A Study of Orforglipron (LY3502970) Compared With Dapagliflozin in Adult Participants With Type 2 Diabetes and Inadequate Glycemic Control With Metformin (ACHIEVE-2)

2023-507206-13-00 Protocol J2A-MC-GZGV Therapeutic confirmatory (Phase III) Ended

Start 14 Mar 2024 · End 27 Sep 2025 · Status Ended · 2 EU/EEA countries · 24 sites · Protocol J2A-MC-GZGV

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 888
Countries 2
Sites 24

Type 2 Diabetes

To demonstrate that orforglipron is noninferior to dapagliflozin in glycemic control.

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
14 Mar 2024 → 27 Sep 2025
Decision date (initial)
2024-02-14
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2023-507206-13-00
WHO UTN
U1111-1296-1507

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

To demonstrate that orforglipron is noninferior to dapagliflozin in glycemic control.

Conditions and MedDRA coding

Type 2 Diabetes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Have Type 2 diabetes.
  2. Have been on stable diabetes treatment with metformin 90 days before study start through randomization.
  3. Have not lost or gained body weight for at least 90 days prior to baseline and agree to not start an intensive diet or exercise program during the study with the intent to lose body weight other than lifestyle and/or dietary measures for diabetes treatment.

Exclusion criteria 4

  1. Have Type 1 Diabetes
  2. Have a history of severe hypoglycemia or hypoglycemia unawareness within the last 6 months prior to baseline.
  3. Have had congestive heart failure.
  4. Have had heart attack, stroke or hospitalized for congestive heart failure

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change from Baseline in Hemoglobin A1c (HbA1c)

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
9999 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
9999 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
9999 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
9999 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
9999 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
9999 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Comparator 1

Dapagliflozin

SCP153586 · ATC

Active substance
Dapagliflozin
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
9999 Week(s)
Authorisation status
Authorised
ATC code
A10BK01 — DAPAGLIFLOZIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 1

Metformin

SCP135808 · ATC

Active substance
Metformin
Substance synonyms
DIMETHYLDIGUANIDE
Route of administration
ORAL USE
Max daily dose
3000 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
9999 Week(s)
Authorisation status
Authorised
ATC code
A10BA02 — METFORMIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
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 6

OrganisationCity, countryDuties
Iqvia Rds Inc.
ORG-100043858
Durham, United States On site monitoring
Cleveland Clinic Foundation
ORG-100028017
Cleveland, United States Other
IQVIA RDS (India) Private Limited
ORG-100047036
Mumbai, India Laboratory analysis
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
Clario
ORL-000001148
Philadelphia, United States E-data capture
PPD Global Central Labs
ORG-100046496
Zaventem, Belgium Laboratory analysis

Locations

2 EU/EEA countries · 24 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 75 12
Poland Ended 191 12
Rest of world
United States, Taiwan, Mexico, China
622

Investigational sites

Germany

12 sites · Ended
Diabetologikum DDG Ludwigshafe
N/A, Ludwigsplatz 9, 67059, Ludwigshafen
RED Oncology GmbH
N/A, Markt 15, 23758, Oldenburg In Holstein
Zentrum für klinische Studien
N/A, Hauptstraße 98, 66386, St. Ingbert
Zentrum für klinische Forschung
N/A, Berliner Str. 895, 51069, Köln
Diabetologische Schwerpunktpraxis und Praxis für Allgemeinmedizin Dr. Veronika Wenzl-Bauer
N/A, Bahnhofstrasse 1a, Saarland, Rehlingen
Praxis Dr. med. Staudenmeyer
N/A, Am Wall Süd 20, 49808, Lingen
Institut fuer Diabetesforschung Muenster GmbH
N/A, Hohenzollernring 70, Herz-Jesu, Muenster
Medizentrum Essen Borbeck
N/A, Huelsmannstrasse 6, Borbeck, Essen
InnoDiab Forschung GmbH
N/A, Eleonorastrasse 42, Ruettenscheid, Essen
Diabetes-Zentrum-Wilhelmsburg GbR
N/A, Krieterstrasse 30, Wilhelmsburg, Hamburg
Diabetes- und Stoffwechselpraxis Bochum
N/A, In der Hönnebecke 80, 44869, Bochum
CRS Clinical Research Services Management GmbH
N/A, Grenadierstrasse 1, Neckarstadt, Mannheim

