A Study of Orforglipron in Female Participants With Stress Urinary Incontinence Who Have Obesity or Overweight (RESTRAIN-SUI)

2025-522514-23-00 Protocol J2A-MC-GZPS Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 12 Feb 2026 · Status Ongoing, recruiting · 3 EU/EEA countries · 32 sites · Protocol J2A-MC-GZPS

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 1,000
Countries 3
Sites 32

Urinary Incontinence

To demonstrate orforglipron is superior to placebo in the change in weekly incontinence episode frequency.

Key facts

Sponsor
Eli Lilly & Co.
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
12 Feb 2026 → ongoing
Decision date (initial)
2026-01-26
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2025-522514-23-00
WHO UTN
U1111-1324-4698

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety, Therapy

To demonstrate orforglipron is superior to placebo in the change in weekly incontinence episode frequency.

Conditions and MedDRA coding

Urinary Incontinence

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Have a body mass index that indicates obesity or overweight
  2. Have a diagnosis of stress urinary incontinence

Exclusion criteria 8

  1. Have given birth within one year of screening
  2. Have had urinary incontinence surgery or other types of surgeries
  3. Have recently received onabotulinumtoxin A (Botox) bladder injections or currently taking medications for urinary incontinence
  4. Have gained or lost more than 11 pounds within 90 days prior to screening
  5. Have type 1 diabetes, type 2 diabetes, or any other type of diabetes
  6. Have had a heart condition within 90 days prior to screening
  7. Have used any weight loss medication or alternative remedies within 180 days prior to screening
  8. Are pregnant, intending to be pregnant, breastfeeding, or intending to breastfeed for the duration of the study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change from Baseline in Incontinence Episode Frequency (IEF)

Investigational products

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

Test 6

Orforglipron

PRD12263027 · 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
TABLET
Route of administration
ORAL USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Orforglipron

PRD12263028 · 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
TABLET
Route of administration
ORAL USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Orforglipron

PRD12263032 · 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
TABLET
Route of administration
ORAL USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Orforglipron

PRD12263030 · 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
TABLET
Route of administration
ORAL USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Orforglipron

PRD12263029 · 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
TABLET
Route of administration
ORAL USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Orforglipron

PRD12263031 · 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
TABLET
Route of administration
ORAL USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
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

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 16

OrganisationCity, countryDuties
IQVIA Limited
ORG-100008655
Reading, United Kingdom On site monitoring
The Hibbert Group
ORL-000015926
Trenton, NJ, United States Other
Zoom Health
ORL-000015929
San Jose, CA, United States Other
IQVIA Connected Devices
ORL-000010815
Durham, United States Laboratory analysis
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Veeva Systems Inc.
ORG-100006053
Pleasanton, United States E-data capture
Florence
ORL-000012320
Atlanta, United States Other
IQVIA Laboratories
ORL-000012797
West Lothian, United Kingdom Laboratory analysis
Lionbridge
ORL-000015927
Waltham, MA, United States Other
Cleveland Clinic Foundation
ORG-100028017
Cleveland, United States Code 13
Tier 1 Impact Pbc Inc.
ORG-100050163
Covington, United States Other
ICON Clinical Research ICON IDEA
ORL-000015928
Blue Bell, PA, United States Other
WCG Clinical Inc.
ORL-000007439
Indianapolis, United States Other
LedgerRun, Inc ClinRun
ORL-000015925
Raleigh, United States Other
Clinical Ink Inc.
ORG-100042433
Winston Salem, United States Data management
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other

Locations

3 EU/EEA countries · 32 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Ongoing, recruiting 80 9
Poland Ongoing, recruiting 80 6
Romania Ongoing, recruiting 135 17
Rest of world
India, Japan, Canada, Mexico, Korea, Republic of, China, United States
705

