A Study of Orforglipron (LY3502970) in Adult Participants With Obesity or Overweight and Type 2 Diabetes (ATTAIN-2)

2022-502837-24-00 Protocol J2A-MC-GZGQ Therapeutic confirmatory (Phase III) Ended

Start 25 Sep 2023 · End 8 Aug 2025 · Status Ended · 3 EU/EEA countries · 36 sites · Protocol J2A-MC-GZGQ

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 1,460
Countries 3
Sites 36

Overweight

To demonstrate that LY3502970 is superior to placebo in change from baseline for body weight.

Key facts

Sponsor
Eli Lilly & Co.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Trial duration
25 Sep 2023 → 8 Aug 2025
Decision date (initial)
2023-09-19
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2022-502837-24-00
WHO UTN
U1111-1289-8799

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety, Therapy, Pharmacokinetic, Pharmacodynamic, Dose response

To demonstrate that LY3502970 is superior to placebo in change from baseline for body weight.

Conditions and MedDRA coding

Overweight

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Be overweight or have excess weight.
  2. Have history of at least 1 self-reported unsuccessful dietary effort to lose body weight.
  3. Have type 2 diabetes and on stable treatment for Type 2 diabetes for at least 90 days prior to screening.
  4. Have been taking up to 3 oral anti-hyperglycemic medications

Exclusion criteria 6

  1. Have type 1 diabetes or any other type of diabetes except type 2
  2. Have a change in body weight more than 11 pounds within 90 days before screening.
  3. Have medullary thyroid cancer or multiple endocrine neoplasia type 2
  4. Have a history of chronic or acute pancreatitis
  5. Have diabetic retinopathy and/or macular edema requiring acute treatment.
  6. Have active or untreated cancer for less than 5 years.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Mean Percent Change from Baseline in Body Weight (from Baseline to Week 72)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 6

Orforglipron

PRD10193663 · Product

Active substance
Orforglipron Hemicalcium
Substance synonyms
Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Orforglipron

PRD10193674 · Product

Active substance
Orforglipron Hemicalcium
Substance synonyms
Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Orforglipron

PRD10193667 · Product

Active substance
Orforglipron Hemicalcium
Substance synonyms
Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Orforglipron

PRD10193655 · Product

Active substance
Orforglipron Hemicalcium
Substance synonyms
Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Orforglipron

PRD10193651 · Product

Active substance
Orforglipron Hemicalcium
Substance synonyms
Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Orforglipron

PRD10193676 · Product

Active substance
Orforglipron Hemicalcium
Substance synonyms
Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Placebo 1

Sodium bicarbonate - Placebo to match ly3502970

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Eli Lilly & Co.

Sponsor organisation
Eli Lilly & Co.
Address
1 Lilly Corporate Center
City
Indianapolis
Postcode
46285-0001
Country
United States

Scientific contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Public contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Third parties 10

OrganisationCity, countryDuties
Cleveland Clinic Foundation
ORG-100028017
Cleveland, United States Other
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States E-data capture
IQVIA RDS (India) Private Limited
ORG-100047036
Mumbai, India Laboratory analysis
PPD Global Central Labs
ORG-100046496
Zaventem, Belgium Laboratory analysis
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
Techdata Service Company LLC
ORG-100047422
Kng Of Prussa, United States Code 10
Iqvia Rds Inc.
ORG-100043858
Durham, United States On site monitoring
R&G US, Inc.
ORL-000001478
Gaithersburg, MD, United States Code 10
Q2 Solutions LLC
ORG-100017000
Ithaca, United States Laboratory analysis

Locations

3 EU/EEA countries · 36 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Ended 175 12
Germany Ended 140 17
Greece Ended 75 7
Rest of world
Australia, Argentina, Korea, Republic of, China, India, United States, Brazil
1,070