Poland

12 sites · Ended
Centermed Sp. z o.o.
No Department, Ul. Weteranow 46, 20-044, Lublin
Niepubliczny Zakład Opieki Zdrowotnej „Przychodnia z Sercem
No Department, ul. Bartłomieja Chowańca 4, 32-615, Grojec
Samodzielny Publiczny Szpital Kliniczny nr 1 SUM
No Department, ul. 3 Maja 13-15, 41-800, Zabrze
Centrum Medyczne Kermed Renata Bijata-Bronisz I Ewa Kowalinska Sp. j.
No Department, Ul. Krolowej Jadwigi 16, 85-231, Bydgoszcz
Medyczne Centrum Diabetologiczno-Endokrynologiczno-Metaboliczne Diab-Endo-Met Sp. z o.o.
No Department, Ul. Rusznikarska 17, 31-261, Cracow
Ekamed Sp. z o.o.
No Department, Aleja Krasnicka 2j/u1, 20-718, Lublin
Centrum Badań Klinicznych Piotr Napora Lekarze sp.p
No Department, ul. Długosza 4;, 50-162, Wrocław
Zdrowie Osteo-Medic
No Department, ul. Wiejska 81,, 15-351, Białystok
Clinical Best Solutions Sp. z o.o. S.K.
No Department, Aleja Jozefa Pilsudskiego 11, 20-011, Lublin
Specderm Poznanska Sp. j.
No Department, Ul. Prezydenta Ryszarda Kaczorowskiego 7/u 50, 15-375, Bialystok
Centrum Terapii Wspolczesnej J.M. Jasnorzewska S.K.A.
No Department, Ul. Przedzalniana 66, 90-338, Lodz
Centrum Medyczne Diabetika
No Department, ul. Focha 12/4;, 26-600, Radom

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2024-03-14 2025-09-26 2024-03-19 2024-11-15
Poland 2024-03-14 2025-09-24 2024-03-22 2024-11-15