Investigational sites

Czechia

9 sites · Ongoing, recruiting
Gyncare MUDr. Michael Svec s.r.o.
Urolgynecology, Slovanska 2696/114, Vychodni Predmesti, Plzen 2-Slovany
NEUMED gynekologicka ambulance s.r.o.
Urolgynecology, Horni Namesti 1310/10a, 779 00, Olomouc
Gona spol. s r.o.
Urolgynecology, Narodni 961/25, Stare Mesto, Prague
GYNEKOLOGIE Sottner s.r.o.
Urolgynecology, Vystavni 9, Stare Brno, Brno-Stred
Kestr-gyn s.r.o.
Urolgynecology, Volovnice 437, 547 01, Nachod
GYNORD plus s.r.o.
Urolgynecology, Slavnikovcu 231/7, Marianske Hory, Ostrava
G CENTRUM Olomouc s.r.o.
Urolgynecology, Horni Namesti 285/8, 779 00, Olomouc
Urologie Benesov - Afimed
Urology, Konopišťská 1205/7, 256 01, Benešov
Agyno s.r.o.
Urolgynecology, Skolni 736/9, 360 17, Karlovy Vary

Poland

6 sites · Ongoing, recruiting
Ginemedica Research Sp. z o.o.
NA, Ul. Podwale 83/21, 50-414, Wroclaw
Euromedis Sp. z o.o.
NA, Ul. Powstancow Wielkopolskich 33 A, 70-111, Szczecin
Med Sp. z o.o.
NA, Ul. Polnej Rozy 6/u2, 02-798, Warsaw
In Vivo Sp. z o.o.
NA, Ul. Kaszubska 17h, 85-048, Bydgoszcz
Aidport Sp. z o.o.
NA, Ul Ksiedza Stanisława Kozierowskiego 24, 60-185, Skorzewo
EMC Instytut Medyczny S.A.
NA, Ul. Pilczycka 144/148, 54-144, Wroclaw

Romania

17 sites · Ongoing, recruiting
Materna Care S.R.L.
Urology, Calea Aradului Nr 113, 300644, Timisoara
Spitalul Clinic Judetean De Urgenta Craiova
Urology, Strada Tabaci Nr 1, 200642, Craiova
Delta Health Care S.R.L.
Urology, Strada Caramfil G. Nicolae Nr 85a, 014142, Bucharest
Spitalul Clinic De Nefrologie Dr. Carol Davila
Urology, Calea Grivitei Nr 4, 010731, Bucharest
Gnosis Evomed S.R.L.
Urology, Strada Poet Cezar Bolliac 21b, 030911, Bucharest
Spitalul Clinic Colentina Bucuresti
Urology, Soseaua Stefan Cel Mare 19-21, 020125, Bucharest
Spitalul Universitar De Urgenta Militar Central Dr. Carol Davila
Urology, Strada Vulcanescu Mircea 88, 010825, Bucharest
Spitalul Clinic Judetean De Urgenta Ilfov
Urology, Bulevardul Basarabia Nr 49-51, 022115, Bucharest
Institutul Clinic Fundeni
Urology, Soseaua Fundeni 258, 022328, Bucharest
Spitalul Clinic Judetean De Urgenta Bihor
Urology, Str Gheorghe Doja Nr 65, 410169, Oradea
Spitalul Clinic Judetean De Urgenta Brasov
Urology, Strada Oltet Nr. 2, 500152, Brasov
Spitalul Clinic Judetean De Urgenta Pius Brinzeu Timisoara
Urology, Bulevardul Liviu Rebreanu 156, 300723, Timisoara
Clinica Polisano S.R.L.
Urology, Strada Constitutiei Nr 24, 550253, Sibiu
Centrul Medical Unirea S.R.L.
Urology, Strada Maniu Iuliu Nr 49, 500091, Brasov
Polaris Medical S.A.
Urology, Str. Principala Comuna Baciu 323t, 407062, Suceagu
Spitalul De Urgenta Al Ministerului Administratiei Si Internelor Prof.Dr.Dimitrie Gerota
Urology, Strada Vasile Vasilievici Stroescu 29-31 Sector 2, 021373, Bucharest
Spitalul Clinic Prof.Dr.Theodor Burghele
Urology III, Panduri Road 20, District 5, Bucharest

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 2026-02-13 2026-02-18
Poland 2026-02-12 2026-02-16
Romania 2026-02-13 2026-02-23

