A Study of Tirzepatide in Adolescents With Obesity and Weight-Related Comorbidities (SURMOUNT-ADOLESCENTS-2)

2023-507655-30-00 Protocol I8F-MC-GPIX Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 27 Sep 2024 · Status Ongoing, recruitment ended · 3 EU/EEA countries · 16 sites · Protocol I8F-MC-GPIX

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 211
Countries 3
Sites 16

Obesity

1. To demonstrate that tirzepatide MTD is superior to placebo for achieving BMI reduction. 2. To demonstrate that tirzepatide MTD is superior to placebo for improvement in weight-related comorbidities.

Key facts

Sponsor
Eli Lilly & Co.
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Trial duration
27 Sep 2024 → ongoing
Decision date (initial)
2024-09-05
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2023-507655-30-00
WHO UTN
U1111-1307-8914

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Efficacy, Therapy, Safety

1. To demonstrate that tirzepatide MTD is superior to placebo for achieving BMI reduction.

2. To demonstrate that tirzepatide MTD is superior to placebo for improvement in weight-related comorbidities.

Conditions and MedDRA coding

Obesity

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Be 12 to 17 years
  2. Have a BMI equal to or above the 95th percentile for age and sex on CDC-NCHS 2022

Exclusion criteria 4

  1. Have Type 1 Diabetes
  2. Have Type 2 Diabetes
  3. Have had or plan to have a surgical treatment for obesity
  4. Have history of an inflamed pancreas (pancreatitis)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Percent Change from Baseline in Body Mass Index (BMI)
  2. A Composite Endpoint of Normalization or Clinically Significant Improvement in At Least 2 Predefined Weight-Related Comorbidities Present at Screening Without Development of a New Predefined Comorbidity Or Worsening of an Existing Predefined Comorbidity

Investigational products

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

Test 6

Tirzepatide

PRD7107375 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
18 Month(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY
Paediatric formulation
No
Orphan designation
No

Tirzepatide

PRD7107378 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
18 Month(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY
Paediatric formulation
No
Orphan designation
No

Tirzepatide

PRD7107376 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
18 Month(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY
Paediatric formulation
No
Orphan designation
No

Tirzepatide

PRD7107377 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
18 Month(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY
Paediatric formulation
No
Orphan designation
No

Tirzepatide

PRD7107379 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
18 Month(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY
Paediatric formulation
No
Orphan designation
No

Tirzepatide

PRD7107380 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
18 Month(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY
Paediatric formulation
No
Orphan designation
No

Placebo 1

Placebo to match LY3298176 injection

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 11

OrganisationCity, countryDuties
Yprime LLC
ORG-100042888
Malvern, United States Data management
IQVIA Limited
ORG-100008655
Reading, United Kingdom On site monitoring, Other, Laboratory analysis
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland Laboratory analysis
Fortrea Inc.
ORG-100012602
Durham, United States Laboratory analysis
CQ Fluency
ORL-000007633
Hackensack, NJ, United States Other
Veeva Systems Inc.
ORG-100006053
Pleasanton, United States Data management
The Hibbert Co.
ORG-100047639
Trenton, United States Other
WCG Clinical Inc.
ORL-000007439
Indianapolis, United States Other
Parexel International Corp.
ORG-100007310
Durham, United States Laboratory analysis
Tier 1 Impact Pbc Inc.
ORG-100050163
Covington, United States Other
Pharmaceutical Product Development LLC
ORG-100016999
Wilmington, United States Laboratory analysis

Locations

3 EU/EEA countries · 16 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruitment ended 10 7
Germany Ongoing, recruitment ended 15 3
Spain Ongoing, recruitment ended 22 6
Rest of world
Israel, United Kingdom, Taiwan, Mexico, Australia, Argentina, United States, Canada
164

Investigational sites

France

7 sites · Ongoing, recruitment ended
Centre Hospitalier Universitaire D'Angers
Pediatrie, 4 Rue Larrey, 49100, Angers
Hopital Des Enfants
endocrinologie, gynécologie et génétique médicale, 330 Avenue De Grande Bretagne, 31059, Toulouse Cedex 9
Centre Hospitalier Universitaire De Lille
Centre d'investigation clinique - Antenne Pédiatrique, Avenue Eugene Avinee, 59037, Lille Cedex
Centre Hospitalier Regional De Marseille
Pediatrie multidisciplinaire -Endocrinologie, 264 Rue Saint Pierre, 13005, Marseille
Hospital Femme Mere Enfant
Centre d’Investigation Clinique, 52 Boulevard Pinel, 69500, Bron
Robert Debre University Hospital
Centre d'Investigations Cliniques, 48 Boulevard Serurier, 75019, Paris
Trousseau Hospital
Nutrition et gastroentérologie pédiatrique, 26 Avenue Du Docteur Arnold Netter, 75012, Paris

