
- Active substance
- Tirzepatide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 15 mg milligram(s)
- Max total dose
- 450 mg milligram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY
- Paediatric formulation
- No
- Orphan designation
- No
PRD7107378 · Product
- Active substance
- Tirzepatide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 15 mg milligram(s)
- Max total dose
- 450 mg milligram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY
- Paediatric formulation
- No
- Orphan designation
- No
PRD7107376 · Product
- Active substance
- Tirzepatide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 15 mg milligram(s)
- Max total dose
- 450 mg milligram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY
- Paediatric formulation
- No
- Orphan designation
- No
PRD7107380 · Product
- Active substance
- Tirzepatide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 15 mg milligram(s)
- Max total dose
- 450 mg milligram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 4
SUB130484 · Substance
- Active substance
- Dulaglutide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 4.5 mg milligram(s)
- Max total dose
- 174 mg milligram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB130484 · Substance
- Active substance
- Dulaglutide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 4.5 mg milligram(s)
- Max total dose
- 174 mg milligram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB130484 · Substance
- Active substance
- Dulaglutide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 4.5 mg milligram(s)
- Max total dose
- 174 mg milligram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB130484 · Substance
- Active substance
- Dulaglutide
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 4.5 mg milligram(s)
- Max total dose
- 174 mg milligram(s)
- Max treatment duration
- 40 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Auxiliary 18
SCP8250269 · ATC
- Active substance
- Colesevelam
- Route of administration
- ORAL
- Max daily dose
- 3.75 g gram(s)
- Max total dose
- 1155 g gram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- C10AC04 — COLESEVELAM
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP15701768 · ATC
- Active substance
- Ondansetron
- Route of administration
- ORAL
- Max daily dose
- 24 mg milligram(s)
- Max total dose
- 7392 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- A04AA01 — ONDANSETRON
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
-
A10A · Product
- Pharmaceutical form
- -
- Route of administration
- SOLUTION FOR INJECTION
- Max daily dose
- 500 IU international unit(s)
- Max total dose
- 154000 IU international unit(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- A10A — INSULINS AND ANALOGUES
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB182716 · Substance
- Active substance
- Ertugliflozin
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 15 mg milligram(s)
- Max total dose
- 4620 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP1155863 · ATC
- Active substance
- Dimeticone
- Substance synonyms
- Dimethyl polysiloxane, DIMETHICONE, DIMETHYLPOLYSILOXANE, DIMETHYLSILOXANE, POLY(DIMETHYLSILOXANE)
- Route of administration
- ORAL
- Max daily dose
- 16 mg milligram(s)
- Max total dose
- 4928 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- A07DA03 — LOPERAMIDE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB31650 · Substance
- Active substance
- Dapagliflozin
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 10 mg milligram(s)
- Max total dose
- 3080 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB33463 · Substance
- Active substance
- Canagliflozin
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 92400 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB182716 · Substance
- Active substance
- Ertugliflozin
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 15 mg milligram(s)
- Max total dose
- 4620 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP2682283 · ATC
- Active substance
- Bromocriptine
- Route of administration
- ORAL
- Max daily dose
- 4.8 mg milligram(s)
- Max total dose
- 1478.4 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- N04BC01 — BROMOCRIPTINE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP135808 · ATC
- Active substance
- Metformin
- Substance synonyms
- DIMETHYLDIGUANIDE
- Route of administration
- ORAL
- Max daily dose
- 2000 mg milligram(s)
- Max total dose
- 616000 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- A10BA02 — METFORMIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP54118154 · ATC
- Active substance
- Glucagon
- Route of administration
- NASAL USE
- Max daily dose
- 6 mg milligram(s)
- Max total dose
- 1848 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- H04AA01 — GLUCAGON
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB35915 · Substance
- Active substance
- Empagliflozin
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 25 mg milligram(s)
- Max total dose
- 7700 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB33463 · Substance
- Active substance
- Canagliflozin
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 92400 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB35915 · Substance
- Active substance
- Empagliflozin
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 25 mg milligram(s)