Investigational sites

Czechia

12 sites · Ended
Diahelp s.r.o.
DIAHELP s.r.o., Pod Brizkami 897, Zelene Predmesti, Pardubice V
Diabet2 s.r.o.
Diabet2 s.r.o., Revolucni 765/19, Stare Mesto, Prague 1
Dialine s.r.o.
DIALINE s.r.o., Tylova 502/39, Jizni Predmesti, Plzen 3
Nemocnice Český Krumlov, a.s.
Nemocnice Český Krumlov, a.s., Nemocniční 429, 38101, Český Krumlov
MUDr. Sabina Pálová
MUDr. Sabina Pálová, Rudných dolů 291, 25242, Jílové u Prahy
Milan Kvapil s.r.o.
Milan Kvapil s.r.o., Lucni 1611, 263 01, Dobris
Endokrinologie MUDr. Řehořková s.r.o.
Endokrinologie MUDr. Řehořková s.r.o., třída Edvarda Beneše 1549/34, 50012, Hradec Králové
Milan Kvapil s.r.o.
Milan Kvapil s.r.o., Lucni 1611, 263 01, Dobris
ResTrial s.r.o.
ResTrial s.r.o., V Sadech 4a/1081, 160 00, Prague 6
MuDr. Jitka Zemanova Diabetologie A Interna s.r.o.
MUDr. Jitka Zemanova - diabetologie a interna s.r.o., Francouzska Trida 2080/4, Vychodni Predmesti, Plzen 2-Slovany
MUDr. Tomas Edelsberger
MUDr. Tomáš Edelsberger, Náměstí Minoritů 86/7, 79401, Krnov
MUDr. Alena Váchová
MUDr. Alena Váchová, České Vrbné 2403, 37011, České Budějovice

Germany

17 sites · Ended
ceda-research
N/A, Neue Mitte 10, Haus 4, Pohlheim
BAG Diabeteszentrum Dr. Tews & Partner
N/A, Herzbachweg 14E, Haus E, Gelnhausen
Gemeinschaftspraxis Dr. med. Ralf Denger und Dr. med. Thomas Pfitzner
N/A, Zum Grühlingsstollen 3, Saarland, Friedrichsthal
AmBeNet GmbH
N/A, Wilhelm-Leuschner-Platz 12, Sachsen, Leipzig
SMO.MD GmbH
N/A, 9, Bierer Weg, Magdeburg
Hausarzt- und Diabetologische Schwerpunktpraxis Hohenmölsen - Weiβenfels
N/A, An der Pforte 5, 06679, Hohenmölsen
Innodiab Forschung GmbH
N/A, Eleonorastrasse 42, Ruettenscheid, Essen
Medizentrum Essen Borbeck
N/A, Hülsmannstraße 6, Medizentrum Essen-Borbeck, Essen
Diabetes Zentrum Wilhelmsburg
N/A, Krieterstr. 30, Hamburg, Hamburg
Gemeinschaftspraxis Dr. med. Josef und Dr. med. Wilma Großkopf
N/A, Ahornstraße 2a, 94574, Wallerfing
Arztpraxis Christine Kosch Pirna
N/A, Königsteiner Strasse 6 b, Sachsen, Pirna
Universität zu Lübeck - Institut für Endokrinologie und Diabetes
N/A, Marie-Curie-Strasse, CBBM, Lübeck
Institut für Diabetesforschung GmbH Münster
N/A, Hohenzollernring 70, FranziskusCarree 3.OG, Münster
CDG Studienambulanz Hartard
N/A, Helene-Mayer-Ring 14, Bayern, München
Universitaetsklinikum Koeln
Endocrinology, Diabetes and Preventive Medicine, Kerpener Straße 62, Bettenhaus, Köln
RED-Institut GmbH
N/A, Markt 15, Schleswig-Holstein, Oldenburg
University Of Luebeck
N/A, Ratzeburger Allee 160, Strecknitz, Luebeck

Greece

7 sites · Ended
Athens Medical Center S.A.
Department of Internal Medicine, Diabetes and Obesity Unit, Distomou 5-7, 151 25, Maroussi
General Hospital Of Thessaloniki Papageorgiou
1st Department of Internal Medicine, Ring Road Of Thessaloniki, Ministry Of Pavlos Melas, Efkarpia
Euromedica General Clinic Of Thessaloniki
Endocrinology Diabetes & Metabolism Department, Kallas Marias 11, Gravias 2, Thessaloniki
General University Hospital Of Larissa
Clinic of Endocrinology and Metabolic Diseases, P. O. Box 1425, 411 10, Larissa
424 Military General Training Hospital
2nd Internal Medicine Clinic, Ring Road, N. Efkarpia, Thessaloniki
Ippokratio General Hospital Of Thessaloniki
Diabetes Center, 2nd Propaedeutic Internal Medicine Clinic, Konstadinoupoleos 49, 546 42, Thessaloniki
Thermi Clinic S.A.
Internal Medicine Department, 14th Kms N Moudanion, 570 01, Thessaloniki