Germany

3 sites · Ongoing, recruitment ended
Universitaetsklinikum Ulm AöR
Klinik für Kinder- und Jugendmedizin, Eythstrasse 24, Mitte, Ulm
Universitaetsklinikum Leipzig AöR
Department of Pediatrics, Liebigstrasse 20, Zentrum-Suedost, Leipzig
University Hospital Cologne AöR
Klinik und Poliklinik für Kinder- und Jugendmedizin pädiatrische Endokrinologie und Diabetologie, Kerpener Strasse 62, Lindenthal, Cologne

Spain

6 sites · Ongoing, recruitment ended
Hospital Infantil Universitario Nino Jesus
Endocrinology, Avenida Menendez Pelayo 65, 28009, Madrid
Hospital Universitario Y Politecnico La Fe
Pediatric Endocrinology, Avenida De Fernando Abril Martorell 106, 46026, Valencia
Hospital Universitari Vall D Hebron
Endocrinology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Universitario Regional De Malaga
Pediatric Endocrinology, Avenida De Carlos De Haya Sn, 29010, Malaga
Hospital Universitario Virgen del Rocio
Endocrinology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Universitario Reina Sofia
Pediatric Endocrinology, Avenida Menendez Pidal S/n, 14004, Cordoba

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-10-07 2024-12-18 2026-01-05
Germany 2024-10-29 2024-11-05 2026-01-05
Spain 2024-09-27 2024-10-08 2026-01-05