- Max total dose
- 7700 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
-
A10BF · Product
- Pharmaceutical form
- PHF00245MIG
- Route of administration
- ORAL
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 92400 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- A10BF — ALPHA GLUCOSIDASE INHIBITORS
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB31650 · Substance
- Active substance
- Dapagliflozin
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 10 mg milligram(s)
- Max total dose
- 3080 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
-
A10BB · Product
- Pharmaceutical form
- PHF00245MIG
- Route of administration
- ORAL
- Max daily dose
- 20 mg milligram(s)
- Max total dose
- 6160 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- A10BB — SULFONAMIDES, UREA DERIVATIVES
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP129581 · ATC
- Active substance
- Pioglitazone
- Route of administration
- ORAL
- Max daily dose
- 45 mg milligram(s)
- Max total dose
- 13860 mg milligram(s)
- Max treatment duration
- 44 Week(s)
- Authorisation status
- Authorised
- ATC code
- A10BG03 — PIOGLITAZONE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Eli Lilly Cork Limited
- Sponsor organisation
- Eli Lilly Cork Limited
- Address
- Island House Eastgate Road, Eastgate Business Park, Little Island Eastgate Business Park Little Island
- City
- Cork
- Country
- Ireland
Scientific contact point
- Organisation
- Eli Lilly Cork Limited
- Contact name
- Lilly Clinical Trials information desk
Public contact point
- Organisation
- Eli Lilly Cork Limited
- Contact name
- Lilly Clinical Trials information desk
Third parties 10
| Organisation | City, country | Duties |
|---|---|---|
| RWS Life Sciences Inc. ORG-100042348
|
East Hartford, United States | Other |
| Q2 Solutions LLC ORG-100017000
|
Ithaca, United States | Laboratory analysis |
| Bioagilytix Labs LLC ORG-100013030
|
Durham, United States | Laboratory analysis |
| Pharmaceutical Product Development LLC ORG-100016999
|
Highland Heights, United States | Laboratory analysis |
| PPD International Holdings LLC ORG-100007655
|
Zaventem, Belgium | Laboratory analysis |
| Veeva Systems Inc. ORG-100006053
|
Pleasanton, United States | Data management, E-data capture |
| Icon PLC ORG-100042517
|
Dublin 18, Ireland | Other |
| Greenphire LLC ORG-100041621
|
King Of Prussia, United States | Other |
| Iqvia Inc. ORG-100010622
|
Durham, United States | On site monitoring |
| Cleveland Clinic ORG-100028017
|
Cleveland, United States | Other |
Locations
4 EU/EEA countries · 23 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Ended | 21 | 6 |
| France | Not authorised | 28 | 6 |
| Germany | Ended | 55 | 5 |
| Romania | Ended | 41 | 6 |
| Rest of world
United States, Mexico
|
— | 105 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Belgium | 2023-07-05 | 2024-08-07 | 2023-07-13 | 2023-10-09 | |
| Germany | 2023-06-07 | 2024-07-23 | 2023-06-12 | 2023-10-09 | |
| Romania | 2023-06-08 | 2024-08-07 | 2023-06-13 | 2023-10-09 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Summary of results Art. 37(4) CTR
| Title | Submission date | Status | Type |
|---|---|---|---|
| I8F-MC-GPIH_Final Summary of Results_2022-500101-41-00 SUM-90643
|
2025-07-16T03:13:42 | Submitted | Summary of Results |
Layperson summary Annex V
| Title | Submission date | Status | Type |
|---|---|---|---|
| I8F-MC-GPIH Lay Person Summary of Results 2022-500101-41-00 | 2025-08-11T18:59:15 | Submitted | Laypersons Summary of Results |
| I8F-MC-GPIH Lay Person Summary of Results 2022-500101-41-00 German | 2025-09-12T19:39:12 | Submitted | Laypersons Summary of Results |
| I8F-MC-GPIH Lay Person Summary of Results 2022-500101-41-00 Romanian | 2025-09-12T19:40:38 | Submitted | Laypersons Summary of Results |
| I8F-MC-GPIH Lay Person Summary of Results 2022-500101-41-00 Belgium Dutch | 2025-09-12T19:42:50 | Submitted | Laypersons Summary of Results |
| I8F-MC-GPIH Lay Person Summary of Results 2022-500101-41-00 Belgium French | 2025-09-12T19:44:11 | Submitted | Laypersons Summary of Results |
Documents 6 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Laypersons summary of results (for publication) | I8F-MC-GPIH Lay Person Summary of Results 2022-500101-41-00 | 1 |
| Laypersons summary of results (for publication) | I8F-MC-GPIH Lay Person Summary of Results 2022-500101-41-00 Belgium Dutch | 1 |
| Laypersons summary of results (for publication) | I8F-MC-GPIH Lay Person Summary of Results 2022-500101-41-00 Belgium French | 1 |
| Laypersons summary of results (for publication) | I8F-MC-GPIH Lay Person Summary of Results 2022-500101-41-00 German | 1 |
| Laypersons summary of results (for publication) | I8F-MC-GPIH Lay Person Summary of Results 2022-500101-41-00 Romanian | 1 |
| Summary of results (for publication) | I8F-MC-GPIH_Final Summary of Results_2022-500101-41-00 | 1 |
Application history
4 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2022-10-11 | France | Acceptable with conditions 2023-02-13
|
2023-02-14 |
| 2 | SUBSTANTIAL MODIFICATION | SM-2 | 2023-04-06 | Acceptable 2023-05-22
|
2023-05-24 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-4 | 2023-07-31 | Acceptable | 2023-08-21 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-5 | 2024-05-02 | Acceptable 2024-08-01
|
2024-08-02 |