A Study of LY3457263 Compared to Placebo in Participants with Type 2 Diabetes on a Stable Dose of Semaglutide or Tirzepatide

2024-520328-27-00 Protocol J1R-MC-GZFD Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 7 Aug 2025 · Status Ongoing, recruiting · 2 EU/EEA countries · 14 sites · Protocol J1R-MC-GZFD

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 200
Countries 2
Sites 14

Type 2 Diabetes

To compare HbA1c lowering efficacy of LY3457263 versus placebo at 24 weeks

Key facts

Sponsor
Eli Lilly & Co.
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Trial duration
7 Aug 2025 → ongoing
Decision date (initial)
2025-07-04
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-520328-27-00
WHO UTN
U1111-1316-9346

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Pharmacodynamic, Safety

To compare HbA1c lowering efficacy of LY3457263 versus placebo at 24 weeks

Conditions and MedDRA coding

Type 2 Diabetes

Regulatory references

Plan to share IPD
Yes
EU CT numberTitleSponsor
2022-501744-15-00 I8F-MC-GPIJ: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Effect of Tirzepatide on the Reduction of Morbidity and Mortality in Adults with Obesity Eli Lilly & Co.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Have type 2 diabetes
  2. Have overweight or obesity
  3. Have a stable body weight for three months prior to screening
  4. Be on a stable dose of injectable semaglutide or injectable tirzepatide for at least three months

Exclusion criteria 2

  1. Have type 1 diabetes
  2. Have taken any medications or alternative remedies for weight loss within three months prior to screening

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change from Baseline in Hemoglobin A1c (HbA1c) [Time Frame: Baseline, Week 24]

Investigational products

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

Test 1

Nisotirotide

PRD12097133 · Product

Active substance
Nisotirostide
Substance synonyms
Nisotirotide, L-Prolyl-L-lysyl-L-prolyl-L-alfa-glutamyl-N6-[N-(17-carboxy-1-oxoheptadecyl)-L-γ-glutamyl-L-alfa-glutamyl-6-aminohexanoyl]-L-lysyl-L-prolylglycyl-L-alfa-glutamyl-L-alfa-aspartyl-L-alanyl-L-seryl-L-prolyl-L-alfa-glutamyl-L-alfa-glutamyl-L-tryptophyl-L-glutaminyl-L-arginyl-L-tyrosyl-L-tyrosyl-L-alanyl-L-alfa-glutamyl-L-leucyl-L-arginyl-L-histidyl-L-tyrosyl-L-leucyl-L-asparaginyl-L-tryptophyl-L-leucyl-L-threonyl-L-arginyl-L-glutaminyl-L-arginyl-L-tyrosinamide, LY3457263, C-terminally amidated linear polypeptide consisting of 34 amino acids with approximately 80% sequence homology to native PYY3-36
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Placebo 1

placebo to match LY

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

Auxiliary 5

Tirzepatide

PRD12126815 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS USE
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Tirzepatide

PRD12126814 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS USE
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Tirzepatide

PRD12126816 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS USE
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Tirzepatide

PRD12126817 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS USE
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Tirzepatide

PRD12126813 · Product

Active substance
Tirzepatide
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS USE
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
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 14

OrganisationCity, countryDuties
Iqvia Biotech LLC
ORG-100008704
Durham, United States On site monitoring
Q2 Solutions LLC
ORG-100017000
Ithaca, United States Laboratory analysis
Q2 Solutions
ORL-000000243
West Lothian, United Kingdom Laboratory analysis
The Hibbert Co.
ORG-100047639
Trenton, United States Other
Greenphire LLC
ORG-100041621
King Of Prussia, United States Code 2
Q2 Solutions
ORL-000013404
Durham NC, United States Laboratory analysis
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
Cleveland Clinic Foundation
ORG-100028017
Cleveland, United States Code 13
Tier 1 Impact Pbc Inc.
ORG-100050163
Covington, United States Other
Reify Health Inc.
ORG-100049669
Boston, United States Other
Trialbee AB
ORG-100051369
Malmo, Sweden Other
Veeva Systems Inc.
ORG-100006053
Pleasanton, United States E-data capture
Clinical Trial Media Inc.
ORG-100046339
Hauppauge, United States Other
Fisher Clinical Services Inc.
ORG-100014726
Allentown, United States Other

Locations

2 EU/EEA countries · 14 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ongoing, recruiting 20 5
Poland Ongoing, recruiting 39 9
Rest of world
Canada, United Kingdom, United States
141

Investigational sites

Germany

5 sites · Ongoing, recruiting
Velocity Clinical Research Leipzig
N/A, Demmeringstr. 47-49, 3. OG, Leipzig
Institut fuer Diabetesforschung Muenster GmbH
N/A, Hohenzollernring 70, Herz-Jesu, Muenster
Gemeinschaftspraxis Dr. Taeschner / Dr. Bonigut
N/A, Gerhard-Ellrodt-Str. 19, 04249, Leipzig
R.E.D. Institut fuer medizinische Studien und Fortbildung GmbH
N/A, Markt 15, 23758, Oldenburg In Holstein
InnoDiab Forschung GmbH
N/A, Eleonorastrasse 42, Ruettenscheid, Essen