Results and documents

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

Documents 88 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-507655-30-00_Redacted e
Protocol (for publication) D4_Patient Document Copyright Template 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements_v1 1
Recruitment arrangements (for publication) K2_Recruitment material Ancillary Supplies 1
Recruitment arrangements (for publication) K2_Recruitment material Brochure 1
Recruitment arrangements (for publication) K2_Recruitment material Certificate Participation 1
Recruitment arrangements (for publication) K2_Recruitment material Poster 1
Recruitment arrangements (for publication) K2_Recruitment material School Note 1
Recruitment arrangements (for publication) K2_Recruitment material Study Guide 1
Recruitment arrangements (for publication) K2_Recruitment material Thank You Dropout 1
Recruitment arrangements (for publication) K2_Recruitment material Thank You End Of Study 1
Recruitment arrangements (for publication) K2_Recruitment material Thank You Participation 1
Recruitment arrangements (for publication) K2_Recruitment material Thank You Screening 1
Recruitment arrangements (for publication) K2_Recruitment material Visit Card 1
Recruitment arrangements (for publication) K2_Recruitment material_Appreciation items 1
Recruitment arrangements (for publication) K2_Recruitment material_Certificate-Participation_Master_ES 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Certificate-Participation_Master_v1 1
Recruitment arrangements (for publication) K2_Recruitment material_Clinical-Trial-Brochure_Master_ES 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Clinical-Trial-Brochure-CYP_Master_v1 1
Recruitment arrangements (for publication) K2_Recruitment material_Poster_Master_ES 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Poster_Master_v1 1
Recruitment arrangements (for publication) K2_Recruitment material_School-Note_Master_ES 1.0
Recruitment arrangements (for publication) K2_Recruitment material_School-Note_Master_v1 1
Recruitment arrangements (for publication) K2_Recruitment material_Study-Guide_Master_ES 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-Dropout_Master_ES 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-Dropout_Master_v1 1
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-End_Of_Study_Master_ES 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-End_Of_Study_Master_v1 1
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-Participation_Master_ES 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-Participation_Master_v1 1
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-Screening_Master_ES 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-Screening_Master_v1 1
Recruitment arrangements (for publication) K2_Recruitment material_Visit-Card_Master_ES 1.0
Subject information and informed consent form (for publication) L1_ ICF_Assent Form_DE_Redacted 5
Subject information and informed consent form (for publication) L1_ SIS and ICF Addendum Future Research_Redacted 1
Subject information and informed consent form (for publication) L1_ SIS and ICF Addendum Prescreening TC_Redacted 2
Subject information and informed consent form (for publication) L1_ SIS and ICF Addendum Prescreening_Redacted 2
Subject information and informed consent form (for publication) L1_ SIS and ICF Addendum Sub Study_Redacted 1
Subject information and informed consent form (for publication) L1_ SIS and ICF Adults TC_Redacted 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Adults_Redacted 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Assent 12-17 TC_Redacted 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Assent 12-17_Redacted 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Assent OLE_Redacted 1.0
Subject information and informed consent form (for publication) L1_ SIS and ICF OLE_Redacted 1.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Parents TC_Redacted 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Parents_Redacted 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Study Partner_Redacted 1.0
Subject information and informed consent form (for publication) L1_ICF_Addendum prescreening_Assent 1.0
Subject information and informed consent form (for publication) L1_ICF_Addendum prescreening_Parent 1.0
Subject information and informed consent form (for publication) L1_ICF_Addendum sub-study_Assent_b_Redacted 1
Subject information and informed consent form (for publication) L1_ICF_Addendum sub-study_Assent_Redacted c
Subject information and informed consent form (for publication) L1_ICF_Addendum sub-study_Parent_b_Redacted 1
Subject information and informed consent form (for publication) L1_ICF_Addendum sub-study_Parent_redacted c
Subject information and informed consent form (for publication) L1_ICF_Addendum sub-study_Parent_Redacted C
Subject information and informed consent form (for publication) L1_ICF_Addendum sub-study_Patient_b_Redacted 1
Subject information and informed consent form (for publication) L1_ICF_Addendum sub-study_Patient_redacted c
Subject information and informed consent form (for publication) L1_ICF_Assent form_Redacted 2.0
Subject information and informed consent form (for publication) L1_ICF_Main_Adult_Redacted 1.0
Subject information and informed consent form (for publication) L1_ICF_Main_Parent_Redacted 1.0
Subject information and informed consent form (for publication) L1_Main ICF_16-17 yrs old_Redacted 5.1
Subject information and informed consent form (for publication) L1_Main ICF_18 yrs old_Redacted 1
Subject information and informed consent form (for publication) L1_Main ICF_Parent_DE_Redacted 5
Subject information and informed consent form (for publication) L1_OLE Assent Form_Redacted 1.2
Subject information and informed consent form (for publication) L1_OLE Main ICF_Redacted 1.1
Subject information and informed consent form (for publication) L1_Pre-screening ICF addendum 2
Subject information and informed consent form (for publication) L1_SIS and ICF_OLE_adults_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_OLE_Assent_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_OLE_parents_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Study partner 1.0
Subject information and informed consent form (for publication) L1_Study Partner ICF_Redacted 1
Subject information and informed consent form (for publication) L2 Patient cards 1.0
Subject information and informed consent form (for publication) L2_ Other subject information material Subject Instructions for Use 1
Subject information and informed consent form (for publication) L2_ Other subject information material WatchPat Participant Guide 1
Subject information and informed consent form (for publication) L2_Ancillary list_v1 1
Subject information and informed consent form (for publication) L2_Direction for Use IFU_v1_05Feb2024 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Card 1
Subject information and informed consent form (for publication) L2_Other subject information material_WatchPat app_DE 1
Subject information and informed consent form (for publication) L2_Other subject information material_WatchPat Participant Guide_v1 1
Subject information and informed consent form (for publication) L2_Patient Card Template_v1 1
Subject information and informed consent form (for publication) L2_Retention material_Study-Guide_Master_v1 1
Subject information and informed consent form (for publication) L2_Retention material_Visit-Card_Master_v1_19Apr2024_DE 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2023-507655-30-00_DE_Redacted b
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2023-507655-30-00_ENG_Redacted e
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2023-507655-30-00_ES_redacted b
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2023-507655-30-00_ES_Redacted e
Synopsis of the protocol (for publication) D1_Protocol synopsis_2023-507655-30-00_FR_Redacted e

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-27 Germany Acceptable
2024-09-03
2024-09-05
2 SUBSTANTIAL MODIFICATION SM-1 2024-09-13 Acceptable 2024-10-10
3 SUBSTANTIAL MODIFICATION SM-2 2024-09-18 Germany Acceptable 2024-09-26
4 SUBSTANTIAL MODIFICATION SM-3 2024-10-10 Acceptable 2024-11-15
5 NON SUBSTANTIAL MODIFICATION NSM-1 2024-11-15 Germany 2024-11-15
6 SUBSTANTIAL MODIFICATION SM-4 2025-02-14 Acceptable 2025-03-28
7 NON SUBSTANTIAL MODIFICATION NSM-2 2025-06-18 Germany Acceptable 2025-06-18
8 SUBSTANTIAL MODIFICATION SM-5 2025-07-15 Germany Acceptable
2025-08-27
2025-08-28
9 SUBSTANTIAL MODIFICATION SM-7 2025-10-17 Germany Acceptable 2025-11-07
10 SUBSTANTIAL MODIFICATION SM-8 2026-01-19 Germany Acceptable
2026-02-27
2026-03-02