Results and documents

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

Documents 55 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2025-522514-23-00_redacted a
Protocol (for publication) D1_Protocol ISA1 2025-522514-23-00_redacted initial
Protocol (for publication) D1_Protocol ISA2 2025-522514-23-00_redacted initial
Protocol (for publication) D4_Patient Facing Documents_Copyright Template 1
Recruitment arrangements (for publication) K1_Recruitment and consenting procedure 1
Recruitment arrangements (for publication) K1_Recruitment Arrangement_Recruitment and IC procedure 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements_CZ 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_PL 1
Recruitment arrangements (for publication) K2_Doctor Referral Letter_Redacted 1
Recruitment arrangements (for publication) K2_Doctor to Patient Letter_Redacted 1
Recruitment arrangements (for publication) K2_Flyer_Redacted 1
Recruitment arrangements (for publication) K2_List of participating sites 1
Recruitment arrangements (for publication) K2_List of sites_Redacted 1
Recruitment arrangements (for publication) K2_Poster_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_Brochure_Master_CZ_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_Flyer_Master_CZ_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_GI-AE-Brochure_Master_CZ 1
Recruitment arrangements (for publication) K2_Recruitment material_GZPS_Brochure_Master_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_GZPS_Flyer_Master_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_GZPS_Letter Doctor to Patient_Master_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_GZPS_Poster_Master_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_GZPS_Visit-Card_Master_CZ_Redacted 2
Recruitment arrangements (for publication) K2_Recruitment material_HBP_Module-13-Worksheet_Master_CZ 1
Recruitment arrangements (for publication) K2_Recruitment material_HBP_Participant-Nutrition-Hydration_CZ 1
Recruitment arrangements (for publication) K2_Recruitment material_HBP_Site-Nutrition-Hydration_CZ 1
Recruitment arrangements (for publication) K2_Recruitment material_Health-Journey-Support_Master_CZ 1
Recruitment arrangements (for publication) K2_Recruitment material_Letter-Doctor-to-Patient_Master_CZ_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_Obesity-Infographic_Master_CZ 1
Recruitment arrangements (for publication) K2_Recruitment material_Poster_Master_CZ_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_SHOPPING-LIST_MASTER_CZ 1
Recruitment arrangements (for publication) K2_Recruitment material_Study-Connect-Participant_Master_CZ_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_Study-Guide_Master_CZ_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_Supportive-Partner-Guide_Master_CZ 1
Recruitment arrangements (for publication) K2_Recruitment material_Understanding-SUI_Master_CZ 1
Recruitment arrangements (for publication) K2_Study Brochure_Redacted 1
Subject information and informed consent form (for publication) L1_Main ICF_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_PL_Main ICF_GZPS_Redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_PL_Main ICF_TC_redacted 1.1
Subject information and informed consent form (for publication) L2_Confidentiality Company Information Notice 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Information Card 2
Subject information and informed consent form (for publication) L2_Study Participant Contact Card 1.0
Subject information and informed consent form (for publication) L3_Informed consent and patient recruitment procedure_PL 1
Subject information and informed consent form (for publication) L5_Info Re insurance Conditions for Patient 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis _2025-522514-23-00_RO_Redacted a
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2025-522514-23-00_RO_GZS1 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2025-522514-23-00_RO_GZS2 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_GZPS_CZ_2025-522514-23-00_Redacted a
Synopsis of the protocol (for publication) D1_Protocol Synopsis_GZPS_ENG_2025-522514-23-00_Redacted a
Synopsis of the protocol (for publication) D1_Protocol Synopsis_GZS1_CZ_2025-522514-23-00_Clean 1.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_GZS1_ENG_2025-522514-23-00 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_GZS2_CZ_2025-522514-23-00_Clean 1.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_GZS2_ENG_2025-522514-23-00 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_PL_2025-522514-23-00_Redacted a

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-09-22 Poland Acceptable
2026-01-23
2026-01-26
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-02-09 Poland Acceptable
2026-01-23
2026-02-09
3 SUBSTANTIAL MODIFICATION SM-1 2026-03-13 Poland Acceptable 2026-04-23