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Czechia 2023-09-26 2025-08-05 2023-09-27 2024-02-14
Germany 2023-09-25 2025-08-07 2023-09-28 2024-02-14
Greece 2023-09-27 2025-07-28 2023-09-29 2024-02-14

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 26 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2022-502837-24-00_Redacted d
Protocol (for publication) D1_Protocol_2022-502837-24-00_GR_Redacted d
Protocol (for publication) GZGQ_Patient Documents Copyright 1.0
Recruitment arrangements (for publication) 1_Recruitment and Informed consent procedure 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements 1
Recruitment arrangements (for publication) K2_Recruitment material_Brochure_GR_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_Flyer_GR 1
Recruitment arrangements (for publication) K2_Recruitment material_Poster_GR 1
Subject information and informed consent form (for publication) L1_Main ICF_GR_Redacted 3
Subject information and informed consent form (for publication) L1_Main ICF_GR_track changes_Redacted 1
Subject information and informed consent form (for publication) L1_Pregnant Partner ICF_GR 1
Subject information and informed consent form (for publication) L2_Other information_CONTACT-CARD_GR_Redacted 1
Subject information and informed consent form (for publication) L2_Other information_STUDY-GUIDE_GR_Redacted 2
Subject information and informed consent form (for publication) L2_Other information_THANK-YOU-END OF STUDY_GR 3
Subject information and informed consent form (for publication) L2_Other information_THANK-YOU-PARTICIPATION_GR 3
Subject information and informed consent form (for publication) L2_Other information_VISIT-CARD_GR 1
Subject information and informed consent form (for publication) L2_Other Subject Information Material_Ancillary Supplies List_Redacted 1
Subject information and informed consent form (for publication) L2_Other Subject Information Material_Appreciation items 1
Subject information and informed consent form (for publication) L2_Other Subject Information Material_NPA_HYPOGLYCAEMIA BROCHURE_GR_Redacted 2
Subject information and informed consent form (for publication) L2_Other Subject Information Material_NPA_REFERENCE CARD_GR_Redacted 2
Subject information and informed consent form (for publication) L2_Patient Information Card_GR 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis MS_CZ_2022-502837-24-00_Redacted d
Synopsis of the protocol (for publication) D1_Protocol synopsis MS_CZ_2022-502837-24-00_Tracked changes_Redacted d
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2022-502837-24-00_GR_Redacted d
Synopsis of the protocol (for publication) D1_Protocol Synopsis_GER_2022-502837-24-00_Redacted d
Synopsis of the protocol (for publication) D1_Protocol synopsis_GER_2022-502837-24-00_TC_Redacted d

Application history

10 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-05-26 Germany Acceptable
2023-09-18
2023-09-19
2 NON SUBSTANTIAL MODIFICATION NSM-1 2023-09-25 Acceptable
2023-09-18
2023-09-25
3 SUBSTANTIAL MODIFICATION SM-1 2023-11-29 Germany Acceptable
2024-01-30
2024-01-31
4 NON SUBSTANTIAL MODIFICATION NSM-2 2024-03-26 Germany Acceptable
2024-01-30
2024-03-26
5 SUBSTANTIAL MODIFICATION SM-3 2024-04-05 Germany Acceptable 2024-04-23
6 SUBSTANTIAL MODIFICATION SM-2 2024-04-10 Acceptable 2024-06-10
7 SUBSTANTIAL MODIFICATION SM-4 2024-04-10 Acceptable 2024-05-31
8 NON SUBSTANTIAL MODIFICATION NSM-3 2025-07-10 Germany Acceptable 2025-07-10
9 NON SUBSTANTIAL MODIFICATION NSM-4 2025-07-10 Germany Acceptable 2025-07-10
10 SUBSTANTIAL MODIFICATION SM-6 2025-07-11 Acceptable 2025-08-12