Results and documents

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

Documents 68 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-507206-13-00_Redacted b
Protocol (for publication) D4_Patient Documents Copyright Template 1.0
Protocol (for publication) D4_Patient facing document_Subject_Diary_4 Point SMBG_V1_GZGV 1
Recruitment arrangements (for publication) K1_Recruitment and informed consent procedure 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements_GZGV 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements_GZGV_EN 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements_GZGV_PL 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements_Poster_PL 1.0
Recruitment arrangements (for publication) K2_Recruitment material_CWM_General_T2D_Search_Ads_Master 1
Recruitment arrangements (for publication) K2_Recruitment material_CWM_Master_CC_WS_Script_Master_Redacted 2
Recruitment arrangements (for publication) K2_Recruitment material_CWM_Program_Database_Messaging_Master_Redacted 3
Recruitment arrangements (for publication) K2_Recruitment material_CWM_Program_Website_Copy_Master_Redacted 3
Recruitment arrangements (for publication) K2_Recruitment material_CWM_Program_Website_Policies_Master 1
Recruitment arrangements (for publication) K2_Recruitment material_CWM_Screener_Edition 2_Master_Redacted 6
Recruitment arrangements (for publication) K2_Recruitment material_CWM_Search_Ads_Master 1
Recruitment arrangements (for publication) K2_Recruitment material_CWM_Type_2_Diabetes_Metformin_Digital_Ads_Master_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_GZGV_ACHIEVE-2_Patient_Messaging_Master 1
Recruitment arrangements (for publication) K2_Recruitment material_GZGV_ACHIEVE-2_Website_Copy_Master 1
Recruitment arrangements (for publication) K2_Recruitment material_Poster-EU_Master 1
Recruitment arrangements (for publication) K2_Recruitment material_Subject Advertisement 1
Recruitment arrangements (for publication) K2_Recruitment material_Subject Advertisement_site Forst_CRS 1
Recruitment arrangements (for publication) K3_List of planned sites_Poland 2
Recruitment arrangements (for publication) K4_Recruitment arrangments_Informed consent and patient recruitment procedure PL 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum ICF_Pregnant_Partner_PL_GZGV 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum ICF_Pregnant_Partner_PL_GZGV_track v2 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum ICF_Prescreening_PL_GZGV 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum ICF_Prescreening_PL_track_v2_GZGV 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_GZGV_Main ICF DE_Redacted 4
Subject information and informed consent form (for publication) L1_SIS and ICF_GZGV_Pre-Screening Addendum_DE 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_PL_GZGV_Redacted 4
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_PL_v2 track GZGV_Redacted 2
Subject information and informed consent form (for publication) L2_Ancillary supply list 1
Subject information and informed consent form (for publication) L2_Appreciation Items 1
Subject information and informed consent form (for publication) L2_GZGV_patient reimbursement GREENPHIRE_redacted 1
Subject information and informed consent form (for publication) L2_GZGV_patient reimbursement_THUROCZY_Fahrtkostenformular_Redacted 1
Subject information and informed consent form (for publication) L2_GZGV_patient reimbursement_THUROCZY_Redacted 1
Subject information and informed consent form (for publication) L2_Other material_EC_packet_w_Data_Privacy_as_applied_to_GP_v9.0 9.0
Subject information and informed consent form (for publication) L2_Other material_EU Generic ClinCard (v3.0 April 2019) 3.0
Subject information and informed consent form (for publication) L2_Other material_Greenphire ClinCard Msg Templates - ROW (v6.0 Feb 2018) 6.0
Subject information and informed consent form (for publication) L2_Other material_Greenphire_ClinCard_Card_Carrier_EU_V3.0 3.0
Subject information and informed consent form (for publication) L2_Other material_Greenphire_ClinCard_Cardholder_FAQ_EU_V3.0 3.0
Subject information and informed consent form (for publication) L2_Other material_Greenphire_Fee_Schedule_V4.0 4.0
Subject information and informed consent form (for publication) L2_other materials_EC_packet_Data_Privacy_as_applied_to_GP 8
Subject information and informed consent form (for publication) L2_other materials_Greenphire ClinCard Msg Templates - ROW 6
Subject information and informed consent form (for publication) L2_other materials_Greenphire EU Generic ClinCard 3
Subject information and informed consent form (for publication) L2_other materials_Greenphire_ClinCard_Card_Carrier_EU 3
Subject information and informed consent form (for publication) L2_other materials_Greenphire_ClinCard_Cardholder_FAQ_EU 3
Subject information and informed consent form (for publication) L2_other materials_Greenphire_Fee_Schedule 4
Subject information and informed consent form (for publication) L2_Other subject information material Emergency Card GZGV 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Appreciation Items_GZGV 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Clinical Trial Ancillary Supply List_GZGV 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_GZGV_Study Guide_Redacted 2.0
Subject information and informed consent form (for publication) L2_Other subject information material_GZGV_Visit Card 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_PL_GZGV_Letter Doctor Referral 1.0
Subject information and informed consent form (for publication) L2_Other subject information_LTFQ_WS_Paper_German-Worldwide_Redacted 4.1
Subject information and informed consent form (for publication) L2_Other subject information_LTFQ_WS_Paper_Polish_Redacted 4.1
Subject information and informed consent form (for publication) L2_Other subject information_Prescreening Questionnaire_Redacted 1
Subject information and informed consent form (for publication) L2_Other subject information_Prescreening Questionnaire_Redacted 1
Subject information and informed consent form (for publication) L2_Other subject information_WS_Paper_German-Worldwide_Redacted 4.1
Subject information and informed consent form (for publication) L2_Patient Card Template 1
Subject information and informed consent form (for publication) L2_Retention material_Study-Guide-EU_Master_Redacted 2
Subject information and informed consent form (for publication) L2_Retention material_Visit-Card-EU_Master 1
Subject information and informed consent form (for publication) L5_Info Re insurance Conditions for Patient 1.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Dapagliflozin_Forxiga AstraZeneca N/A
Synopsis of the protocol (for publication) D1_Protocol Synopsis_ENG_2023-507206-13_Redacted b
Synopsis of the protocol (for publication) D1_Protocol Synopsis_ENG_2023-507206-13_Track changed_Redacted 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_PL 2023-507206-13-00_Redacted b
Synopsis of the protocol (for publication) D1_Protocol synopsis_v2_PL 2023-507206-13-00_track_Redacted 2

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-11 Germany Acceptable with conditions
2024-02-09
2024-02-14
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-02-20 Germany Acceptable with conditions
2024-02-09
2024-02-20
3 SUBSTANTIAL MODIFICATION SM-1 2024-03-15 Germany Acceptable
2024-04-25
2024-04-29
4 SUBSTANTIAL MODIFICATION SM-2 2024-07-02 Germany Acceptable
2024-08-27
2024-08-30
5 SUBSTANTIAL MODIFICATION SM-3 2024-10-18 Acceptable 2024-11-26
6 NON SUBSTANTIAL MODIFICATION NSM-2 2024-12-12 Acceptable 2024-12-12
7 NON SUBSTANTIAL MODIFICATION NSM-3 2025-04-23 Acceptable 2025-04-23
8 NON SUBSTANTIAL MODIFICATION NSM-4 2025-07-16 Germany Acceptable 2025-07-16