Poland

9 sites · Ongoing, recruiting
Ośrodek Badań Klinicznych "METABOLICA" Lek. Robert Witek
Ośrodek Badań Klinicznych METABOLICA Lek. Robert Witek, Najświętszej Marii Panny 9B,, 33-100, Tarnów
Centrum Terapii Wspolczesnej J.M. Jasnorzewska S.K.A.
-, Ul. Przedzalniana 66, 90-338, Lodz
Legeartis Poradnie Specjalistyczne Sp. z o.o.
-, Ul. Mlynowa 17, 15-404, Bialystok
Centrum Badan Klinicznych Pi-House Sp. z o.o.
-, Ul. Na Zaspe 3, 80-546, Gdansk
Szpital Czerniakowski Sp. z o.o.
-, Ul. Ulica Stepinska 19/25, 00-739, Warsaw
Medyczne Centrum Diabetologiczno-Endokrynologiczno-Metaboliczne Diab-Endo-Met Sp. z o.o.
-, Ul. Rusznikarska 17, 31-261, Cracow
NBR Polska
-, Aleja Wincentego Witosa 31, Warszawa, Warszawa
Ekamed Sp. z o.o.
-, Aleja Krasnicka 2j/u1, 20-718, Lublin
4 Wojskowy Szpital Kliniczny Z Poliklinika Samodzielny Publiczny Zaklad Opieki Zdrowotnej We Wroclawiu
Centrum Wsparcia Badan Klinicznych, Ul. Rudolfa Weigla 5, 53-114, Wroclaw

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 2025-08-07 2025-08-13
Poland 2025-08-08 2025-08-22

Results and documents

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

Documents 42 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-520328-27-00_Redacted a
Protocol (for publication) D4_Patient facing documents_copyright statement 1.0
Recruitment arrangements (for publication) K1_Recruitment and informed consent procedure 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_Informed consent_PL 1
Recruitment arrangements (for publication) K2_Recruitment material_64251 1
Recruitment arrangements (for publication) K2_Recruitment material_Brochure 2.1
Recruitment arrangements (for publication) K2_Recruitment material_Brochure 2.1
Recruitment arrangements (for publication) K2_Recruitment material_Doctor to Patient Letter 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Flyer 1.1
Recruitment arrangements (for publication) K2_Recruitment material_Flyer 1.1
Recruitment arrangements (for publication) K2_Recruitment material_Letter Doctor to Patient 1
Recruitment arrangements (for publication) K2_Recruitment material_Letter-Doctor-Referral 1
Recruitment arrangements (for publication) K2_Recruitment material_Poster 1.1
Recruitment arrangements (for publication) K2_Recruitment material_Poster 1.1
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-End-Of-Study 3
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-Participation 3
Recruitment arrangements (for publication) K2_Recruitment material_Thank-You-Screening 3
Recruitment arrangements (for publication) K2_Recruitment material_Trialbee_Digital Marketing Content 1
Recruitment arrangements (for publication) K2_Recruitment material_Trialbee_Landing page 1
Recruitment arrangements (for publication) K2_Recruitment material_Trialbee_OverviewSupplementaryInformation 1
Recruitment arrangements (for publication) K2_Recruitment material_Trialbee_SecondaryAssessmentAndCommunication_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_Werbetexte_64251 1
Subject information and informed consent form (for publication) L1_ICF Pregnant Partners_Redacted 1
Subject information and informed consent form (for publication) L1_Informed Consent Form_Redacted 3
Subject information and informed consent form (for publication) L1_Main ICF_Track Changes_Redacted 3
Subject information and informed consent form (for publication) L1_SIS and ICF Main_PL_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Additional activity_PL_Redacted 1
Subject information and informed consent form (for publication) L2_Ancillary list 1
Subject information and informed consent form (for publication) L2_Appreciation items 1
Subject information and informed consent form (for publication) L2_Direction for Use IFU_Tirzepatide 1
Subject information and informed consent form (for publication) L2_Direction for Use_IFU 1
Subject information and informed consent form (for publication) L2_Other subject information mateiral_IFU 1
Subject information and informed consent form (for publication) L2_Other subject information mateiral_TRZ_IFU 1
Subject information and informed consent form (for publication) L2_Other subject information material_Compensation Sheet_Redacted 2.0
Subject information and informed consent form (for publication) L2_Patient contact card template 1
Subject information and informed consent form (for publication) L2_Retention material_Study-Guide 2
Subject information and informed consent form (for publication) L2_Retention material_Visit-Card 2
Subject information and informed consent form (for publication) L3_Info Re insurance Conditions for Patient 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis 2024-520328-27-00_PL_Redacted a
Synopsis of the protocol (for publication) D1_Protocol Synopsis EN 2024-520328-27-00_Redacted a

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-04-04 Germany Acceptable
2025-06-27
2025-07-04
2 SUBSTANTIAL MODIFICATION SM-2 2025-10-01 Acceptable 2025-11-25
3 SUBSTANTIAL MODIFICATION SM-1 2025-10-02 Germany Acceptable 2025-10-14